• Title/Summary/Keyword: Public Health Center Practice

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The Factors Related to the Non-Practice of Cancer Screening in Cancer Survivors: Based on the 2007-2012 Korean National Health and Nutrition Examination Survey (암생존자의 암검진 미수검 관련 요인분석: 국민건강영양조사(2007-2012년) 자료 이용)

  • Yang, Song-Ei;Han, Nam-Kyung;Lee, Sun-Mi;Kim, Tae-Hyun;Chung, Woojin
    • Health Policy and Management
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    • v.25 no.3
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    • pp.162-173
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    • 2015
  • Background: The aim of the current study was to investigate the factors related to the non-practice of cancer screening in cancer survivors, who are at high risk of developing second cancers. Methods: This study is a cross-sectional analysis of 1,125 cancer survivors ${\geq}19$ years old who participated in the Korean National Health and Nutrition Examination Surveys IV and V (2007-2012). A Rao-scott chi-square test and a survey logistic regression analysis were employed respectively to analyze the difference of cancer survivors in cancer screening by each characteristic and the factors related to the non-practice of cancer screening in cancer survivors. Results: Among total subjects, 33.5% did not participate in cancer screening in the last two years. Results from a fully adjusted logistic model showed that the non-practice of cancer screening in cancer survivors was significantly associated with variables such as sex, age, marital status, education level, monthly income, and drinking a alcoholic beverage Specifically, the odds ratio of non-practice of cancer screening was higher in males than in females, in the younger group than in older group, in the group with no spouse than in the group with a spouse; in a group with a low level of education than in a group with a high level of education; in a group with the lowest income level than in a group with the other levels of income; or in non-drinkers than in drinkers. Conclusion: Health policies to reduce the non-practice rate of cancer screening in cancer survivors should be designed and implemented with close attention to cancer survivors' socio-economic characteristics such as sex, age, marital status, education, and income, along with a health behavioral characteristic as drinking.

Institutional Ethnography on Organization of Case Management Practice at a Mental Health Center (정신보건센터 사례관리 실천의 조직화에 관한 제도적 문화기술지)

  • Ha, Ji Seoun
    • Korean Journal of Social Welfare
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    • v.68 no.4
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    • pp.199-224
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    • 2016
  • This study is a research that investigated organization of case management practice at a mental health center. For organization research of case management practice, this study applied the research method of Institutional Ethnography, and analyzed 'work knowledge' and 'texts' data which were obtained through field work that lasted 3 months with 11 study participants. The analysis is not interpretation of the researcher, but it is work that assembles 'work knowledge' of field workers until they reach discovering institutions that organize case management practice. As a result of this study, case management practice of the mental health center was being standardized as 'a service that is biased towards symptom management without comprehensive and continual resources links' by new public management theory, bio-medicine discussion, 'standardization policy', 'treatment rate improvement policy', 'performance-based budget system', 'performance evaluation system' and 'continual linkage policy', mediating texts. This is a different outcome from usefulness of case management that is claimed to support politically.

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A Study on the Effect that Rehabilitation Education Influence on the Knowledge Attitude and Practice of Public Health Nurse (재활교육이 보건간호사의 재활에 대한 지식, 태도, 실천에 미치는 효과 연구)

  • Jo, Kye-Suk;You, In-Ja;Bae, Jung-Hee;Lee, Young-Ja
    • The Korean Nurse
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    • v.36 no.5
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    • pp.63-73
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    • 1998
  • The home visiting health nurses are important man-power who can serve various and persistent rehabilitation care to disabled person in community. The Community Based Rehabilition project(CBR) of national rehabilition center have been carried out from 1995. As a part of that project national health center performed rehabilition education program for home visiting health nurses. The purpose of this study is to analysis the effect of this education. In the first stage all of those groups were educated for two weeks in national rehabilitation center. But only two group nurses, one is in a urban and the other in a rural community, have been educated continually in the field through discussing rehabilitation care case study. The data in this study were gathered from three group healh nurses and analysed by SAS computer program. The results about knowledge, attitude and practice changes of the three group nurses were as follows. 1. In the pre education state the mean point of all nurses' attitude for rehabilition was 59, but in the post education state that was 90. The difference between pre and post attitude is very significant(t=-14.1. p<0.0001l). 2. In the pre education state the mean point of all nurses' knowledge for rehabilition was 45, but in the post education state that was 78. The difference between pre and post knowledge is very significant(t=-12.7, p<0.000l). 3. In the pre education state the mean point of all nurses' practice for rehabilition care was 37, but in the post education state that was 62. The difference between pre and post practice is very significant(t=-7.3, p<0.000l). 4. In practice point, the two group nurses who have been educated continuously were superior to the other(t=-3.9. p<0.00l). 5. All points between the urban and rural nurses were no significant differences(p>0.l). 6. All changes of the attitude, knowledge and practice did not affected by age(F=0.58, p>0.l). professional career(F=O.61, p>0.l), educational background(F=0.97, p>0.l).

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Clinical Practice Guideline for Sasang Constitutional Medicine: The Examination of Sasangin Disease and Diagnosis for Sasang Constitution (사상체질병증 임상진료지침: 사상체질병증 검사 및 체질진단)

  • Kim, Sang-Hyuk;Lee, Siwoo;Lee, Jun-Hee;Lee, Eui-Ju
    • Journal of Sasang Constitutional Medicine
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    • v.27 no.1
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    • pp.110-124
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    • 2015
  • Objectives This study was purposed to develop the clinical practice guideline for examination of Sasangin disease and diagnosis for Sasang Constitution. Methods "Donguisusebowon" and many articles were reviewed and examined for developing clinical practice guidelines. And "Guideline for Educating Public Health Korean Medical Doctors on Diagnosis of Sasang Constitution" was basically used to develop clinical guidelines. Results & Conclusions By researching and discussing the examination of Sasangin disease and diagnosis for Sasang Constitution, we make the principle of the clinical practice guideline, including methods using body shape, facial shape, vocal characteristic and personality etc.

The Concept of Practice of Korean Medicine and the Limitations - Focusing on Legislations and Precedents - (한방 의료행위의 개념과 그 한계 - 법령과 판례를 중심으로 -)

  • Kwon, Soon-Jo;Eom, Seok-Ki
    • The Journal of Korean Medical History
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    • v.28 no.1
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    • pp.121-133
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    • 2015
  • Objectives : The purpose of this study is to suggest how to interpret the 'practice of Korean Medicine', differentiating it from 'medical practice'. Methods : I analyze the legislations and precedents regarding the practice of Korean Medicine. Results : The Korean Medicine and Pharmaceutics Promotion Act defines 'practice of Korean Medicine' and it clearly differentiates it from the definition of 'medical practice'. However, the scope of this definition is somewhat restricting and it can violate doctors of Korean Medicine's right to equality and their academic freedom. Thus, the application of this definition of the 'practice of Korean Medicine' should be limited to the field of research and development. Meanwhile, criteria of distinguishing 'practice of Korean Medicine' from 'medical practice', which used to make a sharp distinction between Medicine and Korean Medicine by rigorously applying their academic standards, are now focusing more on protecting and improving health of the people. Discussions & Conclusions : I suppose that the distinction between the 'practice of Korean Medicine' and 'medical practice' will be more focused on public health rather than the academic stance of those two medical fields. Meanwhile, in accordance with dualistic medical system, the mutual usage of medical equipment in the area of 'treatment' should be limited while it should be allowed in the area of 'diagnosis' if it satisfies requirements suggested by the Constitutional Court.

Analysis of professionalism of physical therapy student who experienced clinical practice (임상실습을 경험한 물리치료 전공 학생의 전문직업성 연구)

  • Yu, Jae-Ho;Bae, Young-Hyeon;Noh, Su-Hyun;Kim, Yun-Tae;Hong, Sung-Hwa
    • Journal of Korean Physical Therapy Science
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    • v.28 no.2
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    • pp.40-45
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    • 2021
  • Purpose: The purpose of this study is to find the perceived level of professionalism of physical therapy student who experienced clinical practice. Design: Cross-sectional study. Methods: The subjects of the study were conducted for 3 months from March to June, 2017, and randomly selected physical therapy student who experienced clinical practice in Chungnam-Do. The 138 students in cross-sectional survey were done via Korean of Professionalism In Physical Therapy: Core Values (PPTCV). The questionnaire data analyzed by SPSS 19.0 version. Results: The mean scores of PPTCV were accountability 41.34±0.83, altruism: 19.67+0.90, compassion/caring 43.82±0.81, excellence 45.57±0.80, integrity 43.69±6.16, professional duty 28.67±4.70, and social responsibility 45.84±7.64. Conclusion: Physical therapy students who experienced clinical practice had overall high scores.

Development of the System for Home Visiting Physical Therapy (가정방문 물리치료 시행을 위한 시스템 개발)

  • Han Dong-Wook;Moon Tae-Ho;Lee Eun-mi;Jeon Sung-mi;Jung Won-Suck
    • The Journal of Korean Physical Therapy
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    • v.17 no.1
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    • pp.1-26
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    • 2005
  • The most of patients and protectors point that the Home Visting Physical Therapy is necessary and compulsive. A Public Health Center and a Welfare Center have to help a home visiter for treatment cure to ask for professional medical services in general hospital. On getting a name lists of patients a treatment of doctors, they must remark the conditions of the patients to keep the mutual relation general hospital. A home visiting physical therapists in the welfare center and public health center need to discuss a main doctors in a same center for revaluation of patients. The system in a general hospital consists of the medical department and the administration with the doctor of hospital as the central figure. A department of home visiting physical therapy has a physical therapy team closely connected with various medical office in hospital. The system in a public health center is composed of the health executive office, health direction medicine office, and the community health office. Department of home visiting physical therapy belongs to community health office. Home visiting physical therapy in a welfare center belongs to home visiting service office. The qualifications of a physical therapist is intended for people who have received clinic experience of three years and regular education. The theory (352 hours) and practice (248 hours) total to 600 hours. They can develop professional skills through these education courses. The frequency of home visiting is proper third a week after talking with a medical attendant about the state of patient. The care time is proper from 30 to 60 minutes.

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Development of Nursing Center for Elderlies and the Disabled (노인 및 장애자를 위한 건강간호센타 운영모형 개발 - 대학 건강간호센타를 중심으로 -)

  • Lee Kap-Soon
    • Journal of Korean Public Health Nursing
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    • v.7 no.1
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    • pp.17-29
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    • 1993
  • Nursing centers are nurse-managed organizations that give the client direct access to professional nursing services. Academic nursing centers are faculty-created and -organized nursing centers integrated into nursing school or cooperated with community nursing center. Academic nursing centers are needed for providing services to the forgotten or underserved populations in the community, providing learning opportunities for nursing students and practice opportunities for faculties. The intent of this study is to identify the elements needed in developing process and operations of acedemic nursing center for elderlies and the disabled, and to present the desired model for academic nursing center. The processes of my study were : 1) The articles of the academic nursing centers in U. S. were reviewed and analysed. 2) The academic nursing center for elderlies and the disabled was developed and operated in my paper. 3) Desired model for academic nursing center was presented in my paper. The followings are the results of my study: 1. Elements needed in developing process of academic nursing center were philosophy and goals, the community support, assessment of the validity of the service and health needs, identification of the service contents, roles and responsibilities, communication lines, finances for facilities and operations, cooperation with resources, and developing record system. 2. Elements needed in operations of academic nursing center were the structural organizations, realization of the above philosophy and goals, development of policy and nursing standards, faculty participation, continuity of services, and financial solutions. 3. The desired model was presented according to the process and operations.

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The Future Direction of Health Promotion Fund (국민건강증진기금 중장기 운용 방향)

  • Lee, Ju-Yul;Jeong, Ae-Suk;Kim, Hyun-Jeong
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.201-217
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    • 2007
  • This study reviews the amount and expenditures in national health promotion fund from 1997 to 2006, to analyse the problems and provide the future direction of health promotion fund programs. This study suggested the guide for future plans and the scope and contents of health promotion fund programs, priority and fund budgetary allocation, and operation organization. It is needed to revise health promotion law and enforcement decree of the health promotion act. The fund should be used in limited 9 areas related to healthy life activities: (1)Anti-smoking actions, (2)To support activities leading to a healthy life, (3)Public health education and development of materials, (4)Investigation and research regarding community health matters, (5)Public nutrition management activities, (6)Oral health management activities, (7)Physical exercises for health promotion, (8)Foundation related to supporting healthy life style practice society, (9)Expenses necessary for the management and operation of the fund. And also, in order to improve the performance of health promotion, it is considered to reform the operation system including organization.

Effect of Korean medicine health promotion program for maternal health (임산부 한의약건강증진프로그램의 효과)

  • Seo, Joo-Hee;Ji, Eun-Young;Lee, Hyun-Ji;Park, Min-Jeong
    • The Journal of Korean Medicine
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    • v.40 no.2
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    • pp.106-118
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    • 2019
  • Objectives: The aim of this study is to survey on the effect of Korean medicine health promotion program for maternal health. Methods: We conducted Korean medicine health promotion program for maternal health to pregnant women who agreed to participate in this program among 10 public health center. Before and after program, we surveyed the Knowledge Score of Maternal Health Care, Practice of Health Behavior, (Traditional) Child Care Recognition, Depression, Child Caring Confidence and analyzed DID(Difference In Difference). Results: The Knowledge Score of Maternal Health Care of intervention group was improved about 1 point. The improvement of (Traditional) Child Care Recognition was significant. Depression score of intervention group was improved high significantly. The Child Caring Confidence of intervention group was improved about 1.3 point. Conclusion: As a result of analyzing the effect of Korean medicine health promotion program for maternal health, it is confirmed that this program can have an impact on improving Knowledge Score of Maternal Health Care, (Traditional) Child Care Recognition, Depression, Child Caring Confidence. It will be necessary to continue and develop this program widely.