• 제목/요약/키워드: Public health center workers

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보건사업전담 공중보건의사 직무만족도 및 제도 개선방안 (A Study on job satisfaction and strategies to improve the system of Public Health Doctors in Charge of Community Health programmes)

  • 정헌재;조희숙;배상수
    • 보건행정학회지
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    • 제14권1호
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    • pp.1-23
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    • 2004
  • This study was carried out to investigate the activities and job satisfaction of public health doctors in charge of community health programmes. Subjects were 138 public health doctors charged with community health project, registered in the roll of public health doctors, made out by Central Supporting Team for the District Health Work in 2002. Data was obtained from Ninety-six public health doctors. The response rate was 70%. The survey was conducted from March to April in 2003 bye-mail. The items of the questionnaire consisted of general characteristics of participants, understanding of their activities, support system, job satisfaction, and suggestions to improve the system. Collected data was analyzed using PC-SPSS 10.1. Descriptive analysis, t-test, and ANOVA test were used. The results are as follows: Most of the respondents showed a low participation rate in community health services, but they agreed to the importance of their activities and the necessity to modify and improve the system. 70% of the respondents were dissatisfied with their jobs. The participation in health planning and programmes of health center, and the degree of acceptance of their opinion from health center workers were significantly related to their job satisfaction. The participation rate of the public health doctors having specialty, in community health services is higher than that of the others. In terms of the supports for system operation, the reflection of one's intention in job arrangement process, education and public relation of this system, and the administrative and financial supports made significant differences in the job satisfaction and the accomplishment of their duty. The respondents hoped that the administrative and financial supports for public health doctors in charge of community health programmes should be reinforced to motivate them. They also wanted that they could keep from being overloaded with clinical services. They favored to conduct home visit, community diagnosis, health planning, and health promotion programs as their appropriate activities. From these results, we suggest some strategies to motivate and empower the public health doctors in charge of community health programmes.

소음성 난청 진단에 있어 연령 보정의 효과 (The effects of age adjustment on the diagnosis of noise induced hearing loss)

  • 원종욱;안연순;노재훈
    • Journal of Preventive Medicine and Public Health
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    • 제28권3호
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    • pp.651-662
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    • 1995
  • In Korea there is no specific method of age adjustment in noise induced hearing loss(NIHL). We attempted the age adjustment to understand the effects of age on the diagnosis of NIHL. We used the International Standard Organization 1999 as an age adjustment method. We used the 1, 617 otologically normal person's hearing data from a health examination center, and 206 workers diagnosed as NIHL. We concluded as follows; 1. The ISO 7029 function used for age specific hearing loss is not suited to Korean people. 2. The mean of age specific hearing loss is 11.0 6.2dB and the older of age, the more decrease on hearing loss, especially in 4000Hz. 3. The difference of NIHL between before age adjustment and after age adjustment in the 3rd decade is 5.4dB, in the 4th decade is 6.7dB, in the 5th decade is 8.5dB, in the 6th decade is 10.4dB, and in the 7th decade is 12.9dB. The older, the more is the difference. 4. After age adjustment, the number of workers diagnosed as NIHL decreases to 60% of unadjusted.

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예방접종 홍보광고 전략개발 조사연구 (A Study on the Development of the Advertising Strategy and Public Service Announcement Materials for National Immunization)

  • 오국환;이무식;김병희;나백주;김건엽;홍지영;김영택;고재영;김영숙;이석구;조형원
    • 농촌의학ㆍ지역보건
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    • 제30권2호
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    • pp.183-204
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    • 2005
  • 본 연구 목적은 예방접종에 대한 교육홍보 기본 컨셉 도출, 매체 집행전략 개발, 매체시안 개발을 위해 광고전략 조사를 실시하여, 2000년대에 국가예방접종사업의 홍보고안을 위한 효과적인 전략을 제시코자 실시하게 되었다. 연구대상과 방법으로 우리나라 보건소 242개 중 169개 보건소에 종사하는 예방접종 담당자(242명)와 자녀의 예방접종을 위해 보건소에 내소한 보호자(1,193명)를 대상으로 구조화된 우편 설문조사를 실시하여 예방접종에 대한 주관적 중요도, 예방접종 사업에 대한 홍보 경험 및 수단, 예방접종에 대한 지식과 인식, 예방접종 홍보광고 전략개발을 위한 방안을 도출하기 위해 빈도 분석, t-검정, 일원분산분석을 각각 실시하였다. 조사결과로 예방접종 담당자는 예방접종에 대한 중요성을 인식하고 있는 것으로 나타났다. 예방접종 사업의 홍보 매체 경험율에 대해서는 예방접종 담당자는 91.3%, 보호자는 70.6%가 경험이 있다고 응답하였고, 일반대중이나 광고 전문인 모두 자주 접할 수 있는 TV, 지역신문, 팜프렛 등의 홍보광고 수단을 경험한 것으로 조사되었다. 예방접종에 대한 지식과 인식에 대한 조사에서는 예방접종 담당자가 예방접종에 대한 전문적인 지식을 갖고 있는 것으로 나타났고, 보호자는 예방접종에 대한 필요성과 중요성을 높게 인식하고 있는 것으로 조사되었다. 예방접종 홍보매체의 선호도에서는 예방접종 담당자가 팜프렛 76.0%, 포스터 44.6% 순으로 나타났고 보호자는 TV 70.5%, 지역신문 39.2% 순으로 선호하는 것으로 나타났다. 광고 포스터 색상 선호도 조사에서는 예방접종 담당자가 초록 32.0%, 노랑 19.9% 순이었고, 보호자 역시 초록 29.5% 노랑 22.0% 순으로 나타났다. 광고 스타일 선호도 조사에서는 예방접종 담당자는 유명인사나 연예인이 예방접종으로 인해 일상생활이 활기차고 건강하다는 생활 장면을 보여주는 스타일로 구성해야 함을 알 수 있었다. 캠페인용 슬로건의 선호도 조상에서는 예방접종 담당자와 보호자 모두 긍정적 메시지를 선호하였다. 연구를 통해 예방접종 사업의 중단기 홍보전략에 대한 실행방안 구체화와 비교평가를 통한 가장 효율적인 홍보 방안을 제시하기 위한 연구사업이 필요하며 이를 위해 현실적 대중 요구를 반영한 홍보매체 개발, 홍보전략에 근거한 홍보매체 개발, 매체에 대한 평가연구, 연구방법 및 평가가 요구된다. 또한 교육홍보매체에 활용될 표준매체 제작 및 집행지침의 개발이 필요하다고 할 수 있다. 무엇보다도 이러한 사업의 추진을 위해서는 정부 또는 국가 공공기관의 예산 투자, 인력 투입과 활용 등을 통해 국가 예방 접종 사업이 활성화되길 기대한다.

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사회복지전담공무원의 외상사건 및 스트레스 대처방식과 외상후스트레스증상 관련성 (Relationship between Traumatic Events, Stress Coping Strategies and Post-Traumatic Stress Symptoms among Social Workers in Public Sector)

  • 이정현;김지애;심민영;전경선;오승아;양정일;이영렬
    • 생물정신의학
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    • 제22권2호
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    • pp.55-62
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    • 2015
  • Objectives Social workers can suffer from occupational stress resulting from dealing with clients, which might lead to metal health problems. We aimed to investigate the association of duty-related traumatic experiences and stress coping strategies with post-traumatic stress symptoms among social workers in public sector. Methods A total of 110 social workers in public sector (men 30.9%, $36.5{\pm}7.6$ yrs) participated in this study. All subjects were evaluated the frequency and the impact of duty-related traumatic events. Additionally, they completed questionnaires including the Impact of Event Scale-Revised for post-traumatic stress symptoms, the Beck Depression Inventory-II for depressive symptoms, the Scale for Suicidal Ideation for suicide symptoms and the Ways of Coping Checklist for stress coping strategies. Results The most frequent traumatic events were "Violent or abusive language from a client" (95.0%) and "Client made a fuss" (94.5%). The most distressing traumatic event was "Seeing a dead body on duty" (7.6 out of 10), which predicted post-traumatic stress symptoms (odds ratio 4.04 ; 95% confidence interval, 1.79-9.11). Among 4 types of stress coping strategies, the emotion-focused coping was positively correlated with post-traumatic stress symptoms after controlling age and sex (${\beta}$ = 0.50, p < 0.001). Conclusions Social workers in public sector showed high level of post-traumatic stress symptoms. Duty-related traumatic events and the emotional-focused coping strategies were associated with the severity of post-traumatic stress symptoms. The modification of stress coping strategies would alleviate post-traumatic stress symptoms in social workers in public sector.

보건소 방문간호사의 서비스 수행빈도 및 교육요구 (The Health service performance frequency and educational needs among the visiting nurses of public health centers)

  • 김진학;송민선
    • 가정∙방문간호학회지
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    • 제22권1호
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    • pp.22-37
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    • 2015
  • Purpose: This study aimed to compare the health service delivery level and educational needs by work experiences and types of public health center among the nurses who work as visiting health services workers at public health centers. Methods: Data collected from 484 nursing staff for 2 weeks, was analyzed using the SPSS program t-test, ANOVA, and Spearman Rank-Order Correlation. Nurses with more than 2 years experience were 79.1%; and 43.6% of the subjects worked within Gun type public health centers. Results: The health service performance frequency of metropolitan city type public health centers was significantly high in the areas of education, behavior pattern, chronic disease, pregnant women & infants, and multi-cultural family. The health service performance frequency of Gun type public health centers was significantly high in the areas of type of test, fundamental nursing, and basic rehabilitation. In addition, the correlation between the performance frequency and educational needs was positively correlated, and the subjects with greater educational needs performed more. Conclusion: Educational programs should be designed according to the types of public health centers rather than work experiences, especially in systematic training for frequently performed items after reviewing the practice precisely.

U-Health 프로그램을 이용한 직장인 대사증후군 관리사업의 효과 (The Effects of U-Health Program on Metabolic Syndrome of Workers)

  • 정혜선;이복임;권영현;민규리;명수영
    • 한국직업건강간호학회지
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    • 제23권1호
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    • pp.47-54
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    • 2014
  • Purpose: This study was to investigate the effects of U-Health program on metabolic syndrome of workers. Methods: This study was conducted with a pretest-posttest control group study for 6 month from May to October 2010. Subjects in the experimental group participated in the U-Health program (n=315), whereas the control group did not (n=157). Results: In the U-Health group, statistically significant reductions in BMI(body mass index), waist circumference, cholesterol, and triglyceride were observed. The results of this study showed that 6 months of U-Health program influenced on the metabolic syndrome of workers in a positive way. Conclusion: It is, therefore, suggested to actively utilize the U-Health program to manage the workers' health.

치과위생사의 보수교육 실태 및 인식에 관한 연구 (A study on the state of inservice education for dental hygienists and their relevant awareness)

  • 정재연;김경미;조명숙;안금선;송경희;최혜정;최윤선;황윤숙
    • 한국치위생학회지
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    • 제7권1호
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    • pp.73-89
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    • 2007
  • The purpose of this study was to examine the reality of inservice education provided to members of Korean Dental Hygienists Association, the state of relevant academic conferences, and the perception of the members about inservice education and academic conference. It's basically meant to help boost their participation in inservice education and their satisfaction with it, and to show some of the right directions for that. The subjects in this study were dental hygienists who attended a symposium on July 1, 2006. After a survey was conducted, the answer sheets from 489 participants were analyzed, and the findings of the study were as follows: 1. General hospitals and university hospitals made up the largest group(91.4%) that gave a monthly leave of absence, and the second largest group was dental hospitals(75.4%), followed by dental clinics(58.3%) and public dental clinics(48.0%). The most common closing time in dental clinics and dental hospitals was 5 p.m., and that was 12 p.m. in general hospitals and university hospitals. The dental hygienists in public dental clinics didn't work on Saturdays. By type of workplace, treatment was the most common duty for the dental hygienists in dental clinics and dental hospitals to perform, and those who worked at general hospitals, university hospitals and public health clinics were in charge of extensive range of jobs. 2. The rates of the dental hygienists who took that education stood at 94.9% in public dental clinics, 78.7% in dental hospitals and 75.3% in dental clinics, general hospitals and university hospitals. Regarding how many marks they got on an yearly basis, those who got eight marks or more made up the largest group(55.6%), followed by four marks or more(11.8%), six marks or more(3.4%), and two marks or more(1.5%). As for the usefulness of inservice education for their job performance, the largest number of the dental hygienists(40.8%) found it to be helpful, and the second greatest group(37.5%) considered its effectiveness to be so-so. The third largest group(8.4%) found it to be of great use, and the fourth biggest group(4.2%) considered it to be of no service. The fifth biggest group(l.3%) thought it was absolutely useless. By type of workplace, the workers in dental clinics, dental hospitals, general hospitals and university hospitals wanted the most to learn how to take care of clinical work(acquisition of up-to-date technology), and those in public health clinics hoped the most to learn about public dental health. By type of workplace, the workers in dental clinics had their sight set on self-development the most, and the dental hygienists in dental hospitals, general hospitals, university hospitals and public health clinics were most in pursuit of acquiring new knowledge. By type of workplace, the specific given conditions at work were most singled out by the dental clinic workers as the reason, and the dental hospital employees pointed out time constraints the most. The dental hygienists in general hospitals and university hospitals cited time constraints and financial burden the most, and the public health clinic personnels mentioned inaccessibility of a place for inservice education as the reason. 3. The public health clinic workers participated in academic conferences the most(90.8%), followed by the general and university hospital personnels(68.8%), dental hospital employees(65.6%) and dental clinic workers(65.5%). By type of workplace, the public health clinic workers(73.5%) expressed the most satisfaction, followed by the general and university hospital employees(67.7%), dental clinic workers(62.3%) and dental hospital personnels(54.1%). By type of workplace, the employees of dental clinics, dental hospitals, general hospitals and university hospitals preferred Saturdays, and the public health clinic workers had a liking for weekdays. As for a favored place, hotels were most preferred, followed by university hospitals, general hospitals, college lecture rooms, district halls and local public institutions. Hotels were most favored regardless of the type of workplace. 4. Regarding outlook on inservice education, they had the highest opinion on the facilities and given conditions of lecture rooms($3.41{\pm}0.83$), followed by the professionalism of lecturers($3.34{\pm}0.83$), procedures of receipt and attendance confirmation($3.34{\pm}0.83$) and class size($3.13{\pm}0.89$). On the contrary, they took the most dismal view of the inaccessibility of a place of inservice education($2.08{\pm}0.92$), followed by limited opportunity and limited date for that education($2.51{\pm}0.99$), extra financial burden($2.53{\pm}1.18$) and high tuition fee($2.57{\pm}0.96$).

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개인 소음폭로량과 청력손실에 관한 추적조사 (A Follow-up Study on the Personal Noise Exposed Dose and Hearing Loss)

  • 김원술;홍영습;김양석;이상주;박경일;정갑열;김준연
    • Journal of Preventive Medicine and Public Health
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    • 제27권2호
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    • pp.286-298
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    • 1994
  • For the purpose of presenting the basic data for the establishment of control measures on the long-term noise exposed workers, this study was carried out on the relationship between personal noise exposed dose and hearing loss on the 67 male workers whose hearing threshold had exceeded 40 dB in 4,000 Hz, from 1990 to 1992. Conclusively, the level of hearing loss was significantly related to personal noise exposed dose in follow-up period. We considered that personal noise exposed dose which was measured by the personal noise dosemeter was more efficient rather than the noise level of workplace for the evaluating the long-term change of hearing acuity. And although in the case of not-diagnosed as noise induced hearing loss. it was suspected that the active control programs such as improvement of noisy environment or early transfer to proper workplace were needed on the workers who exposed with over 90 dB in personal noise exposed dose.

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용접흄 폭로 근로자들의 폐기능에 관한 연구 (Study on the Pulmonary Function in Welding Fume Exposed Workers)

  • 홍영습;김병권;김성률;담도온;김정만;정갑열;김준연
    • Journal of Preventive Medicine and Public Health
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    • 제28권1호
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    • pp.43-57
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    • 1995
  • In order to study the effect of welding fume exposure upon the pulmonary function test, we examined 131 shielded arc welding workers, and 152 $CO_2$ arc welding workers as cases and 177 control workers for their general characteristics, and forced vital capacity (FVC), forced expiratory volume in one second $(FEV_{1.0})$, forced expiratory volume in one second as a percent of FVC $(FEV_{1.0}%)$, and maximal mid-expiratory flow (MMF) were obtained from the spirogram. In shielded arc welding group and $CO_2$ arc welding group, FVC, $FEV_{1.0},\;FEV_{1.0}%$, and MMF were significantly decreased than control group, especially marked in the MMF finding. The distribution of workers below normal range was as follows. in the shielded arc welding group, 2 workers(1.5%) for FVC, 17 workers(13.0%) for $FEV_{1.0}$, 5 workers(3.8%) for $FEV_{1.0}%$, 28 workers(21.4%) for MMF, and in the $CO_2$ arc welding group, 3 workers(2.0%) for FVC, 25 workers(16.4%) for $FEV_{1.0}$, 8 workers(5.3%) for $FEV_{1.0}%$, and 37 workers(24.3%) for MMF, and significant increase by exposure duration was found in MMF. The distribution of workers who had ventilation impairment was as follows: 5 workers(3.8%) for obstructive type, 2 workers(1.5%) for restrictive type in the shielded arc welding group, and 7 workers(4.6%) for obstructive type, 2 workers(1.3%) for restrictive type, and 1 worker(0.6%) was combined type of the $CO_2$ arc welding group. In the respect of these results, the significant pulmonary function and ventilatory impairment were observed in welding fume exposed workers who had not abnormal finding in chest X-ray, and MMF considered as the most sensitive pulmonary function index by welding fume exposure. Therefore even if it is hard to doing pulmonary function test in the first health examination of workers according to the Industrial Safety Health Act in the welding fume exposure workers, it is desirable to consider doing PFT. Also evaluating the ventilation impairment, it is necessary, to observe the change of MMF that marker of effort-independent portion.

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핵의학과 주사와 분배업무 작업종사자 및 수시출입자 피폭선량연구 (A Study on Exposure Dose from Injection Work and Elution Work for Radiation Workers and Frequent Workers in Nuclear Medicine)

  • 주용진;동경래;최은진;곽종길;류재광;정운관
    • 방사선산업학회지
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    • 제11권1호
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    • pp.47-54
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    • 2017
  • Compared to other occupations, there is a greater risk of exposure to radiation due to the use of radioisotopes in nuclear medicine for diagnostic evaluations and therapy. To consider ways to reduce exposure dose for those in nuclear medicine involved in injection work and elution work among radiation workers as well as for sanitation workers and trainees among frequent workers an investigation into exposure dose and situational analysis from changes in yearly exposure dose evaluations, changes in work environment and changes in forms of inspection were conducted. Exposure dose measurements were taken by using EPD MK2 worn during working hours for one injection worker, one elution worker, two sanitation workers, and one trainee at a general hospital in the Seoul area for three days from July 18th to 20th 2016. Radiation from radioisotopes which are a part of nuclear medicine can significantly affect not only radiation workers who deal with radioisotopes directly but also frequency works as well. According to this study the annual dose limit for elution workers and injection workers were considered safe as the amount of exposure was not large enough to have a significant effect. The limits of this study consist in the duration of this study and the quantity of participants. Also there was a limitation of the measurement device involving accumulated exposure, where the EPD MK2 cannot check the changes in exposure according to a particular activity.