• 제목/요약/키워드: Self care management

검색결과 1,082건 처리시간 0.026초

한 대학병원 부속 건강검진센터 이용자의 만족도와 재이용 의사에 미치는 요인 (Factors Affecting the Satisfaction and Revisit Intension of Health Promotion Center In A University Hospital)

  • 김희경;류황건
    • 한국병원경영학회지
    • /
    • 제6권3호
    • /
    • pp.5-24
    • /
    • 2001
  • The purpose of this study was to serve as a basis for providing quality medical service and mapping out consumer-centered marketing strategies to successfully cope with the rapidly changing medical environment and meet consumer needs, by examining what affected the satisfaction and revisit of health Promotion center Client. The subjects in this study were 186 of visitor to health Promotion center in a university hospital in the city of Busan. A survey was conducted with structured questionnaire from March 2 to 30, 2001. The collected data were analyzed with SPSS for Windows (ver10.0). For more statistical analysis, frequency analysis, component analysis, t-test, ANOVA and correlation analysis procedures were utilized. Results of the study can be summarized as follows: 1. Regarding demographic characteristics, 51.6% of the Client investigated were male, and 48.4% were female. The greatest number of them were in their 40s(38.9%). 86.5% were married, and 34.2% were self-employed. 44% were a high-school graduate, and the monthly mean income of 59.4% was one to three million Won. And, the residential area of 46.8%, the largest percentage, was a half-an-hour distance from health Promotion center. 2. The most common motivation of their selection of the health Promotion center was a recommendation by Staff and neighborhood(59.7%), followed by excellent facilities and services(17.2%), the tradition and reputation of the hospital(7.5%), and its publicity pamphlets(7.5%). 3. 45.9%, the largest percentage, acquired health-related information from their friends or acquaintances. 43.8%, the greatest percentage, visited there because they felt there's something wrong with their body. 53.4% worried about the possibility of being attacked by cancer, and 57.5% wanted to take a precise cancer examination. For health maintenance, 50.1% got regular exercise. Regular exercise was considered most crucial for health maintenance or promotion. 4. The largest reason they used that examination center again was the kindness of employees(52.7%), followed by the tradition and reputation of the hospital(21%) and excellent examination setting and equipment(10.8%). 5. By demographic factor, there was no significant difference between the man and women in satisfaction level with examination and expenses. The women expressed more satisfaction at facilities, and the high-school graduate group were more contented with expenses. 6. As a result of investigating their satisfaction level according to the motivation of selecting that examination center, the group that chose the center due to excellent facilities and services were more satisfied with examination and expenses. 7. As for the relationship of total examination satisfaction to revisit. intention, there was a higher correlational relationship between total health examination satisfaction and expense satisfaction. Especially, the more they were satisfied with examination, the more they were willing to revisit there for another examination.

  • PDF

결혼이주여성의 가정생활문화 이해 및 적응에 관한 사례 연구 -서울지역 어린이집 어머니를 대상으로- (The Case Study on Understanding and Adjustment about the Family Living Culture in Marriage Emigration Females - Focused on Mothers in a Day- Care Center in Seoul -)

  • 이애련
    • 가족자원경영과 정책
    • /
    • 제14권4호
    • /
    • pp.299-321
    • /
    • 2010
  • The purpose of this study was to investigate how marriage migration females understand and adjust to the culture of family life in Korea. The study was the conducted by extensively interviewing one member from each of a total of 16 women's multicultural families at a daycare center area in Seoul between June 16, 2010 and July 28, 2010. The results can be summarized as follows: All interviewees were marriage migration females, in the range 20 to 50 years of age, and with middle educational backgrounds. They all had middle-level incomes. Through the content analysis of the informants' responses, three major factors were found to influence the understanding and adjustment of to the culture of family living: personal factors, familial support, and sociocultural support systems. Among the personal factors, the intimacy of the married couples was trouble major factor. An issue that tended to arise was that Korean husbands' traditional culture in terms of their way of thinking was often different from that of the wife's culture. However, husbands supported their wives' outside activities and friendships in order to help them adjust to the culture of family living. The husbands made an effort to understand their wives' original culture and national food, often visiting restaurants that served their wives' national cuisine. In terms of familial support, the most important factors affecting marriage migration females were orienting the education of children to the mother's native language, cooking their national foods, and visiting the mother's nation with the children. Marriage migration females had the following requires: The teacher in the daycare center needed to be interested in children from multicultural families and encourage self-pride in the marriage migration females' children. In terms of sociocultural support systems, marriage migration females are conscious of the indisposition and lack of consideration in Korean life. However, the Korean government and local provinces are concentrating attention on education for marriage migration females in terms of language, because learning the language can help these women to become accustomed to the rituals of Korean life. Marriage migration females make an effort to understand and adjust to Korean family living culture that involves the food culture for ceremonial occasions, folk plays, and places of historic interest. A matter of importance is Korean people's effort to understand and adjust to multicultural family with their distinctive cultures. Welfare policy related to multicultural families involves adopting supportive laws and actions.

  • PDF

공동주택 가계의 공동체 의식 사례분석 - 서울시 강남구 가계를 중심으로 - (The Case Study of Mass Housing Household's Community Spirit - Focused on Gangnamgu Household in Seoul -)

  • 강혜경
    • 가족자원경영과 정책
    • /
    • 제13권3호
    • /
    • pp.103-122
    • /
    • 2009
  • The purpose of this study is to investigate what owners think of their housing and their community by scrutinizing households, thereby leading to a conclusion of how these communities have developed and the advantages they provide to their owners. This study was conducted by thoroughly interviewing one member from each of a total of 10 households living in apartments and villas in the Gangnamgu area of Seoul between August 5, 2008, and September 25, 2008. The results can be summarized as follows: First, all interviewees were female, within the range of 40 years to 50 years of age, and with high educational backgrounds. They were living in mid-level income or higher households but were characterized by frugal attitudes. Second, their households held a personal and familial meaning to them, one of providing replenishment, rest, and a place to share diverse feelings with their family. Certain factors such as being a convenient place for education, rising housing prices, a large area of greenery made possible by Yangjae Cheon, and so forth contributed to giving a special significance to their housings. The interviewees all thought the convenience of education and the rising housing prices in the Gangnam area were the most important factors. Third, the interviewees indicated the following sociocultural perspectives of Gangnam housings: They provide a good environment for education due to the densely clustered academies in the Daechi-dong area. There are many opportunities to meet neighbors with similar educational and economic backgrounds. There are vast areas of greenery such as Yangjae Cheon. There is access to highly advanced cultural and shopping facilities such as COEX, Seoul Arts Center, etc. There are no amusement centers located near the housing districts. There are convenient transportation methods and facilities. They are subject to jealous looks from people living outside the Gangnam area. Lastly, it seems that no significant community spirit exists among the dwellers of each apartment or villa. However, matters of self-interest such as construction problems, which contribute greatly to creating personal wealth, were exceptions when the dwellers united as a single household.

  • PDF

ICT 의료시설 기반에서 미숙아 어머니의 퇴원 교육 요구도와 간호사의 교육수행 정도 (The Needs for Discharge Education and Educational Performance of Nurses Perceived by Premature Infants Mothers In the ICT Medical Service)

  • 김수희;최성우;류소연;한미아
    • 한국전자통신학회논문지
    • /
    • 제11권7호
    • /
    • pp.707-716
    • /
    • 2016
  • 본 연구는 ICT 시대에서 미숙아 어머니의 퇴원 교육 요구도와 미숙아 어머니가 인지한 간호사의 교육수행 정도를 알아보고 관련 있는 요인들을 파악하고자 실시되었다. 대상자는 G광역시 2차 진료기관인 K종합병원의 신생아 중환자실에 입원한 미숙아 어머니 중에서 연구에 동의한 54명이며, 자기 기입식 설문을 통해 조사하였다. 퇴원 교육 요구도와 간호사의 교육수행 정도에 유의한 차이를 보인 영역은 '이상증상 확인과 관리'($0.55{\pm}0.97$, p=0.001), '배설관리'($0.45{\pm}1.11$, p=0.004), '성장발달'($0.41{\pm}1.08$, p=0.007)이었다. 퇴원교육 요구도는 분만형태(질식분만: $4.41{\pm}0.47$, 제왕절개: $4.03{\pm}0.47$, p=0.040)와 출생순위(첫째: $4.37{\pm}0.53$, 둘째: $4.25{\pm}0.51$, 셋째이상: $3.75{\pm}0.72$, p=0.031)에 따라 유의한 차이를 보였다. 미숙아 어머니가 인지한 간호사의 교육수행도는 조력자의 유무(있음: $4.15{\pm}0.66$, 없음: $3.48{\pm}0.67$, p=0.002)에 따라 유의한 차이를 보였다. 그러므로 이런한 결과를 기반으로 미숙아 어머니의 퇴원 교육 요구도에 근거한 실질적으로 도움이 되는 ICT 기반하의 퇴원교육 프로그램 개발 연구를 제안한다.

EQ-5D를 이용한 일개 광역시 성인의 건강관련 삶의 질 측정 (Measuring Health Related Quality of Life of General Adult Population in One Metropolitan City using EQ-5D)

  • 조민우;이상일;길선령;이지호;강위창;손혜숙;유철인
    • 보건행정학회지
    • /
    • 제18권3호
    • /
    • pp.18-40
    • /
    • 2008
  • Measurements of health related quality of life can be used to compare patients with specific conditions to average individuals in the general population in a similar age and gender group. However there are few data available regarding health related quality of life for the general population of Korea. Therefore, this study was conducted to examine the validity of the Korean version of EQ-5D and to measure the health related quality of life of the general adult population in a metropolitan city. The survey was cross-sectional and employed a stratified and multistage sampling design through 100 examination sites in 5 districts of UIsan. A total of 12,644 individuals from 4,112 households participated in the survey. Of these, we analyzed data from 8,068 adults who were over 19 years old and completed the EQ-5D. To examine the validity of the questionnaire, the differences in 5 dimensions and the $EQ-5D_{index}$ were analyzed with regard to demographic and socioeconomic factors such as sex, age, income, and education. In addition, visual analogue scales (VAS) were used to evaluate the overall health related quality of life issues of the respondents. The level of health related quality of life of the general adult population was then compared with the results from the third Korean National Health and Nutrition Examination Survey and other countries. There were a small number of people with problems related tomobility, self-care, and usual activity. In addition, many people complained ofpain/discomfort and anxiety/depression. The complaint rate in each dimension, VAS, and $EQ-5D_{index}$ indicated relatively better states for males, the younger group, the higher income group, and the higher education group. In addition, the level of health related quality of life of the general population of Ulsan was relatively higher than that of Koreans nationwide as well as the populations of other countries. EQ-SD provided a valid measure of the health-related quality of life of the general adult population. In addition, the results of a survey of Ulsan revealed that the quality of life of its population is better than that of the overall population of Korea and of the populations of other countries.

의원급 노인 외래 정률차등정책 효과분석 (The Effect of Changes in Medical Use by Changing Copayment of Elderly)

  • 나영균
    • 보건행정학회지
    • /
    • 제30권2호
    • /
    • pp.185-191
    • /
    • 2020
  • Background: From January 2018, a policy was applied to differentially apply the co-payment for medical expenses of 15,000 won or more from 30% to 10%-30% for each medical fee. This policy lowers the burden on the medical use of the elderly, and it is necessary to analyze the effect of the policy by confirming changes in medical use and supply behavior after 2 years. Methods: The National Health Insurance Service's national medical use database was used. As for the analysis method, first, the medical use and medical supply behavior change over the age of 65 years were confirmed, and second, in order to check the net effect of the policy, the 66-year-old as the experimental group and the 63-year-old as the control group were selected as the control group. The propensity score matching was performed using the variables of age, living alone, income quartile, residence, disability, chronic disease, and co-morbid disease scores, and then it was analyzed using the difference in difference analysis method. Results: The share of the number of treatments under 15,000 won decreased from 37.0% in 2017 to 20.2% in 2018, while the share of the number of treatments under 15,001-20,000 won increased from 8.0% to 22.7%. It was confirmed that the reason for the increase in the cost of treatment per treatment was the result of the increase in the amount of physical therapy and examination. As a result of the policy effect, the burden of co-payment per person was reduced, and as a result, the number of hospital visits per person and the total medical cost per person increased. Conclusion: The self-pay rate differential policy reduced the burden of medical expenses for the elderly and confirmed the increase in medical use. However, the interpretation of the increase in medical use was not able to distinguish whether the unsatisfactory medical care was satisfied or the inducement demand. Efficient allocation of resources is a more important point in the future when the super-aged society is in front. It is necessary to prepare a plan to induce rational medical use within a range that does not impair the medical accessibility of the elderly.

의료기관들의 인증평가 준비와 비용지출에 대한 실태분석 (An Analysis of Accreditation Preparation Process and Costs in Hospitals)

  • 김민지;정유민;김경숙;이선희
    • 한국병원경영학회지
    • /
    • 제20권3호
    • /
    • pp.45-55
    • /
    • 2015
  • While the influence of healthcare accreditation system to the quality improvement of hospitals has more increased, regarding the preparation costs for healthcare accreditation, it has never been empirically studied about the costs that are actually invested by hospitals. This study is going to determine the difficulties in the preparation process of accreditation and details of accreditation preparation costs for hospitals that participated in the healthcare accreditation system and acquired accreditation. The survey was performed in a self-reported form from February 28 to March 21 2014 for 189 acute hospitals accredited as a hospital from 2011 to February 2014. Of all questionaries of survey participants, 98 were recovered; the response rate was 51.9%. A total of 40 questionnaires were used except for 58 containing insincere answers. Main findings are followings: Firstly, findings showed that advanced general hospitals spent the most statistically significantly highest in terms of equipments and total costs among cost items for accreditation preparation. When accreditation preparation costs items were classified according to classification of hospitals, advanced general hospitals spent the most statistically significantly highest in the equipments and total costs. Also in terms of regional, Gyeonggi, Incheon regions were found to spend statistically significantly higher costs in the equipments costs. Secondly, as a result of the survey in the distribution of the total accreditation preparation costs, advanced general hospitals have disbursed the most out of all. However, the result in hospitals does not show significant difference to the expense of advanced general hospitals and that especially other regional hospitals spent higher costs. As such, all hospitals are under a heavy burden of higher costs on accreditation preparation, especially hospitals. The build-up of infrastructures by hospitals through an accreditation system consequently led to a higher initial investment; if the accreditation system is effective in improving the quality of health care and patient safety, appropriate responses are needed. In other words, financial support for investment costs needs to be given to allow hospitals to actively participate in the accreditation system.

스마트 홈 환경에서의 재실자 일상생활 활동 패턴 추출을 위한 행동 컨텍스트화 프로세스에 관한 연구 (Behavioral Contextualization for Extracting Occupant's ADL Patterns in Smart-home Environment)

  • 이보경;이현수;박문서
    • 한국건설관리학회논문집
    • /
    • 제19권1호
    • /
    • pp.21-31
    • /
    • 2018
  • 고령자 가구의 급격한 증가는 전 세계적 추세이며 의료비 등 사회적 비용 또한 급격히 증가할 것으로 예상된다. 치매와 같은 노인성 기능 질환의 경우 고령자의 일상생활 활동 (ADL) 패턴을 상시적으로 모니터링하고 평소와 다르거나 비정상적인 패턴이 발생하는 경우 이를 치매 조기진단의 근거로 활용할 수 있다. 그러나 사생활 침해의 우려가 큰 기존의 직접적 센싱 방식과 달리 간접적 센싱 방식 (Non-intrusive approach)을 활용하여 재실자의 최소한의 정보 (Coarse-grained data)만을 수집하고, 이를 통해 활동 정보를 추출하는 연구는 거의 이루어지지 않았다. 또한 추출된 활동 및 활동패턴을 이해하기 위해 활동의 맥락적 정보를 시각화하는 방법 또한 추가적인 연구가 필요하다. 이를 위해 본 연구에서는 재실자의 정보 중 시 공간 데이터 로그만을 활용하여 재실자의 수행 활동을 추출하고 컨텍스트화 된 행동 정보를 공간-활동 지도 (Space-Activity Map)로 시각화한다. 본 연구는 재실자의 일상생활 활동 패턴을 추출하는 데 기반이 되는 연구로서, 향후 고령자를 위한 상시적인 건강 모니터링 기술의 도입에 기여할 수 있다.

카지노 보안 및 고객접점 의전 종사자의 감정노동에 관한 연구 (A Study on Emotional Labor of Casino Employees : Security Team and also Employees who Care Customer Closer)

  • 허태구
    • 시큐리티연구
    • /
    • 제57호
    • /
    • pp.111-135
    • /
    • 2018
  • 카지노 기업에서는 종사원들을 대상으로 조직목표 달성을 위해 업무시간 내내 실제로 자신이 느끼는 감정을 속이거나 표면적인 감정으로 고객을 대하도록 강요하고 이로 인해 직무스트레스가 높아지며 직무만족 및 이직의도에 영향을 미치는 경우가 있다. 그러나 인적 경영에 있어 직무만족과 이직의도 요인은 조직 유효성과 연관이 있어 장기적으로 기업의 이윤을 극대화시킬 수 있는 요인이기 때문에 지속적인 관리가 필요하다. 따라서 본 연구에서는 카지노 보안 및 고객접점 의전 종사자들의 감정노동에 따라 증가하는 직무스트레스가 종사원들의 직무만족 및 이직의도에 얼마나 많은 영향을 미치는지 영향력 및 인과관계를 규명한 결과 감정노동과 직무만족과 이직의도와의 관계에서 직무스트레스가 매개 효과를 가지고 있음을 확인하였다. 연구결과를 바탕으로 직무교육뿐만 아니라 감정조절능력, 공감능력, 대인관계 기술 등 감성리더십 및 감성지능 교육을 실시 및 강화하여 감정노동에 따른 직무스트레스를 해결할 수 있도록 하고 카지노 종사원이 직무를 수행함에 있어 개인의 능력을 충분히 발휘하고 긍정적 감정 상태를 유지할 수 있도록 자기존중감 프로그램을 설계하여 자기효능감을 향상시켜야 한다고 개선방안을 제시하였다.

의료기관 일부 원무행정직의 이직의도와 관련된 융복합적 요인 (A Study on the Convergent Factors Related to Turnover Intention among Some Administrative Staff in Medical Institution)

  • 김승희;배상윤
    • 디지털융복합연구
    • /
    • 제17권4호
    • /
    • pp.159-166
    • /
    • 2019
  • 본 논문은 의료기관 일부 원무행정직의 이직의도와 관련된 융복합적 요인들을 조사하였다. 설문조사는 2018년 7월 2일부터 2018년 7월 27일까지 임의로 선정된 J지역 27개 의료기관의 원무행정직 320명에 대하여 무기명 자기기입식 설문지를 사용하였다. 위계적 다중회귀분석 결과, 조직몰입이 낮을수록, 조직충성도가 낮을수록, 직무소진의 하위영역인 탈진, 냉소 및 직업 효능감 감소가 높을수록 이직의도가 높았으며 이들의 설명력은 50.9%이었다. 이상의 연구결과를 볼 때, 의료기관 원무행정직의 이직의도를 낮추기 위해서는 조직몰입을 높이고, 조직충성도를 높이고, 직무소진의 하위영역인 탈진, 냉소 및 직업 효능감 감소를 낮추는 노력이 필요하다. 이러한 결과는 의료기관 원무행정직의 이직의도를 낮추는 병원조직 인사관리 및 산업보건교육, 보건계열 대학생의 직업인성교육에 활용될 수 있다. 추후연구에서는 의료기관 원무행정직의 이직의도에 영향을 미치는 구조모형의 제시 및 분석이 필요하다고 본다.