• 제목/요약/키워드: The effectiveness of health management

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보건교사의 역량모형 개발을 위한 델파이 연구 (A Delphi Study of Developing Competency Model for Korean Health Teachers)

  • 박경선;배을규
    • 한국학교보건학회지
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    • 제25권1호
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    • pp.1-13
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    • 2012
  • Purpose: This study was intended to identify the competency model for korean health teachers. In order to enhance job effectiveness and talent development of health teachers in schools, this study would provide policy makers and school administrators with a competency model to be used as a valid and reliable tool for selection, development, and appraisal of health teachers. Methods: This study used three-round Delphi technique, which was a series of surveys to obtain a consensus of experts in school health and health education. 31 experts were finally involved in Delphi panel, which consisted of professors, administrators, and school teachers. Results: This study found that the competency model of health teachers was composed of fourteen competencies and 75 performance indicators. The fourteen competencies were as follows: consulting and teaching competency, students understanding competency, health problem solving competency, health assessment competency, relationship building competency, information management competency, curriculum management competency, teaching activity competency, writing competency, professional expertise competency, health business management competency, self control competency, school commitment competency, and achievement orientation competency. Conclusion: Based on the results of this study, policy makers and school administrators would be able to use the competency model as a tool of new health teachers selection, existing health teachers appraisal, and new and existing teachers training and education. Future research needs to classify the levels of each performance indicator as a kind of behavior indices.

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여수지역 비정규직 플랜트 건설 근로자의 안전보건 실태와 개선방안 (Health Status and Improvement Measures for Irregular Plant Construction Workers at Yeosu National Industrial Complex)

  • 최상준;김신범
    • 한국산업보건학회지
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    • 제19권3호
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    • pp.182-194
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    • 2009
  • This study was conducted to evaluate health status and to propose health protection measures of irregular plant construction workers in Yoesu National Industrial Complex (YNIC). The status of safety and health management was examined in five areas including safety and health education, work environment monitoring, health examination, health management record, and personal protective equipment (PPE) for plant construction workers. The safety training rate for plant construction workers was reached high at 91%, The training was mostly consisted of safety accident related things, but training on hazardous materials was found to be insufficient. Workplace monitoring results showed that the compliance rate for work environment for irregular construction workers was 54% and workplace monitoring during turnaround (TA) period with high risk of exposure to hazardous agents has not been implemented. While 61.4% of irregular workers received the general health examination but only 36.8% received the special health examination. The special health examination was found to be conducted only upon welders from 2-3 years ago. The issue of health management record upon irregular construction workers was not being implemented. In case of PPE, basic safety protective equipments such as safety shoes, safety belt, safety helmet were being supplied well while the supply rate of respirator for organic vapor was relatively low at 40%. Based on this study, two suggestions to maximize the utilization of the current safety and health program were made while boosting its effectiveness in protecting workers' health. First, the role of owners (petrochemical plant) related to safety and health should be strengthened. Second, in consideration of the characteristics of construction workers who usually engage in short term employment and frequent movement, community based health management organization is suggested that can overcome such structural problem and carry out the implementation of health examination and sustained health management.

대상집단 중심의 보건교육을 통한 대사증후군 관리 (Participants-focused health education for the management of Metabolic Syndrome)

  • 김혜경
    • 보건교육건강증진학회지
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    • 제33권4호
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    • pp.79-87
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    • 2016
  • Objectives: This study aims to identify participants-focused health education approaches for the management of metabolic syndrome. Methods: Data for metabolic parameters of 855,282 Koreans in 2012 were extracted and analysed from the data base of Korea Association of Health Promotion. Literature and documents including study protocols, program contents, evaluation reports and published articles were reviewed in relation to increasing effectiveness and efficiency of health education for managing metabolic syndrome. Results: Health education program should be based on participants-focused perspectives, in which clients' demographic characteristics, composition patterns of metabolic risk factors, and readiness of change are appreciated. Development of theory-based strategies for healthy behavior change and evidence-based program components are also important factors in designing and conducting health education intervention. Multiple health behavior intervention can offer a new paradigm for more comprehensive and efficient health education. Implementation fidelity needs to be systematically evaluated and strengthened to improve the validity of the health education efforts. Conclusion: Enhancing participants-focused health education is the responsibility of health education specialists in promoting the management of metabolic syndrome.

간호대학생의 임상수행능력에 영향을 미치는 요인 (Factors Affecting Clinical Competence among Nursing Students)

  • 서보민;박현주
    • 보건의료산업학회지
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    • 제8권4호
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    • pp.149-161
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    • 2014
  • The purpose of this study was to identify the association of factors related to clinical practice training for clinical competence among nursing students, and to analyze those factors influencing clinical competence, providing recommendations for improving their clinical competence and clinical learning environment. This descriptive correlative study completed organized questionnaires from 557 nursing students. The data was analyzed by SPSS 19.0. The most important factor affecting the clinical competence among nursing students was teaching effectiveness (${\beta}=.22$). followed by critical thinking (${\beta}=.19$). and the professional self-concept (${\beta}=.19$). The explained variable for clinical competence was 45.2% in nursing students. Thus, the development of an effective clinical internship program is important for strengthening nursing students' clinical competence. We suggest that the capability of nursing students should be strengthened and effective clinical internship programs should be developed to improve the clinical competence of nursing students.

계층화분석법(AHP)을 이용한 건강보험급여확대상병 우선순위 결정 (Priority setting for expanding health insurance benefit package using Analytic Hierarchy Process)

  • 최숙자;고수경;김정희;이상이
    • 보건행정학회지
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    • 제16권1호
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    • pp.73-94
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    • 2006
  • This study was carried out to show how the Analytic Hierarchy Process technique could be used in setting the priority among selected diseases to increase the range of health insurance benefit. Thirty experts, including doctors (group1), experts for preventive medicine or public health(group2), and representatives of the insured(group 3), participated in the study panel that is conducted for priority setting. They were asked to evaluate the priorities among 6 selected criteria and then 42 selected diseases. The results were as follows; First, representatives of the insured think that the magnitude of out-of-pocket payment should have high priority while doctors think that effectiveness of treatment should have high priority. Second, all experts think that catastrophic diseases such as malignant neoplasm, major heart disease, and cerebral vascular disease should have high priority in health insurance coverage even though there is little difference among groups. These results can be useful to establish a systematic strategy for expanding health insurance benefit package.

2009년 전후 임용자의 보건진료 전담공무원의 핵심역량별 교육 필요도 및 세부주제별 교육필요도 비교연구 (Comparison of the Core Competency and Job Training Needs of New Employees of Primary Health Care Posts Appointed before 2008 and after 2009)

  • 서인주;임은실
    • 한국농촌간호학회지
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    • 제14권2호
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    • pp.38-46
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    • 2019
  • Purpose: The purpose of this study was to analyze differences in the needs of primary health care posts before 2008 and after 2009. Methods: For the final analysis data on 1,905 public health centers and 1,521 public health practitioners were analyzed. The chi-test was used to examine differences between the employees before and after 2008 in general, and T-test for differences in core competencies and job training needs. The test was carried out during June and July, 2017. Results: There were statistically significant differences in general characteristics, future health clinic function, necessity for core competency education, and for job education. Conclusion: Information on the need for new job training should include information the use of public health center information systems, drug mechanisms, medication guidance, discrimination of major symptoms, treatment for common diseases, patient referral and follow-up, health management for elders, dementia management, and chronic disease management. In future job training, it is necessary to elaborate intensively details and evaluate effectiveness.

Prevention and Early Detection of Occupational Cancers - a View of Information Technology Solutions

  • Davoodi, Somayeh;Safdari, Reza;Ghazisaeidi, Marjan;Mohammadzadeh, Zeinab;Azadmanjir, Zahra
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.5607-5611
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    • 2015
  • Thousands of people die each year from cancer due to occupational causes. To reduce cancer in workers, preventive strategies should be used in the high-risk workplace. The effective prevention of occupational cancer requires knowledge of carcinogen agents. Like other areas of healthcare industry, occupational health has been affected by information technology solutions to improve prevention, early detection, treatment and finally the efficiency and cost effectiveness of the healthcare system. Information technology solutions are thus an important issue in the healthcare field. Information about occupational cancer in information systems is important for policy makers, managers, physicians, patients and researchers; because examples that include high quality data about occupational cancer patients and occupational cancer causes are able to determine the worker groups which require special attention. As a result exposed workers who are vulnerable can undergo screening and be considered for preventive interventions.

의료기관에서 리더십과 조직문화가 조직유효성에 미치는 영향에 관한 연구 -치과의원 중심으로- (The Effect of Leadership and Organizational Culture on Organizational Effectiveness : A Dental Clinics-Based Study)

  • 김용태;신동면
    • 보건행정학회지
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    • 제20권3호
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    • pp.73-103
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    • 2010
  • This study aims to explore how the transformational leadership (consisting of three factors"charisma, individualized consideration, and intellectual stimulation) and the organizational culture (typified by developmental, rational, consensual, and hierarchical culture) are related to the organizational effectiveness (consisting of job satisfaction, organizational commitment, and intention to leave a job) of dental clinics. We found the following empirical results through a survey of 378 persons who work in dental clinics. Firstly, the respondents acknowledged charismatic leadership as the typical type of leadership ; as for organizational culture, a culture of consensus is recognized as the representative type. Secondly, transformational leadership has different effects according to the type of organizational culture: a positive influence in developmental and rational cultures, but a negative influence in consensual and hierarchical cultures. Thirdly, developmental culture has proven to be the most suitable for increasing job satisfaction and organizational commitment. The developmental, rational, and consensual cultures have all contributed to reducing intention to leave among clinic staff, whereas in the hierarchical culture, intention has been elevated. Fourthly, transformational leadership has a positive effect on the job satisfaction and organizational commitment; the intent to leave has been lessened under individualized consideration and charismatic leadership, but has been increased under leadership of intellectual stimulation. Fifthly, it is consideration and charisma that help to increase organizational effectiveness. These influences will become more effective through a developmental culture. Based on the above empirical results, we propose practical measures to improve the organizational effectiveness of clinics, in particular dental clinics. In order to build developmental culture, the doctor (manager) should produce an atmosphere in the clinic in which staff members are able to create and jointly own ideas and then promote awareness of staff participation. Additionally, in order to bring leadership of charisma and consideration into full play, the doctor should shape a relationship of mutual trust mainly by recognizing and praising the work of clinic staff. Finally, the doctor needs to acknowledge that organizational effectiveness can be significantly improved by increasing the transparency of the business.

산업안전보건관리비가 건설재해예방에 미치는 영향 (The Effect of Occupational Safety and health Expenses on Safety Accident Prevention in Construction)

  • 정명진;이명구;김형석
    • 대한안전경영과학회지
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    • 제12권4호
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    • pp.13-21
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    • 2010
  • The occupational safety and health expenses in construction since 1988 has contributed significantly to the reduction of injury occurrence rate. But accounted basis and criteria used of the occupational safety and health expenses have been pointed out so many issues. The purpose of this study, perform analysis of the effectiveness of the occupational safety and health expenses through the reviewing of several issues about the current system and analysis of existing statistical data. Based on the result of the research, it is concluded that the contribution survey of the occupational safety and health expenses on the safety accident prevention program qualitatively evaluated as an average of 4.39(standard deviatin 0.652) on the five point scale based was very positive.

동시 출현 기반 키워드 네트워크 기법을 이용한 이동식 사다리 추락 재해 위험 요인 연관 구조 모델링 (Correlational Structure Modelling for Fall Accident Risk Factors of Portable Ladders Using Co-occurrence Keyword Networks)

  • 황종문;신성우
    • 한국안전학회지
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    • 제36권3호
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    • pp.50-59
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    • 2021
  • The main purpose of accident analysis is to identify the causal factors and the mechanisms of those factors leading to the accident. However, current accident analysis techniques focus only on finding the factors related to the accident without providing more insightful results, such as structures or mechanisms. For this reason, preventive actions for safety management are concentrated on the elimination of causal factors rather than blocking the connection or chain of accident processes. This greatly reduces the effectiveness of safety management in practice. In the present study, a technique to model the correlational structure of accident risk factors is proposed by using the co-occurrence keyword network analysis technique. To investigate the effectiveness of the proposed technique, a case study involving a portable ladder fall accident is conducted. The results indicate that the proposed technique can construct the correlational structure model of the risk factors of a portable ladder fall accident. This proves the effectiveness of the proposed technique in modeling the correlational structure of accident risk factors.