• Journal of Korean society of Dental Hygiene
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• v.15 no.2
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• pp.253-259
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• 2015

Objectives: The purpose of this study was to investigate the oral health behavior according to oral health education experience in the elementary school teachers and to provide the basic data for the development of oral health education program. Methods: A self-reported questionnaire was filled out by 239 elementary school teachers in Busan and Ulsan from May 7 to 31, 2013. The questionnaire consisted of general characteristics of the subjects, use of oral health devices, dental clinic visit within a year, purpose of dental clinic visit, subjective oral health condition, place and contents of oral health education, future contents of oral health education, purpose of tooth brushing, recognition of sealant, recognition of dental caries prevention effect of fluoride, and method and frequency of tooth brushing. Data were analyzed by Predictive Analysis Software(PASW) Statistics $19.0^{(R)}$(SPSS Inc., Chicago IL, USA). Results: Of the 239 teachers, 187 teachers had oral health education experience and 52 did not. Those who had oral health education experience reported higher scores in tooth brushing than those who did not. 59.4% of the respondents answered the experience of oral health education in dental clinics. Conclusions: Oral health behavior was different from the experience of oral health education in the elementary school teachers. The teachers are the most important persons influencing on the right tooth brushing habit in the students. So the teachers must take the continuing and systematic oral health education.

• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.234-246
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• 2008

Purpose: This study was performed in order to examine the effects of an smoking cessation counselling program for smoking cessation success. Method: Among a total of 468 persons who had ceased from smoking for 6-months and had visited the smoking cessation clinic of a public health center from January 2nd to December 31th in 2006, 61 in all who had a negative reaction in the urine nicotine check were selected for this study. Collected data were expiratory CO concentration, BMI, blood pressure, liver function, and lipid metabolism. These data were analyzed by descriptive statistics, repeated measured ANOVA and paired t-test with the SPSS/PC(Version 12.0) program. Result: There were significant changes in expiratory CO concentration, SBP, DBP, AST, ALT, and TG, but not in BMI, $\gamma$-GTP, TC, HDL-C, and LDL-C. Conclusion: This study showed that smoking cessation through a smoking cessation counselling program has partially positive effects for smoking cessation success. The results of this study show that the smoking cessation counselling program at the smoking cessation clinic of a public health center should be continued for smoking cessation success.

• Research in Community and Public Health Nursing
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• v.19 no.4
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• pp.673-683
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• 2008

Purpose: This study was aimed to evaluate the performance of a community-based home care services model. Method: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. Result: A significant number of patients were bed ridden(63.8%) and unconscious (27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. Conclusion: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.

• Journal of Preventive Medicine and Public Health
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• v.42 no.1
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• pp.42-48
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• 2009

Objectives : This study was conducted to examine the factors implicated when people start smoking again after a 6 month cessation, and was carried out at the smoking cessation clinic of a public health center. Methods : The study subjects were 191 males who had attended the smoking cessation clinic of a public health center for 6 months in an attempt to quit smoking. Data was collected, by phone interview, regarding individual smoking habits, if any, over the 6 month study period. The factors which may have caused an individual to smoke again were examined. This study employed a health belief model as it theoretical basis. Results : Following a 6 month cessation, 24.1% of the study group began to smoke again during the 6 month test period. In a simple analysis, the factors related to individuals relapsing and smoking again included barriers of stress reduction, body weight gain and induction of smoking by surroundings among perceived barriers factor of our health belief model(p<0.05). In multiple logistic regression analysis for relapsed smoking, significant factors included barriers of stress reduction and induction of smoking by surroundings(p<0.05). The most important reason of for an individual to relapse into smoking was stress(60.9%) and the most likely place for a relapse to occur was a drinking establishment(39.1%). Conclusions : Our results indicate that both regular consultations and a follow-up management program are important considerations in a public health center program geared towards maintaining smoking cessation.

• Journal of Korean society of Dental Hygiene
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• v.11 no.4
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• pp.489-497
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• 2011

Objectives : Based on data collected from patients who suffered from dental caries during the period between 1990 and 2008, the number of patients and their trends were analyzed as a source of evidence to conduct the oral health plan. Methods : A population of sample design for patient survey data was derived from computerized data saved at medical institutions accredited by National Health Insurance Corporation. Large institutions such as dental hospitals were included for the complete enumeration test, while the rest of medical institutions, for example, dental clinic, relatively small institutions, were used for the sample survey. Most of patients with dental caries were outpatients and their disease was treated at the dental hospital or dental clinic in general, therefore, main analysis was carried out at those institutions. Results : The rate of patients who suffered the dental caries has decreased to 56.8% in 2008 from 78.5% in 1990. The rate of patients who visited the dental hospital for treatment has increased to 4.8% in 2008 from 0.5% in 1990, whereas the percentage of those who visited the dental clinic has fallen to 97.9% from 99.5% during the same period. The ratio by age, in the meantime, it showed that patients aged 40s has increased to 13.5% in 2008 from 7.2% in 1990, and the number also has risen in 50s from 5.6% in 1990 to 9.9% in 2008. However, the number of children aged 0 to 9 who visited hospital for treatment of dental caries has fallen to 17.0% in 2008 from 33.9% in 1990. Conclusions : By figuring out the trends of patients with the dental caries during the period between 1990 and 2008, fundamental data for the oral health policy have been collected. As a result, the necessity of a new medical treatment system for managing the dental caries in terms of patient ages as well as the oral health policy and campaign was taken into consideration.

• Health Policy and Management
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• v.34 no.2
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• pp.196-210
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• 2024

Background: In January 2018, revised elderly fixed outpatient copayment for the elderly were implemented. When people ages 65 years and older receive outpatient treatment at clinic-level medical institutions (clinic, dental clinic, Korean medicine clinic), with medical expenses exceeding 15,000 won but not exceeding 25,000 won, their copayment rates have decreased differentially from 30%. This study aimed to examine the changes of health utilization of elderly after revised elderly fixed outpatient copayment. Methods: We used Korea health panel data from 2016 to 2018. The time period is divided into before and after the revised elderly fixed outpatient copayment. We conducted Poisson segmented regression to estimate the changes in outpatient utilization and inpatient utilization and conducted segmented regression to estimate the changes in medical expenses. Results: Immediately after the revised policy, the number of clinic and Korean medicine outpatient visits of medical expenses under 15,000 won decreased. But the number of clinic outpatient visits in the range of 15,000 to 20,000 won and Korean medicine clinic in the range of 20,000 to 25,000 won increased. Copayment in outpatient temporarily decreased. The inpatient admission rates and total medical expenses temporarily decreased but increased again. Conclusion: We confirmed the temporary increase in outpatient utilization in the medical expense segment with reduced copayment rates. And a temporary decrease in medical expenses followed by an increase again. To reduce the burden of medical expense among elderly in the long run, efforts to establish chronic disease management policies aimed at preventing disease occurrence and deterioration in advance need to continue.

• The Journal of the Korea Contents Association
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• v.10 no.7
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• pp.244-252
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• 2010

The purpose of this study was to provide the fundamental data for further developments of the school dental clinic program through evaluating oral health knowledge, status and attitude of school dental program subjected on teachers who had experienced the program. The subjects were total 186 teachers from 8 elementary school in Ulsan metropolitan city area that had been operating school dental clinic program from 1999 to 2005. For the teachers by school and period of operation, the level of knowledge and behavior of oral health were no difference, however the recognition and behavior level in shorter operation group were higher, the level of recommend other school was higher than previous research. The efforts for further development school dental clinic program associated with advanced countries should be emphasized including the higher interests, more active participation and strengthened education. The systematic supports would be also important.

• Journal of the Korea Convergence Society
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• v.7 no.5
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• pp.89-96
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• 2016

This study comprised descriptive research the life stress and user satisfaction of female students who use University health clinic. From October 29 to November 11 2014, the 203 data were analyzed using t-test, ANOVA and Scheffe with SPSS 21.0. The highest score were in 'study', the lowest were in 'friend'. There were significant different in 'Future' and 'study' by major departments, 'friend' different by grade. 'Lover' was higher in drinking group, in total and 'value' were higher by meal habit, in 'friend' was higher in group binge. The motivations of use were high in medical treatment and InBody. Most satisfaction item were free administration and emergency medical treatment. Thus it is necessary to different design to reduce life stress in female university students and to operate effectively in university health clinic.

• Journal of East-West Nursing Research
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• v.20 no.2
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• pp.112-120
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• 2014

Purpose: The purpose of this study was to compare the differences in characteristics, lactation problems, knowledge, and adaptation of breastfeeding between users and non-users of a lactation clinic. Methods: The descriptive study design was utilized using self-report questionnaires. 446 breastfeeding mothers participated in this study. Data were collected from lactation clinics, postpartum care centers, mother's culture centers, public health centers, pediatrics and obstetrics & gynaecology outpatient clinics in Seoul, Gyeonggi province, and Chungcheongnam province from August 20 to September 30, 2011. The questionnaires to measure lactation problems, knowledge and adaptation of breastfeeding were used. Data were analyzed using SPSS ver. 18.0 for Windows. Results: There was statistically significant differences in the breast feeding problems(t=5.71, p<.001) and breastfeeding knowledge(t=2.87, p=.004) between users and non-users of a lactation clinic. Conclusion: The results of this study may provide a foundation to develop nursing intervention for mothers in breastfeeding, and an evidence to expand the role of nurses as breastfeeding specialists.

• Journal of Korean society of Dental Hygiene
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• v.19 no.1
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• pp.45-54
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• 2019

Objectives: The aim of this study was to examine factors influencing job embeddedness in dental clinic hygienists. Through this study, we suggest the necessity to increase job embeddedness and use that as basic data for effective dental personnel management. Methods: A self-reported questionnaire was filled out by 219 dental clinic hygienists from September 8 to October 8, 2018. Data were analyzed using SPSS 20.0. Independent t-test, one-way ANOVA, Scheffe's post-hoc test, and Pearson correlation coefficient were reviewed, and a multiple regression analysis was conducted. Results: Dental hygienists scored 3.14 points in job embeddedness. The variables that influenced clinical job embeddedness were self-efficacy, organizational commitment, and job satisfaction. These factors had 56.7% of variance in dental clinic hygienists. Conclusions: Job satisfaction was the most affected factor for dental clinic hygienists. In order to maintain effective personnel management of dental hygienists, strategic program development and application are needed to improve job embeddedness.