• 제목/요약/키워드: health resources

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지역사회 사망률 관련 요인에 대한 생태학적 연구 (An ecological study on factors associated with community mortality rates)

  • 지태근;곽경화;제갈정;박민수;김광기
    • 보건교육건강증진학회지
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    • 제32권3호
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    • pp.11-22
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    • 2015
  • Objectives: This study was to examine the influences of community characteristics on the mortality rates. Community characteristics included socioeconomic environmental characteristics, health care resources, and health lifestyle practice. Methods: This study used secondary data whose units of analyses were 249 administrative districts. Mortality rates were estimated with hierarchical regression models entered in the order of (1) socioeconomic environmental characteristics, (2) health care resources, and (3) health lifestyle practice. Results: About 70% of mortality rate was explained by socioeconomic environmental characteristics, health care resources, and health lifestyle practice. In particular, socioeconomic environmental characteristics showed the strongest impact on mortality rate. Among socioeconomic characteristics, community with lower rate of households headed with college or more, lower number of inhabitants per on-premise license, higher rate of population in poverty, and rural region showed higher mortality rate. Among health care resources, community with higher number of inhabitants per doctor and lower number of inhabitants per hospital bed showed higher mortality rate. Among health lifestyle practice, community with higher current smoking rate and lower moderate physical activity practice rate showed higher mortality rate. Conclusions: The results suggest that policy makers should take into account socioeconomic environmental characteristics of community in developing community-based health promotion rather than focusing on lifestyle changes of residents.

고용형태와 성별에 따른 주관적 건강에서의 격차: 건강자원과의 상호작용 효과를 중심으로 (The Disparities in Subjective Health by Employment Form and Gender: Focusing on the Interaction Effects with Health Resources)

  • 김진영;임인숙;송예리아;한신원
    • 한국인구학
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    • 제35권1호
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    • pp.181-209
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    • 2012
  • 고용형태와 성별은 건강의 차이를 만들어낼 수 있는 한국사회의 주요 계층 요인들이다. 기존 연구들이 고용형태와 성별에 따른 건강 격차의 존재를 검토해 왔으나 이러한 격차를 어떻게 효과적으로 감소시킬 수 있는지에 대한 연구는 거의 없었다. 본 연구의 목적은 고용형태와 성별을 동시에 고려한 집단들 사이에서 건강 불평등의 양상을 확인하는 한편, 그러한 불평등을 효과적으로 완화시킬 가능성이 있는 건강 자원을 탐색하는 것이다. 본 연구는 2011년 한국 성인에 대한 전국 대표 표본 조사인 한국건강불평등실태조사 자료를 이용한 통계분석을 통해 고용-성별 집단과 각 건강자원의 상호작용 효과를 확인한다. 건강 척도로는 주관적 건강인식이 사용되며, 건강자원으로는 네 가지 차원(사회적 관계, 심리적 자원, 활동요인, 의료서비스 이용)의 총 19개 변수가 포괄적으로 고려된다. 결과를 요약하면, 첫째, 정규직 남성에 비해 나머지 세 고용-성별 집단이 자신의 건강을 더 좋지 않게 평가한다. 둘째, 이러한 건강 격차를 효과적으로 줄일 수 있는 가능성이 높은 자원은 각 집단별로 다르다. 가장 건강을 열악하게 평가한 비정규직 여성에게 효과적일 가능성이 높은 자원은 자녀와의 원만한 관계이다. 비정규직 남성 집단에 효과적일 가능성이 높은 자원은 부모 혹은 형제자매와의 원만한 관계, 낮은 스트레스, 종교활동 참여이다. 마지막으로, 정규직 여성에게 효과적일 가능성이 높은 자원은 대인신뢰이다. 본 연구의 실천적 함의는 건강에 영향이 있는 것으로 알려진 자원을 모든 이에게 무차별적으로 강조하는 것이 아니라 특정 집단의 건강 향상을 위해 특히 효과적인 자원에 초점을 맞춰 개인적 정책적 실천을 도모할 필요성을 제기한 점이다. 현재처럼 계층집단의 차이를 고려하지 않는 일반 대중에 대한 보건 정책은 비효율적일 수 있으며, 낮은 계층의 건강을 위해서는 그들의 여건을 고려한 맞춤형 정책이 필요하다.

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Disparities in Workplace Hazards and Organizational Protection Resources by Enterprise Size: A National Representative Study of South Korean Manufacturing Workers

  • Hye-Lin Lee;Ji-Hwan Kim;Taesun Kang;Garin Lee;Hayoung Lee;Hee Won Kim;Seung-Sup Kim
    • Safety and Health at Work
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    • 제15권3호
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    • pp.284-291
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    • 2024
  • Background: This study aimed to identify the prevalence of workplace hazards and organizational protection resources according to the size of the enterprise in the manufacturing industry of the Republic of Korea. Methods: We analyzed data of waged workers (weighted N = 5,879) from the Fifth Korean Working Conditions Survey (2017). Enterprise sizes were categorized as "micro enterprises" (less than five employees), "small enterprises" (5-49 employees) and "medium-large enterprises" (50 or more employees). Self-reported exposure to 18 physical, chemical, ergonomic, and psychological hazards were measured. The presence of organizational protection resources such as a labor union, a safety delegate working at the company, designated spaces to deal with safety, and the provision of health and safety information was evaluated. Results: Compared to workers in medium-large enterprises, those in micro enterprises showed a higher proportion of exposure to most of physical, chemical, ergonomic, and psychological hazards, except for exposure to solvents, prolonged sitting, and experiencing a state of emotional unrest. On the other hand, workers in micro enterprises had the lowest proportion of access to organizational protection resources. Conclusion: Our study demonstrates that manufacturing workers at the micro enterprise in the Republic of Korea are exposed to the most hazardous work environment and yet have access to the fewest organizational protection resources.

지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과 (Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health)

  • 김재희
    • 한국응용과학기술학회지
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    • 제37권2호
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    • pp.268-278
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    • 2020
  • 본 연구는 공공보건자원이 지역사회의 정신건강수준에 영향을 미치는 과정에서 공공보건서비스 이용률이 조절 역할을 하는 지를 확인하고자 수행되었다. 연구대상은 144개의 지역사회이며, 자료는 제6기 지역보건의료계획과 2015년 지역사회 건강조사에서 확보하였다. 연구변수 중 공공보건자원은 공공보건예산, 공공정신보건예산 및 공공정신보건인력으로 구성하였으며, 정신건강수준은 스트레스 인지율, 우울감 경험률 및 자살률로 하였다. 조절효과 분석에 사용된 방법은 위계적 회귀분석이었다. 연구결과는 첫째, 공공보건서비스 이용률은 공공정신보건예산이 우울감 경험률에 영향을 미치는 과정에서 조절변수로 작용하고 있었다. 둘째, 공공정신보건인력이 우울감 경험률에 영향을 미치는 과정에서 공공보건서비스 이용률은 조절효과를 나타냈다. 셋째, 공공정신보건인력이 자살률에 영향을 미치는 과정에서도 공공보건서비스 이용률은 조절효과를 나타냈다. 넷째, 공공보건자원의 정신건강수준에 대한 영향이 공공보건서비스 이용률이 높은 집단과 낮은 집단에 따라 다르게 나타났다. 결론적으로 공공보건자원 강화가 지역사회 정신건강수준의 향상으로 이어지도록 하기 위해 지역사회 정신건강증진 방안에 공공보건서비스 이용률 개선을 위한 내용을 포함시킬 필요가 있을 것이다.

의료 정보 FHIR 리소스 무선 데이터 방송을 위한 분산 인덱싱 기법 (A Distributed Indexing Scheme for Wireless Data Broadcasting of Health Information FHIR Resources)

  • 임석진
    • 한국인터넷방송통신학회논문지
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    • 제17권3호
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    • pp.23-28
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    • 2017
  • 차세대 의료 정보 교환 표준인 FHIR는 빠른 의료정보 교환이 가능할 뿐 아니라 효과적인 다양한 의료서비스가 가능하다. 본 논문은 FHIR 리소스를 보안 채널기반의 무선 데이터 방송에 적용하여 사용자에게 효율적으로 리소스를 전달할 수 있도록 하기 위해 FHIR 리소스 기반의 인덱싱 기법을 제안한다. 제안된 인덱싱 기법은 리소스를 받고자 하는 사용자 정보와 사용자에 대한 FHIR 리소스를 유지하여 대량의 사용자가 빠른 시간에 적은 에너지를 사용하여 원하는 리소스를 다운로드할 수 있도록 한다. 시뮬레이션을 통해 제안된 인덱싱 기법이 다른 기법들 보다 우수한 성능을 보임을 보였다.

가족간호를 위한 중재목록 개발 (Development of an Intervention List for Family Nursing Care)

  • 김영임;김희걸;정혜선
    • 지역사회간호학회지
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    • 제20권2호
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    • pp.123-133
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    • 2009
  • Purpose: This study aimed to classify nursing interventions by developing a list of interventions for family nursing care. Methods: A new intervention list was confirmed after the researchers' discussion and professional consult. All possible interventions were re-organized. Results: Five grand categories were identified, which include health education, providing direct nursing care, utilization and referral of community resources, reinforcing family resources, and stress management. The category of health education consists of anticipatory guidance, training and education, providing information, and consult and motivation. The category of providing direct nursing care consists of identifying problem, providing technical nursing, providing family tailored nursing care, family contract, monitoring or evaluation, and collaboration with experts. The utilization and referral of community services includes utilization of health care facilities, utilization of social welfare facilities, use of neighbors, friends, and relatives, connecting to professionals or supporting groups, and utilization of other sources. Reinforcing family resources includes reinforcing economic resources, reinforcing physical resources, and reinforcing human resources. Stress management includes reorganization of perception, resolving conflicts, division of role, preparing communication strategies, time management, creating familiarity, supporting spirituality, and developing sense of humor. Conclusion: This study provides useful resources to promote nursing activities by identifying possible family nursing interventions.

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Status of Medical Library Resources and Services in Teaching Hospitals in Enugu State, Nigeria: implications for quality health care services

  • Okeke, Oluchi C.;Eze, Samuel Godwin N;Eze, Jacintha U.;Asogwa, George E.
    • International Journal of Knowledge Content Development & Technology
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    • 제7권2호
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    • pp.21-40
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    • 2017
  • Considering the need for quality health information and resultant health care services in any society, this study was carried out to look into the status of library and information resources and services provided by medical libraries in Enugu State, Nigeria. The main objective of the study was to find out the information resources and services available for medical library users towards quality health care provision. Five (5) medical libraries of major teaching hospitals were used for the study with 980 registered users as the study population from where 245 users were sampled. Observation checklist was used to collect data on resources while questionnaire was used to collect data from the respondents on the services provided. The Medical Library Association Standard guided the analysis of data from observation while frequency counts and mean scores were used to analyze data from the questionnaire. Major findings showed that even though some of the required resources and services are available and provided the medical libraries, most of the required resources and services are not adequately provided by these libraries.

Buffering Effect of Job Resources in the Relationship between Job Demands and Work-to-Private-Life Interference: A Study among Health-Care Workers

  • Viotti, Sara;Converso, Daniela
    • Safety and Health at Work
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    • 제7권4호
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    • pp.354-362
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    • 2016
  • Background: The present study aims at investigating whether and how (1) job demands and job resources are associated with work-to-private-life interference (WLI) and (2) job resources moderate the relationship between job demands and WLI. Methods: Data were collected by a self-report questionnaire from three hospitals in Italy. The sample consisted of 889 health-care workers. Results: All job demands (i.e., quantitative demands, disproportionate patient expectations, and verbal aggression) and job resources (i.e., job autonomy, support from superiors and colleagues, fairness, and organizational support), with the exception of skill discretion, were related to WLI. The effects of quantitative demands on WLI were moderated by support from superiors; fairness and organizational support moderate the effects of all job demands considered. Support from colleagues moderated only verbal aggression. Job autonomy did not buffer any job demands. Conclusion: The present study suggests that the work context has a central importance in relation to the experience of WLI among health-care workers. The results indicated that intervention in the work context may help to contain WLI. Such interventions would especially be aimed at improving the social climate within the unit and quality of the organizational process.

건강기능성 수산식품소재의 개발 (Development of functional food products with natural materials derived from marine resources)

  • 류보미;전유진
    • 식품과학과 산업
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    • 제51권2호
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    • pp.157-164
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    • 2018
  • Recently demand for safer and healthier food has augmented with advancements in health conditions. Food ingredients with yet to be known safety and functionality, are being investigated for their safety or detrimental effects. The Ministry of Food and Drug Safety has introduced "health functional food" by the "Health Functional Food Act" to evaluate bio-functional and safety properties of raw materials using standard methods including in-vitro and in-vivo testing before human consumption. Despite recent growth in net worth of domestic functional food market, most of the raw materials are not from local Korean industries with own research and development, and mostly terrestrial not marine resources. Geographically, Korea has access to diverse marine bio-resources that need to be managed and utilized sustainably. Recently, diverse novel physiologically active substances have been reported from marine organisms. Hence, the development of functional foods from marine bio-resources is considered as an inevitably important task.