• 제목/요약/키워드: right to health

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공간분석을 이용한 외래의료서비스 접근성 요인분석 (Factors Affecting Spatial Distance to Outpatient Health Services)

  • 신호성;이수형
    • 보건행정학회지
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    • 제21권1호
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    • pp.23-43
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    • 2011
  • Access to health care is complicated to define. It is a multidimensional process. In addition to the matters of quality of care, geographical accessibility and availability of the right type of care, finance, and acceptability are all involved. The purposes of this paper are to measure the geographic distances between patient residency locations and health service organizations in which the patients hadvisited, and to investigate the association between geographical distance measures and variables involved in health service utilization. The study used the first and the second wave of the 2008 Korea Health Panel Survey. The samples of analyses were patients who had visited outpatient or used ambulatory health services, and the total observations (visit numbers) analyzed were 229,128. We divided the samples into a frequent-visit illness group (Group 1) and a non-frequent visit illness group (Group 2) based on over 5,000 total visit numbers. We exploited three level analyses using xtmixed of STATA${\Box}$ 11.1 command with/without interaction terms among age, sex, and occupation. Geographical distances were measured using the Haversine method. Group 1 was tended to older and lower equivalent income than those of Group 2, but the geographic difference were not observed in terms of area deprivation index and standard mortality ratios. Amongst group 1, diabetes mellitus patients travelled far to visit health care organizations, and arthritis patients were more deprived in terms of the personal and areal characteristics. The study revealed that residents in rural areas traveled about 10 times more long distances than those whom lived in larger cities after adjusting for various variables, which we used for analyses. This study contributed to the practical understanding of health service utilizations using empirical analyses, and found that the types of diseases and socioeconomic characteristics of patients tended to define the amount of travel distance to healthcare organizations.

제7차 초등학교 교육과정의 보건교육 관련내용 분석 (Analysis of the contents related to health education of the 7th education course for elementary schools)

  • 김영주;김정순
    • 한국학교보건학회지
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    • 제16권2호
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    • pp.71-84
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    • 2003
  • This study was attempted to offer the basic data required for composing a systemic education contents for health by analyzing the contents related to health education shown in the guidebook for teachers and the schoolbook for students of all grades in the current 7th education course for elementary school. The objectives and data were totally 162 copies which were 90 copies of national schoolbook for 1~6 grades and 72 copies of guidebook for teachers used in elementary schools in the 7th educational course. The standards of selection for the contents related to health education including in each schoolbook were divided into 11 themes using the health care model suggested by Kim, Hwa Joong(1995) in the guidebook for health curriculum for elementary middle high schools. The results of this study are as follows: Firstly, the total hours of health education suggested in the 7th educational course for elementary school were 274 hours and it was 6.2% of the total class of 4,442 hours. Secondly, the contents about health education were distributed into 9 subjects of The right livelihood, The wise livelihood, The cheerful livelihood, Korean, Morals, Society, Science, Physical education, and Practical course etc. Physical education had the most contents about health education and there was nothing in Mathematics, Music and Arts. Thirdly, contents about health of regional society and environmental health were the most of 53 hours(19.3%), and contents about understanding of health were the least of 4 hours(1.4%). Fourthly, contents included equally in every grades were those about safety and emergency response, health of home and society, health of regional society and environmental health.

이전장용여부(耳栓裝用與否)에 따른 난청도(難聽度)의 추이(推移) (Hearing Threshold Shift Level of Weavers on Wearing the Ear Plugs)

  • 김영환;이종영;김두희
    • Journal of Preventive Medicine and Public Health
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    • 제17권1호
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    • pp.57-63
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    • 1984
  • 소음작업(騷音作業) 근로자(勤勞者)들의 이보호구장용(耳保護具裝用)의 여부(與否)에 따른 청력보존(聽力保存)의 효과(效果)를 관찰하기 위해 $16{\sim}24$세(歲)사이의 건강(健康)한 여성(女性) 기직공(機織工) 1,237명을 대상(對象)으로 이전(耳栓)을 장용(裝用)하고 있는 자(者)들을 실험군(實驗群), 하지 않고 있는 자(者)들을 대조군(對照群)으로 하고, 1982년(年) 4월에서 1983년(年) 1월(月)사이에 실시된 특수건강진단(特殊健康診斷) 결과지(結果紙)에서 그들의 근속년수(勤續年數), 4,000Hz에서 AA-30A, RION Japon청력계(聽力計)로 측정된 최소가청치(最小可聽値)를 조사 비교하였다. 최소가청치(最小可聽値) 40 dB초과의 경우는 대조군(對照群)의 좌이(左耳) 44.6% 우이(右耳) 40.9%, 실험군(實驗群)의 좌이(左耳) 8.0% 우이(右耳) 6.6%였고 근속년수(勤續年數)가 길수록 대조군(對照群)과 실험군(實驗群) 모두에서 증가(增加)하였다. 최소가청치(最小可聽値)의 분포(分布)는 좌우이(左右耳)사이에 유의한 차(差)를 실험군(實,驗群)과 대조군(對照群) 모두에서 볼 수 없었으나, 대조군(對照群)과 실험군(實驗群)간에는 좌우이(左右耳) 모두에서 통계적으로 유의한 차(差)를 나타내었다(p<0.005). 대조군(對照群)과 실험군(實驗群)사이에 최소가청치(最小可聽値) 40 dB초과에 속하는 경우의 차이(差異)는 근속년수(勤續年數) 1년이하, 3년, 5년, 5년 초과에 따라 각각 좌이(左耳) 26.8%, 38.0%, 43.3%, 45.4%, 우이(右耳) 29.5%, 31.6%, 38.9%, 36.5%로 증가(增加)하는 경향이었다.

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우리나라 의료법규의 문제점과 개정방향 (An Analytical Study on Medicine & Medical Affairs Law of Korea)

  • 조형원;정두채
    • 한국병원경영학회지
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    • 제1권1호
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    • pp.56-82
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    • 1996
  • The objectives of this research are (i) to review the legal nature of medicine & medical affairs law, (ii) to identify legal defects in terms of the adequacy and feasibility of its provisions and in terms of the structural order among related laws and acts, and (iii) to find out a rational way for revision of the law. Major findings of this research are as follows: 1) The main defects of the Medicine & Medical Affairs Law of Korea are shortcomings of provisions necessary for securing people's right as well as medical practitioner's responsibility and in adequacy to its post as a mother-law in medical fields. 2) Some provisions of the law are inconsistent with other laws and acts, especially with Health Insurance Law. 3) Medicine & Medical Affairs Law of Korea is required to be totally revised in order to keep up with situational changes and to function as a mother-law in its field. On the basis of these findings this study suggests that all the concerned parties would cooperate to renew the law into very sound feature of the mother-law in health field.

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고성 폐금속 광산 오염 사건의 교훈 (Lessons of Goseong Abandoned Metal Mine Accident)

  • 권호장
    • 한국환경보건학회지
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    • 제37권5호
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    • pp.335-341
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    • 2011
  • The Goseong abandoned mine accident was a typical case of long-term sequela resulting from environmental disruption during the rapid economic development of Korea. While the final conclusion of epidemiologic investigation was that residents surrounding the abandoned mine were simply exposed to cadmium from the abandoned mine without any patient contracting 'itai-itai' disease, not only did residents around the abandoned mine suffer enormous psychological and economic damage, but people in neighbouring communities did as well when the entire area was stigmatized as an contaminated area. Environmental civic groups and the government worked together to solve the problem by forming a joint committee which held the right of decision in any matter to be determined. By inviting all the stakeholders to participate in the joint committee, a transparent investigation was guaranteed and the results of investigation and recommendations to solve the problem were accepted by all involved. Even though the environmental health division in Ministry of Environment has developed considerably and built up a capacity to deal with environmental accidents, the process which was adopted to solving the Goseong abandoned mine accident can be useful to settle environmental health issues with severe conflicts among stakeholders.

스포츠 손상의 통계적 분석 (Statistcal Analysis of Sports Injury)

  • 홍성렬
    • 물리치료
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    • 통권34호
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    • pp.2-8
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    • 1985
  • STATISTCAL ANALYSIS OF SPORTS INJURY Seong-Ryul Hong R.P.T. Seoul School Health Center Hospital Upon comings of 1986 Asian Games and 1988 Olympiad in Seoul , Korean people have more enthusiasm for sports than any other time .It's very desirable that student athletes are doing thier best to train skills and to improve records for the coming 2 international sports events .I concluded as followings from the statistical analysis of 159 student athletes about sports injury who had been received Physiotherapy in School Health Center Hospital in Seoul from Jan.8 1982 to Dec,4 1984Track & field is the most common team among school sports team in Seoul.47 Students(30%) were injuried during football game, Career of sports injury: 88 students(55.3 %) were injured for the first time .Location of injury: More than 30% in both sexs were injuried in the Lumbar Frequency in injury in lower limb is higher than that of upper . Frequency of injury in upper right limb and lower left limb are higher than of counterparts6. Diagnosis: 32% of students were diagnosed as lumbago. Treatment period: 42.7% of students were healed within a week and 76.8% within 2 weeks

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노인보건의료의 입법정책에 관한 연구 (A study on the policy of Senior Citizens' Medical Act)

  • 김현수
    • 한국정보컨버전스학회논문지
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    • 제8권1호
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    • pp.49-56
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    • 2015
  • 보건의료기본법은 보건의료에 관한 국민의 권리 의무와 국가 및 지방자치단체의 책임을 정하고 보건의료의 수요와 공급에 관한 기본적인 사항을 규정함으로써 보건의료의 발전과 국민의 보건 및 복지의 증진에 이바지하는 것을 목적으로 하는 법이다. 독거노인들을 위하여 생활 교육, 서비스 연계, 가사지원, 활동지원 등 노인돌봄서비스를 제공하도록 함으로써 노인의 복지증진에 기여할 필요가 있다.

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뇌성마비로 인한 발육이상 아동 한방치료 1례 (A Case Report of Treating Developmental Abnormality Child by Cerebral Palsy with Korean Medical Treatment)

  • 임슬우;조장현;김진엽;신중기;하동림;김준형;허나연;김홍준
    • 대한한의학방제학회지
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    • 제30권4호
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    • pp.339-349
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    • 2022
  • Objectives : The purpose of this study is to report one case of Korean medical treatment of patient with developmental abnormality by cerebral palsy whose main symptoms are difference in left and right leg length, foot size and construction of right ankle. Methods : We did retrospective study for one developmental abnormality patient who had been treated by herbal medicine(Samul-tang, Yookmijihwang-tang hap Yijin-tang + Sungjang-hwan), acupuncture, and moxibustion for more than one year. The effects of treatment were evaluated by measurement of leg length, foot size and dorsiflexion ROM. Results : After treatment, length and foot size difference between both leg, ROM difference between both ankle were almost reduced. According to the ratio of the right to the left, leg length was improved from 0.91 to 0.98 and foot size was improved from 0.93 to 0.98. The difference in left and right ankle dorsiflexion ROM was improved from 55° to 27.5°. Conclusions : This clinical case study has demonstrated that Korean medicine may be an safe and effective option for treating developmental abnormality.

정신건강에 대한 교사와 일반인의 태도 조사연구 (A Comparative Study of Attitude of Teachers and General Public Toward Mental Health)

  • 유숙자
    • 대한간호학회지
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    • 제6권1호
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    • pp.1-11
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    • 1976
  • In an attempt to recognize attitudes of teachers and general public toward mental health, III teachers of middle and high school and 130 general public were selected for this study from September 6, 1975 to October 18, 1975. Date were collected through "Mental Health Questionnaire"designed by Nounally. Results of the study were as follows : 1. The selected teacher group and general public group revealed almost similar altitudes toward psychotic patients, that is, positive aspects for employment problems and relationship toward other persons. 2. Both teacher group and general public group revealed the same attitudes toward neurotic patients, felt relatively more reliance on them, and showed much more positive attitudes toward neurotic patients than psychotic patients. 3. Both groups indicated that, for the security of mental health, It is best way to show him the right path and make sure that he follows it. As to mental health, most of the selective subjects consulted with psychiatrist about the problems and obtained the information through books. 4. Both teacher group and general public group identified mental illness being equal in seriousness to alcoholism or cardiac disease. In case of a close relative living in their home having mental disease, most of them responded to be glad to help him. 5. Both teacher group and general public group revealed intensively negative attitudes toward mental hospital in order of despair. danger, and filth, while positive attitudes toward psychiatrist.

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네발기기 자세에서 실시하는 안정화 운동에 따른 체간 근육의 활성도 (Activation of Trunk Muscles during Stabilization Exercises in Four-point Kneeling)

  • 이현옥
    • The Journal of Korean Physical Therapy
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    • 제22권5호
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    • pp.33-38
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    • 2010
  • Purpose: This study examined the activation of the rectus abdominis (RA), external abdominal oblique (EO), transversus abdominis, internal abdominal oblique (TrA/IO), and Multifidus (MF) muscles while stabilization exercise was performed in a four-point kneeling position. Methods: Experiments were conducted on 21 healthy male adults (mean age=25.29 years) who voluntarily agreed to participate in the study. Each subject was instructed regarding maximal voluntary contractions (MVC) and stabilization exercise in four-point kneeling. While MVC and stabilization exercise of individual muscles were being performed, activation of the muscles was measured using surface electromyography (EMG). Activation of the muscles while performing stabilization exercise in four-point kneeling was normalized to a percentages of the MVC. Results: Left RA, right TrA/IO, right and left MF muscles showed significant differences among the positions. Conclusion: Selecting an optimal position can aid subjects on physical conditions while performing stabilization exercises in the four-point kneeling position.