• 제목/요약/키워드: rural hospital

검색결과 495건 처리시간 0.033초

A Multi-center Survey of HPV Knowledge and Attitudes Toward HPV Vaccination among Women, Government Officials, and Medical Personnel in China

  • Zhao, Fang-Hui;Tiggelaar, Sarah M.;Hu, Shang-Ying;Zhao, Na;Hong, Ying;Niyazi, Mayinuer;Gao, Xiao-Hong;Ju, Li-Rong;Zhang, Li-Qin;Feng, Xiang-Xian;Duan, Xian-Zhi;Song, Xiu-Ling;Wang, Jing;Yang, Yun;Li, Chang-Qin;Liu, Jia-Hua;Liu, Ji-Hong;Lu, Yu-Bo;Li, Li;Zhou, Qi;Liu, Jin-Feng;Xu, Li-Na;Qiao, You-Lin
    • Asian Pacific Journal of Cancer Prevention
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    • 제13권5호
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    • pp.2369-2378
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    • 2012
  • Objectives: To assess knowledge of HPV and attitudes towards HPV vaccination among the general female population, government officials, and healthcare providers in China to assist the development of an effective national HPV vaccination program. Methods: A cross-sectional epidemiologic survey was conducted across 21 urban and rural sites in China using a short questionnaire. 763 government officials, 760 healthcare providers, and 11,681 women aged 15-59 years were included in the final analysis. Data were analyzed using standard descriptive statistics and logistic regression. Results: Knowledge of HPV among the general female population was low; only 24% had heard of HPV. Less than 20% of healthcare providers recognized sexually na$\ddot{i}$ve women as the most appropriate population for HPV vaccination. There was high acceptance of the HPV vaccine for all categories of respondents. Only 6% of women were willing to pay more than US $300 for the vaccine. Conclusions: Aggressive education is necessary to increase knowledge of HPV and its vaccine. Further proof of vaccine safety and efficacy and government subsidies combined with increased awareness could facilitate development and implementation of HPV vaccination in China.

폐결핵 환자의 직업에 따른 병력의 차이 (The Difference of History Associated with Occupation of Pulmonary Tuberculosis)

  • 송선대;김천태;고석신
    • 농촌의학ㆍ지역보건
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    • 제20권2호
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    • pp.149-156
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    • 1995
  • 조사대상은 1994년 2월 21일부터 1994년 8월 18일까지 6개월 동안 국립마산결핵병원에 입원하여 치료를 받은 환자 중 농촌지역에 거주하는 182명의 환자를 대상으로 직업에 따른 현재 및 과거의 병력을 조사 분석하여 얻은 결과는 다음과 같다. 연구 대상자의 직종별 분포를 보면 무직이 35.2%로 가장 많았고, 농업 19.8%, 서비스업 12.1%, 상업 10.4%, 노동 7.1%, 기타 15.4%의 순이었다. 연령별로 무직은 60세이상과 40세미만이 많았고 농업은 69세이상과 50대가 많았으나 유의한 차이는 아니었다. 성별, 교육정도는 직종 간에 유의한 차이가 없었다. 음주를 하는 경우는 노동, 상업, 서비스, 농업, 기타에서 유의(p<0.05)하게 많았고, 흡연을 하는 경우는 노동, 서비스, 농업, 상업, 기타에서 유의(p<0.05)하게 많았다. 가족력, 동반질환, 증상은 직종 간에 유의한 차이는 없었다. 보건소에서 진단 받은 경우와 결핵 치료를 받은 경험이 있는 경우는 모든 직종에서 비슷하였고 직종 간에 차이도 볼 수 없었다. 결핵약을 규칙적으로 복용한 경우는 기타, 노동, 농업, 서비스, 무직, 상업에서 유의(p<0.05)하게 많았다. 양측 폐에 병변이 있는 경우가 모든 직종에서 비슷하였고 직종간에 차이도 볼 수 없었다. 도발검사상 양성은 서비스와 기타가 많았으나 유의한 차이는 아니었고, 배양검사상 양성은 서비스, 상업, 농업, 기타, 노동, 무직이 많았으나 유의한 차이는 아니었다. 질병상태별로 초치료인 경우는 기타, 상업, 무직 치료실패로 재발된 경우는 상업, 무직 농업과 서비스, 치료종결후 재발된 경우는 노동, 서비스, 기타, 조기중단에 의해 재발된 경우와 불규칙 복용에 의한 재발은 농업, 난치인 경우는 기타가 많았으나 직종 간에 유의한 차이는 볼 수 없었다. 다제내성인 경우는 모든 직종에서 비슷하였고 유의한 차이도 없었다.

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Geographical Imbalances: Migration Patterns of New Graduate Nurses and Factors Related to Working in Non-Metropolitan Hospitals

  • Cho, Sung-Hyun;Lee, Ji Yun;Mark, Barbara A.;Lee, Han Yi
    • 대한간호학회지
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    • 제42권7호
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    • pp.1019-1026
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    • 2012
  • Purpose: To examine geographical imbalances by analyzing new graduate nurses' migration patterns among regions where they grew up, attended nursing school, and had their first employment and to identify factors related to working in non-metropolitan areas. Methods: The sample consisted of 507 new graduates working in hospitals as full-time registered nurses in South Korea. Migration patterns were categorized into 5 patterns based on sequential transitions of "geographic origin-nursing school-hospital." Multiple logistic regression analysis was conducted to identify factors associated with working in non-metropolitan hospitals. Results: Nurses who grew up, graduated, and worked in the same region accounted for the greatest proportion (54%). Sixty-five percent had their first employment in the region where they graduated. Nurses tended to move from poor to rich regions and from non-metropolitan to metropolitan areas. Working in non-metropolitan hospitals was related to older age, the father having completed less than 4 years of college education, non-metropolitan origin, non-capital city school graduation, and a diploma (vs. baccalaureate) degree. Conclusion: Admitting students with rural backgrounds, increasing rural nursing school admission capacities, and providing service-requiring scholarships, particularly for students from low-income families, are recommended to address geographical imbalances.

의료급여대상자의 의료이용형태와 건강행위에 관한 연구 - 선택병의원제 적용여부를 중심으로 - (A Study of Health Care Service Utilization and Health Behavior among Medical Aid Beneficiaries In Terms of Whether to Apply a Designated Doctor System)

  • 최정명
    • 한국농촌간호학회지
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    • 제8권1호
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    • pp.5-12
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    • 2013
  • Purpose: This research was a survey to ascertain whether there are differences in opinion about designated doctors and hospitals, type of health care service utilized and health behavior between people who have applied to be Medical Aid Beneficiaries, but not using the Designated Doctor System. Method: The participants were from three groups, application for two years, one year and non-appliers. Data collection was done by Medical Care Client Managers through in-depth interviews using a structured questionnaire. Results: The participants expressed no negative effect of the designated doctor system in relation to designated doctor, hospital or health behavior but there was a significant effect in type of health care service utilized. Conclusion: In the future, the commitment of Medical Care Client Managers is important, but the role of health care providers will be emphasized in order to sustain the effectiveness of the health care system under the Designated Doctor System.

농촌지역 폐경여성의 호르몬요법에 따른 폐경증상과 삶의 질 (Menopausal Symptoms and Quality of Life according to Hormone Replacement Therapy in Rural Postmenopausal Women)

  • 김영지;김금순;김정식
    • 재활간호학회지
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    • 제16권1호
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    • pp.18-26
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    • 2013
  • Purpose: This study was conducted to identify menopausal symptoms and quality of life (QOL) according to hormone replacement therapy (HRT) in rural menopausal women. Methods: Menopausal symptoms and QOL were measured by questionnaires. A total of 50 participants in HRT group had received hormone replacement therapy for 12 weeks and another 50 who had not received hormone therapy were assigned to non-HRT group. Results: Vasomotor symptom score of non-HRT group was significantly higher than that of HRT group (p=.013). There were no statistically significant differences between two groups in all menopausal symptoms except for vasomotor symptom. There were no significant differences between two groups in the total scores and sub-scores of QOL. Total scores and sub-scores of QOL were very low in both group. Menopausal symptoms were significantly negatively correlated with QOL. Conclusion: These results showed that there were no statistically significant differences between HRT group and non-HRT group in menopausal symptoms except for vasomotor symptom and QOL. Menopausal symptoms were moderate and QOL was very low in menopausal women. It is necessary to develop nursing interventions to improve menopausal symptoms and QOL in menopausal women.

재가의료급여 시범사업 대상자의 재입원에 미치는 영향: 일반적 특성, 일상생활수행능력, 서비스 이용을 중심으로 (Factors Influencing Unplanned Hospital Readmission among Medical Aid Community Care Program Participants)

  • 임은실;나영균;김아름;김기범;김보민
    • 한국농촌간호학회지
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    • 제19권1호
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    • pp.44-54
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    • 2024
  • Purpose: This study identifies the factors influencing unplanned readmissions among participants of the medical aid community care pilot program. Methods: This descriptive study analyzed data from 1,013 participants in a medical aid community care pilot program. Data were analyzed using multiple logistic regression analysis. Results: The presence of mental illness, injury-related conditions, long-term care grades, and activities of daily living scores are key factors influencing the likelihood of readmission. In particular, the presence of a mental disorder or an injury-related condition increased the probability of readmission, whereas individuals with long-term care grades 1~2 showed a decreased likelihood of readmission. Conclusion: This study emphasizes the importance of enhancing the management of mental and injury-related conditions, effective utilization of long-term care services, and improvement of ADL scores to reduce readmission. These findings offer crucial insights for enhancing the efficiency of home medical care benefit programs and sustainable expansion of services.

환자만족도에 영향을 미치는 의료서비스 품질 요인: A 중소병원 입원.외래환자 간 차이 (Medical Service Factors Associated with Patient Satisfaction: The Difference between Inpatient and Outpatient of A Medium-sized Hospital)

  • 노미정;서원식;권진
    • 디지털융복합연구
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    • 제11권2호
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    • pp.331-339
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    • 2013
  • 이 연구는 A 중소병원의 입원환자와 외래환자를 대상으로 환자만족도에 영향을 미치는 의료서비스 품질요인이 입원 외래 환자 간 어떠한 차이를 보이는지 분석한다. 설문은 2011년 8월 20일부터 총 4주간 진행되었으며, 조사대상으로는 입원환자 96명, 외래환자 315명 총 411명이었다. 수집된 자료를 활용하여 다중회귀분석을 실시한 결과 입원환자의 경우 병원의 인지도가 환자만족도에 유의한 영향을 미쳤다. 반면, 외래환자는 의료진의 우수성, 병원 편의시설과 환경의 우수성, 친절한 직원, 병원의 인지도, 편리한 진료 및 행정절차 등 다양한 요인이 유의한 관계를 보였다. 이 연구는 중소병원이 의료 서비스를 개선하고 경쟁력을 갖추기 위해서 입원 및 외래 환자를 구분하여 각 환자군 별로 만족도에 영향을 미치는 요인을 차별화 하여 서비스 개선에 반영하는 것이 효과적일 수 있음을 제시해 주고 있다.

일 광역시 방사선사의 직무만족도와 관련요인 (Job Satisfaction and Its Related Factors among Radiological Technologists)

  • 문일봉;최남길;손석준
    • 농촌의학ㆍ지역보건
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    • 제31권2호
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    • pp.165-176
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    • 2006
  • 직무만족도 전체에 영향을 미치는 주요 요인은 근무지와 직위이었으며, 근무지에 따른 직무만족요인 문항별 만족도에서 내적요인의 적성, 능력발휘, 직무수행능력, 책임감, 장래성과 외적요인의 신뢰감, 협동심, 존경심, 월급여, 생활정도와 조직적 요인의 승진시기, 승진기회, 승진원칙에 따라 만족도의 유의한 차이가 있었다. 방사선사의 직무만족을 위해서는 근무지와 직위에 따른 근무환경 등을 고려해야 할 것으로 생각된다.

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Clinical trial of oral administration of Bifidobacterium longum in dogs with atopic dermatitis

  • Lee, Kang-Il;Yun, Taesik;Ham, Junsang;Lee, Wan-Kyu;Kang, Ji-Houn;Yang, Mhan-Pyo;Kang, Byeong-Teck
    • 대한수의학회지
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    • 제60권1호
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    • pp.19-24
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    • 2020
  • This study assessed the effects of probiotics in canine atopic dermatitis (AD). We enrolled 11 client-owned dogs with AD and randomly allocated them to two groups. The probiotics group (n = 7) was prescribed with Bifidobacterium longum while the control group (n = 4) received a placebo powder once a day for 12 weeks. In both groups, the degree of skin lesions was evaluated based on the Canine Atopic Dermatitis Extent and Severity Index (CADESI)-4. We also measured the transepidermal water loss (TEWL). We assessed pruritus severity using the pruritus visual analog scale (PVAS). Alteration of consumed drug doses was converted into medication scores. All the evaluation indices were surveyed every 4 weeks. In the probiotics group, there was a significant decrease in the CADESI-4 score at 4, 8, and 12 weeks compared to that of the baseline score (p < 0.05). There was no significant difference in TEWL, PVAS, and medication score at each time point and between groups. Although these results showed that Bifidobacterium longum did not reduce pruritus, TEWL, and the dosage of drugs for canine AD, it was effective in improving skin lesions, therefore, probiotics could be considered in canine AD with severe skin symptoms.

Changes in the Clinical and Epidemiological Characteristics of Trichophyton verrucosum Infection

  • Lee, Hyun Ji;Kim, Seok Min;Eun, Dong Hyuk;Lee, Weon Ju;Bang, Yong Jun;Jun, Jae Bok
    • Journal of Mycology and Infection
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    • 제23권4호
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    • pp.99-104
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    • 2018
  • Background: Trichophyton verrucosum (T. verrucosum) is a zoophilic dermatophyte that causes ringworm in cattle and is prevalent worldwide. This dermatophyte may be responsible for various conditions, especially inflammatory skin lesions. Objective: In this study, we aimed to investigate the changes in the clinical and epidemiological characteristics of T. verrucosum infections in southeastern Korea. Methods: A total of 34 patients who visited the Catholic Skin Clinic and the Kyungpook National University Hospital in Daegu, Korea from 2005 to 2017 were diagnosed with T. verrucosum infection. The diagnosis was confirmed using fungal culture. The data were based on a retrospective survey of the medical records. Results: The annual incidence of T. verrucosum infection was very low. There was no difference in the sexual incidence. T. verrucosum infection was most common among subjects in their fifties and sixties. The highest incidence was during the month of September. The arm was most frequently involved, followed by the face. This infection was predominant in patients living in rural areas. Conclusion: These clinicoepidemiological findings provide useful information for understanding the changes in the infection caused by T. verrucosum. In particular, it was interesting to note that the incidence was very low, majority of the affected subjects were in their fifties and sixties, and the most commonly affected site was the arm.