• Title/Summary/Keyword: rural hospital

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Analysis of the Implication of Accessibility to Community Facilities for Land Price in Rural Areas using a Hedonic Land Price Model (헤도닉모형을 이용한 농촌지역 생활편익시설의 접근성이 지가에 미치는 영향 분석)

  • Kim, Solhee;Kim, Taegon;Suh, Kyo
    • Journal of Korean Society of Rural Planning
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    • v.22 no.1
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    • pp.93-100
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    • 2016
  • Land price can be affected by convenience or psychological repulsion like PIMFY (Please In My Front Yard) or NIMBY (Not In My Back Yard) for various facilities. Services related to public establishment, welfare, medical attention, and amenities in rural areas are comparatively poorer than those in urban areas. The purpose of this study is to estimate the implications of the accessibility to community facilities in rural areas for land prices using a hedonic price model. The accessibility to facilities is estimated by real road distances and the land prices are applied for four types of land usages: field, rice paddy, building lots, and village halls. Community facilities are classified from public and community services view: education, safety, culture, transport, environment, health care, and finance. The results show that the accessibility to health care and transport can positively affect land prices and the accessibility to environment (waste facilities and junkyard) and unpleasant services (funeral hall and charnel house) can negatively affect land prices. Especially, the accessibility to hospital is the most positive influential factor for all types of land usages.

Design Planning of Group-Home for the elderly in Rural Area (농촌형 고령자 그룹홈의 사례와 제안)

  • Nam, Yun-Cheol
    • Journal of the Korean Institute of Rural Architecture
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    • v.17 no.4
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    • pp.75-82
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    • 2015
  • The elderly rate in South Korea in 2015 is over 13.1%. Especially, the elderly rate in rural area is high. Senior community project in rural that is being promoted by the government. This study's purpose is to provide the reserch group-home for the elderly in Japan rural area. And this paper provided planning of group-home for the elderly in Korea rural area. For this study, respective 5senior housing of Korea and Japan were chosen as respresenting two nations, and every manager was interviewed on housing pattern. This study suggests the planning material as following. First, the effectiveness of the group-home are big. Especially, the elderly was far healthier. Design point is public space(living room, small living room, etc). Maybe, healthy group-home concept is that would be design by Korean traditional housing. Also important public space design is that would be inner courtyard-house, wood floor, Deachong, etc. Two group-homes will construct elderly welfare facilities in between. Otherwise that is need layout of a big public space. In the case of vacant house can used by considering of scale, structure, site condition. Closed school can used through so easy remodeling too. More often than not complex type(hospital, community heath center) was appeared in Japan rural area. In the case of Korea, recommend complex type in community health center and public building. In this case, considering communication, access, contact, group-home keeps on ground floor. In this paper, we hope to take a lesson from group-home planning source for the elderly in Korea rural area.

Geographic Analysis of Neurosurgery Workforce in Korea

  • Park, Hye Ran;Park, Sukh Que;Kim, Jae Hyun;Hwang, Jae Chan;Lee, Gwang Soo;Chang, Jae-Chil
    • Journal of Korean Neurosurgical Society
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    • v.61 no.1
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    • pp.105-113
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    • 2018
  • Objective : In respect of the health and safety of the public, universal access to health care is an issue of the greatest importance. The geographic distribution of doctors is one of the important factors contributing to access to health care. The aim of this study is to assess the imbalances in the geographic distribution of neurosurgeons across Korea. Methods : Population data was obtained from the National Statistical Office. We classified geographic groups into 7 metropolitan cities, 78 non-metropolitan cities, and 77 rural areas. The number of doctors and neurosurgeons per 100000 populations in each county unit was calculated using the total number of doctors and neurosurgeons at the country level from 2009 to 2015. The density levels of neurosurgeon and doctor were calculated and depicted in maps. Results : Between 2009 and 2015, the number of neurosurgeons increased from 2002 to 2557, and the ratio of neurosurgeons per 100000 populations increased from 4.02 to 4.96. The number of neurosurgeons per 100000 populations was highest in metropolitan cities and lowest in rural areas from 2009 to 2015. A comparison of the geographic distribution of neurosurgeons in 2009 and 2015 showed an increase in the regional gap. The neurosurgeon density was affected by country unit characteristics (p=0.000). Conclusion : Distribution of neurosurgeons throughout Korea is uneven. Neurosurgeons are being increasingly concentrated in a limited number of metropolitan cities. This phenomenon will need to be accounted when planning for a supply of neurosurgeons, allocation of resources and manpower, and the provision of regional neurosurgical services.

Improved Survival of Cervical Cancer Patients in a Screened Population in Rural India

  • Jayant, Kasturi;Sankaranarayanan, Rengaswamy;Thorat, Ranjit V;Muwonge, Richard;Hingmire, Sanjay J;Panse, Nandkumar S;Shastri, Surendra S;Malvi, Sylla G;Nene, Bhagwan
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4837-4844
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    • 2016
  • Objectives: To describe the survival experience of cervix cancer patients in a screened rural population in India. Methods: Included 558 cervical cancer patients diagnosed in 2000-2013 in a cohort of 100,258 women invited for screening during 2000-2003. The primary end point was death from cervical cancer. We used the Kaplan-Meier method to estimate cumulative observed survival and Cox proportional hazards regression to assess the effect of patient characteristics on survival after diagnosis. Results: Of the 558 cases included, 143 (26%) and 114 (20%) were diagnosed in stages IA and IB respectively; 252 (45.2%) were dead, and 306 (54.8%) were alive at the last follow-up. The overall 5-year observed survival was 60.5%. The 5-year survival of stage IA patients was 95.1% and 5.3% for stage IV patients. All surgically treated stage IA patients, 94.1% of stage IB patients receiving intracavitary radiotherapy, 62% of stage IIB, 49% of stage III and 25% of stage IV patients receiving radiotherapy survived for 5 years. Conclusion: Higher 5-year survival in our study than elsewhere in India is due to the high proportion of early stage cancers detected by screening combined with adequate treatment, resulting into a favourable prognosis.

Case Report of Hypertension Patient by Community Health Practitioner (보건진료소의 고혈압 환자 간호사례)

  • Park, Do Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.1
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    • pp.17-22
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    • 2019
  • Purpose: This study was done to describe a community health practitioner's nursing case study for a hypertension patient. Methods: For this purpose, data were collected through interviews and nursing records. The nursing process was carried out from January to March in 2019. Results: For this patient, blood pressure was checked 5 times and total cholesterol test was performed 5 times over 41 consultations. Even though the patient was 84 years old, he was very interested in health. When the blood pressure and cholesterol level measured by community health practitioner were high, he was embarrassed by the recommendation to get a hospital checkup. After referral to a medical clinic and hospital, he was satisfied with the results of the tests and medical treatment, and constantly practiced daily walking exercise. Conclusion: It is very important for community health practitioners to assess patient symptoms correctly and refer the patient timely to manage complications.

Change of Health Care Utilization Pattern with the Establishment of Health Center Hospital in a District (보건의료원이 설립된 군지역 주민의 의료이용양상변화 분석)

  • 김수경;김용익
    • Health Policy and Management
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    • v.2 no.1
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    • pp.147-166
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    • 1992
  • The purpose of this study is to analyze the effects of the health center hospital on the health service utilization pattern of the rural population in a county. Two field studies had been conducted in Yonchon County, Kyunggi Province, on February 1989 and on August 1991 before and after the establishment of the Yonchon health center hospital. This study revealed that Yonchon health center hospital occupied 7.3% of total outpatient visits and 16.8% of hospitalization of the county population and the self-sufficient rate of the outpatient visit and hospitalization of Yonchon County between two field studies increased by 1.7% and 20.9% each. Yonchon health center hospital contributed to the growth of the public health sector but it weakened the role of health sub-centers. For the efficient health service utilization of the population in that County, more investment to health center hospital would be needed and the primary health activities of the health subcenter should be enforced.

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A STUDY ON THE REFERRAL PROGRAM FROM PRIMARY HEALTH CARE FACILITIES IN A RURAL AREA (일부 농촌지역의 의뢰환자 프로그램 운영에 관한 연구)

  • Han Myung Hwa;Le Myung Sook;Lee Song Ja
    • Journal of Korean Public Health Nursing
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    • v.6 no.1
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    • pp.15-24
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    • 1992
  • This study was conducted to follow the patient referral system operated from the primary health care facilities to the hospital in a rural area of Korea. The subject for this study was sampled from a community health development project carried out by the Korea University in Yeoju Kun, Kyonggi Province. The data of referred patients from primary health care facilities were collected during the period from January 1989 to December 1989. The data was sorted out by a computer system using Database package. The results of this study were summarized as follows: 1. Characteristics of the referred patients were: males $32.0\%$. and females $68.0\%$. The more elderly of the patients visited to the hospital after having been referred there by CHPs or public physicians, $25.9\%$ has been to hospital on at least one previous occasion as against $74.1\%$ for whom it was there first visit. 2. The majority of patients who were referred to a hospital where: medicine $44.3\%$ and orthopedics$16.4\%$, major diseases were : diseases of digestive system $(21.3\%)$ ; symptoms and ill defined conditions $(17.3\%)$ ; diseases of the muscular skeletal system and connective tissue$(14.2\%)$. chronic illness was $82.0\%$ and acute illlness was $18.0\%$. 3. From Community health practitioners more patients referred than the public physicians. Categoris of diseases of the referred patients were different between community health practitioners and public physicians. Due to the. respective differences between the medical restrictions put on the nursing staffs at the community health practitioners and public physicians. From this study it was recommended to define the reason of differences between ~he two groups in futher study. Study as to 1) why one group should be referring more for hospital treatment than the other. And 2) why the two agencies should be referring different diseases.

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Prostate Cancer Epidemiology in a Rural Area of North Western Greece

  • Grivas, N.;Hastazeris, K.;Kafarakis, V.;Tsimaris, I.;Xousianitis, Z.;Makatsori, A.;Raptis, P.;Aspiotis, S.;Ioachim, E.;Ntemou, A.;Kitsiou, E.;Malamou-Mitsi, V.;Sofikitis, N.;Kordela, V.;Papandreou, C.;Agnantis, N.J.;Stavropoulos, N.E.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.3
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    • pp.999-1002
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    • 2012
  • Epirus is a rural area of North-Western Greece. We reviewed data from 4 hospitals for 4.975 patients who underwent prostate biopsy in Epirus in the twelve year period from 1999 to 2010. Two six -year periods were compared (1999-2004 and 2004-2010). All cases of prostate cancer confirmed by biopsy were recorded and age-standardized incidence rates per 100,000 males were calculated. We also recorded the clinical stage for patients diagnosed in our hospital and correlated this with PSA and Gleason scores. Percentage of positive prostate biopsies was also calculated. There were a total of 1714 new cases during 1999-2010 and the mean annual age-adjusted incidence was 34/100.000. The mean incidences during 1999-2004 and 2005-2010 were 26/100,000 and 42/100,000, respectively. The mean age at diagnosis was 74. The most common Gleason score was 6 and the prevalent clinical stage was T2. Median PSA at diagnosis was 10.8 ng/ml. There was a significant difference between stage cT4 and all other stages regarding PSA value (p=0.000). A positive correlation was found between Gleason score and PSA (p=0.013). These results are in accordance with the incidence rise recorded in neighboring countries of South-East Europe. However we should keep in mind the risk of overdiagnosis and the detection of low-risk cancers that would not have caused morbidity or death during a man's lifetime anyway.

Hygienic Observations on Menarche and Menopause among Korean rural Area (한국농촌여성(韓國農村女性)의 초조(初潮)와 폐경(閉經)에 관(關)한 위생학적(衛生學的) 고찰(考察))

  • Nam, Taik-Sung
    • Journal of agricultural medicine and community health
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    • v.3 no.1
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    • pp.10-17
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    • 1978
  • There are numerous reports on menarche age in korea and other countries but only few reports are available on menopausal age. This is a result of surveys on 509 women for menarche and 341 women for manopause among the rural areas of Choongnam and Kyungbuk province. For those born between 1894 and 1929. aver age ageof menarche was 16.63 years. The earliest was 13 years and latest was 22 years old. Majority (78.8%) had their menarohe at the age of between 15 and 18. It was noted that there was gradual advancement of menarche age among those born in later years than earlier. More menarche started in the months of October and April and fewest was in the month of June. Spring was the time when the largest number of women had menarche and this was followed by Autumn. Winter, and Summer. The most common menstrual cycle was 39 days type which is followed by 28 days and 26 days. The average monpausal age among rural korean women was 46.97 years. The number of years between menarche and menopause appears to be dependent upon individual physical and mental condition. socioeconomical circumstances. and also hereditary as well as ethnic differences. 87.1 % of rural korean women had menstrual ages of between 20 to 35 years according to this statistics and the average was 29.67 years.

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