• Journal of agricultural medicine and community health
• /
• v.24 no.1
• /
• pp.65-77
• /
• 1999

In order to estimate the utilization pattern of a rural health subcenter, and to identify the recognition for it among the farmhouse members in a suburban area, a questionnaire survey was carried out for objects of 696 population. The results observed were as follows: The annual utilization rate of rural health subcenter for a basic health service unit was 25.0 per 100 persons, and annual mean visiting times was 0.22 times. And the most frequent disease by annual health subcenter utilization illness was musculoskeletal disease(30.6%), and the next was respiratory disease(14.1%), gastrointestinal disease(13.9%) by order. Favorite reason for community health subcenter utilization were near distance from living place(49.6%), lower disease severity(18.9%) and lower medical cost(18.1%) by order. But disfavoring reasons for it were absence of specialist(20.2%), non effective treatment(19.2%) and insufficient equipment(14.7%) by order. And insufficient items about community health subcenter utilization were restriction of treatment limit(40.7%), lower reliance(22.5%) and difficulty in traffic(13.4%) by order. The results of logistic regression analysis suggested that statistically significant factors in health subcenter utilization was educational level. The desirable works for the health subcenter in a suburban area were disease control of elderly and disease preventing service. These results suggested that to increase the utilization of rural health subcenter in a suburban area and to promote the accessibility of rural residents to primary health care, there must be considered public relation about health subcenter, improvement of medical quality and change of priority about health subcenter's works.

• Korean Journal of Construction Engineering and Management
• /
• v.15 no.4
• /
• pp.39-48
• /
• 2014

The speed of aging society is increasingly getting faster in Korea. Currently, there are over one million elderly living alone, which represents more than 19% of the total elderly in Korea. Although various policies and research have been implemented for caring the elderly living alone, there have been obvious limitations in realization of the caring system due to inconvenience, privacy violation, difficult operation and maintenance. Therefore, the objective of this study is to develop a method and a prototype system to monitor safety of elderly living alone by using energy usage information of automatic meter reading device. The proposed system is expected to improve or resolve the existing limitations and to provide 24 hour monitoring and early detection of death for the elderly living alone without adding staffs for operation and maintenance in a more effective and economic way.

• Proceedings of the Korean Environmental Health Society Conference
• /
• 2005.11a
• /
• pp.106-109
• /
• 2005

확산형 시료 채취기와 직독식 기기(공정시험법, Nitrogen Oxides Analyzer Model; EC 9841, Ecotech, Australia)에 의한 $NO_2$, 농도를 비교하고, 능동시료채취기(공정시험법)와 확산형포집기에 의한 HCHO(포름알데히드) 농도를 비교하기 위해 서울 ${\cdot}$ 경기 또는 대전, 충남 ${\cdot}$ 북지역에 소재한 11개 시설(종합병원 4곳, 노인 병원 1곳, 보건소 1곳, 복지관 3곳, 보육시설 2곳)을 대상으로 수행하였다. 1. 포름알데히드의능동 포집법(공정시험법)에 의한 시료(n=87)의 평균농도는 $11.44{\pm}11.07ppb$이고, 확산형 시료 채취기 의한 시료(n=40)의 평균농도는 $11.91{\pm}7.37ppb$으로 비슷한 값이 나왔고, 통계적으로 유의하지 않았다(p=0.806). 2. 포름알데히드 능동 포집법에 의한 농도와 확산형 시료 채취기에 의한 농도와의 상관계수 r=0.404(p=0.037)로 나타나 이 두 가지의 방법은 특정시간 포름알데히드 측정에 사용하여도 어느 정도 비교하기에는 적합할 것으로 생각된다. 3. 이산화질소의 노출정도는 직독식 기기(공정시험방법)와 확산형 시료 채취기로 각각 1시간 (오전, 오후 각각 2회), 8시간 측정하였다. 공정시험방법(n=61)에 의한 1시간-시료 평균농도는$44.48{\pm}37.96ppb$이고, 확산형 시료 채취기(n=61)에 의한 1시간-시료 평균농도는 $3.58{\pm}2.07ppb$으로 통계적으로 유의하였다(p=0.000). 직독식 기기(n=61)에 의한 8시간-시료 평균농도는 $34.85{\pm}22.83ppb$이고, 확산형 시료 채취기(n=61)에 의한 8시간-시료 평균농도 $8.32{\pm}4.44ppb$으로 통계적으로도 유의하였다(p=0.000). 4. 이산화질소를 직독식 기기(공정시험방법)와 확산형 시료 채취기로 측정한 1시간-시료 농도의 상관계수 r=0.253(p=0.268)이고 8시간-시료 일 때 상관계수 r=0.367(p=0.102)로 나타나 확산형 시료 채취기를 직독식 기기(공정시험방법) 대체 사용방법으로 이용하기에는 적합하지 않다고 생각된다.

• Journal of Digital Convergence
• /
• v.18 no.7
• /
• pp.9-19
• /
• 2020

The purpose of this study is to analyze the difference in suicide rates between regions and to determine the effect of social workers on the regional suicide rate. The main analysis results are as follows. First, the suicide rates in metropolitan cities were lower than was lower than in other regions, and cities and districts were lower than those in the county area. Second, suicide rates were high in areas with many cultural and social welfare facilities per population. Suicide rates were high in low mental health facilities and low social welfare budgets. The suicide rate in rural areas was high. Third, suicide rates were high in areas with low economic requirements, areas with a high proportion of the elderly, divorce rates, and areas with a small number of social security recipients and living alone. In other words, the suicide rate in rural areas was high. Finally, social workers did not affect the difference in local suicide rates. Local social services and budgets have no real impact on suicide rates. In the future, it is necessary to improve the quality and quantity of community welfare practices that can lower community suicide rates.

• Journal of agricultural medicine and community health
• /
• v.20 no.1
• /
• pp.1-13
• /
• 1995

Based on the questionnaires sent to 270 nurses of public health centers in kyungnam during the period of March 19 to April 11 in 1992, this study was written for the of finding out the grade of satisfaction, obstacles in carrying out duties concerned with nursing services and the change of nurses role needed according to the change of the local public health administration. The first-ranking tasks carried by nurses of public health center are believed to have been family planning activities before the 1970's, nursing services during the 1970's, mother-child health activities during the 1980's, and nursing services during the period of 1990 to 1992. As far as the priority order of all the family planning activities is concerned, the counseling of the insertion of intrauterine contraceptive device, the use of oral pill or the distribution of condom was placed emphasis on before 1970, and publicity activities of family planning after that time. The first priority order of mother-child health activities has been put on the registration of pregnant women since 1970, with prenatal examination and vaccination ranking next to it. The priority order for activities against tuberculosis was laid on finding out and registration of new T.B. patients every year, with patients' control, and medication or injection ranking next to it. As for the priority order of nursing services, traveling medical examination and treatment ranked the first-stressed activity before 1970, with medication and injection ranking next to it. The first priority order management activity of communicable diseases was put on vaccination before 1970, with medication and injection. ranking next. And consultation and education ranked second to it during 1990 to 1992. As for the health services of the aged, traveling examination and treatment ranked the order, with the assistance of medical examination ranking next to it. As far as troubles and obstacles shown in case of family planning, the rate of residents' lack understanding was 28.8%, that of lacking budget 13.6%, and the imperfection of public health administration system 11.9%. In the case of tuberculosis control, residents' lacking understanding was 32.5%, the deficiency of public health administration system 18.2%, over-duty(shortage of hands) 15.6%, and the insufficiency skill and know-how 13.0%. In the case of nursing services, the deficiency of public health administration system was 18.2%, each over-duty(the shortage of hands) and the shortage of facilities and equipment 15.6% respective, and residents' lacking understanding 13.0%. The rate of dissatisfaction with the chance or possibility of promotion for his or her career or capability was shown to be 49.2%, and 65.9% of the health nurses expressed their complaints of the deficiency of the chance of the promotion to a professional or expert. when the public health nurses were asked in the questionably whether they were satisfied or not with current state of equipment and facilities needed for public health service, 49.6% of them answered in the negative. The grade of the satisfaction with the current individual position was shown to be low as much as the status of his or her position was now. 37.6% of those asked in the research answered to have the readiness to switch jobs for the reasons of dissatisfaction and so on with lacking promotion chance as well as bad working condition. Significant correlation between the grade of job satisfaction and the current status of the po as found to be in this research, which showed that the lower the status of position was, the lower the grade of job satisfaction was. But little correlation between the grade of job satisfaction and his or her schooling and career was found. In order to carry out primary health care successfully, it can be said that more education and publicity activities to make public health nurses and residents see it in a new light are requested. In addition to it, it is suggested that the improvement of promotion system for public health nurses and the enlargement of job province should also be taken in consideration of the high dissatisfaction with and complaints of the chance of promotion and the system of position. In order words, it is important that considerations for system improvement enough to make nursing services pleasant and satisfactory should be taken into.

• Journal of agricultural medicine and community health
• /
• v.45 no.4
• /
• pp.235-244
• /
• 2020

Objectives: Gyeongsangbuk-do has entered a super-aged society with 20.7% of the population aged 65 and older. As of April 30, 2020, the death rate of COVID-19(3.8 people) in Gyeongsangbuk-do is higher than the national mortality rate (2.3 people), and the fatality rate of COVID-19 by age accounts for more than half of the total of 58.6%, so it is time to propose to prevent infectious diseases in the event of additional infectious disease disasters COVID-19. Methods: We collected daily data on the number of confirmed cases and deaths due to COVID-19 from 19 February to 30 April 2020. The data collected was evaluated using the SPSS 21.0 statistical package. Results: As a result of comparing the incidence and death-related factors of confirmed patients in Gyeongsangbuk-do, there were significant differences in age group (p<0.001), underlying disease (p<0.001), and residence type (p<0.033). Conclusion: Factors affecting the mortality rate of confirmed patients in Gyeongsangbuk-do have been combined with individual level factors(age, gender, underlying disease), which means individual characteristics that have existed since before the disease, and regional level factors(Type of Residence), which are external factors that enable the use of medical resources. Therefore, each local government is required to establish preventive measures considering individual and regional level factors.

• Journal of Yeungnam Medical Science
• /
• v.12 no.2
• /
• pp.347-365
• /
• 1995

A survey was conducted to study perception and attitudes of health workers towards health center's activities and organization of health services, from August 15 to September 30, 1994. The study population was 310 health workers engaged in seven urban health centers in Taegu City area. A questionnaire method was used to collect data and response rate was 81.3 percent or 252 respondents. The following are summaries of findings: Profiles of study population: Health workers were predominantly female(62.3%); had college education(60.3%); and held medical and nursing positions(39.6%), technicians(30.6%) and public health/administrative positions(29.8%). Perceptions on health center's resources: Slightly more than a half(51.1%) of respondents expressed that physical facilities of the centers are inadequate; equipments needed are short(39.0%); human resource is inadequate(44.8%); and health budget allocated is insufficient(38.5%) to support the performance of health center's activities. Decentralization and health services: The majority revealed that the decentralization of government system would affect the future activities of health centers(51.9%) which may have to change. However, only one quarter of respondents(25.4%) seemed to view the decentralization positively as they expect that it would help perform health activities more effectively. The majority of the respondents(78.6%) insisted that the function and organization of the urban health centers should be changed. Target workload and job satisfaction: A large proportion (43.3%) of respondents felt that present target setting systems for various health activities are unrealistic in terms of community needs and health center's situation while only 11.1 percent responded it positively; the majority(57.5%) revealed that they need further training in professional fields to perform their job more effectively; more than one third(35.7%) expressed that they enjoy their professional autonomy in their job performance; and a considerable proportion (39.3%) said they are satisfied with their present work. Regarding the personnel management, more worker(47.3%) perceived it negatively than positive(11.5%) as most of workers seemed to think the personnel management practiced at the health centers is not fair or justly done. Health services rendered: Among health services rendered, health workers perceived the following services are most successfully delivered; they are, in order of importance, Tb control, curative services, and maternal and child health care. Such areas as health education, oral health, environmental sanitation, and integrated health services are needed to be strengthening. Regarding the community attitudes towards health workers, 41.3 percent of respondents think they are trusted by the community they serve. New areas of concern identified which must be included in future activities of health centers are, in order of priority, health care of elderly population, home health care, rehabilitation services, and such chronic diseases control programs as diabetes, hypertension, school health and mental health care. In conclusion, the study revealed that health workers seemed to have more negative perceptions and attitudes than positive ones towards organization and management of health services and activities performed by the urban health centers where they are engaged. More specifically, the majority of health workers studied revealed to have the following areas of health center's organization and management inadequate or insufficient to support effective performance of their health activities: Namely, physical facilities and equipments required are inadequate; human and financial resources are insufficient; personnel management is unsatisfactory; setting of service target system is unrealistic in terms of the community needs. However, respondents displayed a number of positive perceptions, particularly to those areas as further training needs and implementation of decentralization of government system which will bring more autonomy of local government as they perceived these change would bring the necessary changes to future activities of the health center. They also displayed positive perceptions in their job autonomy and have job satisfactions.

• Journal of the Korea Society of Computer and Information
• /
• v.15 no.8
• /
• pp.89-98
• /
• 2010

Recently supply of Internet is bringing a important change in medical environments. The hospitals which had a different system is required the system that can efficiently share and exchange medical information. In order to transmission medical information between systems, the Health Level Seven(HL7) interface engine development that can convert medical data to HL7 messages is necessary. The HL7 is a standard protocol for data exchange in healthcare environments. In this paper, I implemented HL7 interface engine for Alzheimer's disease in elderly care facility. The interface engine is composed of the client system and the server system. The client system inputs user's medical care data for the aged, and builds them into HL7 message stream. HL7 messages in the client system transmitted over TCP/IP protocol to the server system. The server system parses and validates this messages stream to the segments and fields and then transmits acknowledgement to the client system. I implemented it using the Java and JavaCC. The study of interface engine implementation can be used meaningfully in electronic health record, telemedicine system, and medical information sharing among various healthcare institutions.

• Journal of the Korean Society of Industry Convergence
• /
• v.24 no.6_2
• /
• pp.809-818
• /
• 2021

The purpose of this study was to identify the influence of oral health knowledge and awareness of caregivers in charge on the oral health-related quality of life of the elderly in nursing homes. Data were collected from 115 elderly without dementia and their 115 caregivers in nursing facilities in S and C cities. The data were analyzed using SPSS/WIN 22.0 program. The average score for oral health knowledge and awareness of the caregivers were 11.62, 39.22 points each and the oral health-related quality of life of the elderly was 40.62 points. Oral health knowledge, awareness of caregivers and oral health-related quality of life of the elderly showed a difference according to oral health education experience of the caregivers (𝜌<.001), the nursing facility evaluation grade (𝜌=.016), and the oral health education experience (𝜌=.008), working hours of 40 hours or less per week of caregivers (𝜌=.008) each in order. The influencing factors on the oral health-related quality of life of the elderly were the oral health education experience, the working hours per week of the caregivers and the facility evaluation grade. This findings imply that developing customized program and the work environment improvement for caregivers should be considered to improve the oral health-related quality of life of the elderly in nursing homes.

• Journal of Digital Convergence
• /
• v.14 no.5
• /
• pp.39-46
• /
• 2016

The history of Social service is above 10 years. Owing to corresponding to the user's needs social services sector is expanding. And, to deal with them, the social delivery systems has been changed. Traditional social welfare delivery system is provided by public facilities and private facilities. On the other hand, Social Services is made up of the traditional social welfare delivery system and new delivery system which is composed of profit organizations and non-profit organizations. Considering this, Study attempted to compare the performance evaluation of supply type-profit and non-profit social service organizations. Performance evaluation method was applied to net income, except for expenditure in total revenue. Net income difference between profit organization non-profit organization was assessed by T-test. We conclude that the two population means are different at the 0.05 significance level. Looking in detail, the non-profit organizations were found to be higher than the non-profit organizations, labor costs, operating costs, facility cost and consumable costs, but part of the business expense costs, the non-profit organizations was higher than the profit organizations.