• Title/Summary/Keyword: 보건의료인

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Health and Job Characteristics of Sales and Service Workers in Micro-Enterprises (판매 및 서비스업에 종사하는 소상공인의 업무특성 및 건강수준)

  • Jung, Hye-Sun;Jhang, Won Gi
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.30 no.4
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    • pp.412-422
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    • 2020
  • Objectives: This study was conducted to identify the job characteristics and health status of sales and service workers at micro-enterprises. Methods: Multivariate analyses were conducted using data on respondents to the 5th Korean Working Conditions Survey who were business owners (7,572 persons) or employees (3,317) working in sales or service positions at micro-enterprises. Results: Among those analyzed, business owners were found to experience worse health conditions than employees. Business owners also differed from workers in terms of job characteristics. More than employees, they engaged in tiring or painful postures that negatively affected subjective health condition, experience of muscle pain, and experience of depression or anxiety. While employees' health was negatively affected by dealing with angry customers, the health status of business owners was negatively affected even by dealing with ordinary customers. Conclusions: These results show that the owners of micro-enterprises were in a more vulnerable state of health rather than their employees. In order to address this, it is necessary to correct work posture and reduce the stresses that come from customers.

폐쇄성 기도질환(1)

  • 심영수
    • 보건세계
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    • v.43 no.12 s.484
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    • pp.4-9
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    • 1996
  • 기도가 협착되어서 증상을 일으키는 질환으로 만성기관지염, 폐기종, 만성폐쇄성질환, 기관지천식 등이 있으며, 기침, 가래, 호흡곤란(숨참)등이 주요 증상인데 비의료인에게는 해소천식으로 더 잘 알려져 있다. 일반적으로 기침 가래가 나오고 숨이차면 해소천식이라고 하는데 실제로 이 만큼 오용되고 남용되는 단어는 드물 것이다. 동의보감에 의하면 해수(해소의 원명)는 기침을 말하는데 해는 가래가 없이 소리가 심한 경우이고 수는 가래를 주로하는 기침을 말하며 16가지 종류로 구분된다. 천식은 숨이 찬 증상을 말하는 것으로 8가지 종류로 구분되어 있다. 따라서 해소천식은 기침가래가 나오고 숨이 찬 증상을 말하는 것으로 특정질환을 말하는 병명이 아니다. 비의료인이 말하는 천식의 경우에는 숨이 찬 증상을 말하는 것이고 의료인이 천식이라고 할 경우에는 특정 기도질환인 기관지 천식을 말하는 것이므로 서로 오해하기가 쉽다. 실제로 일간지 건강상식란에 천식을 소개하였는데 의사는 병명으로서의 기관지천식을 설명하였고 동참한 한의사는 증상으로서의 천식을 설명하여 혼란을 일으켰던 예가 있었다. 한의학에서는 예전에 기관지천식은 효천(孝喘)이라고 부르고 천식의 증상이 심하고 위중한 상황일 때에는 천급(喘急)이라고 하여 한의학에서도 구별하였는데 도리어 현대에 와서 정확성이 없어지고 모호해진 이유는 무엇일지 궁금하다. 폐쇄성기도질환은 기도가 좁아지는 기전과 기도폐쇄의 가역성(기도가 정상으로 회복되는지)여부에 다라서 가역성폐쇄질환인 기관지천식과 비가역적인 만성폐쇄성기도질환으로 구분하고 있다.

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자연적 가족계획의 윤리와 인간가치

  • Maeng, Gwang-Ho
    • Journal of the Korean Catholic Hospital Association
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    • v.19
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    • pp.28-31
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    • 1988
  • 다음 글은 금년 6월 19일부터 24일까지 세계보건기구가 태국수도 방콕에서 개최한 국제회의-"가족계획의 윤리와 인간가치:개인과 사회의 권리와 책임에 관한 국제대화"-에 부진 교황성하의 연설문가운데 일부분, '자연적 가족계획의 윤리와 인간가치'부분을 발췌한 것입니다. 방콕회의를 위한 교황성하의 연설문은 오늘날 전세계에 유행하고 있는 갖가지 가족계획에 관하여 그들의 윤리문제와 인간가치문제를 제기하면서 각국 지도자들이 올바른 인구 및 가족계획관을 갖도록 촉구하고 있는데 여기 소개하는 부분은 교회가 단지 세계적 인구문제에 대해서 깊은 관심을 갖고 있을 뿐 아니라 가장 윤리적이고 인간가치를 높히는 자연적 가족계획방법을 구체적인 대안으로 제시하면서 각국이 이를 보다 널리 보급하고 관심있는 의료인, 과학자들이 이를 좀 더 연구할 것을 권하고 있는 것입니다.

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Development of Educational Model for Health Professionals Regarding Smoking Cessation (보건의료인을 대상으로 한 금연교육모형 개발)

  • Kim Hye-Kyeong;Kim Myung;Kim Young-Bok
    • Korean Journal of Health Education and Promotion
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    • v.23 no.1
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    • pp.1-22
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    • 2006
  • Objecive and Method: Smoking among health professionals has been shown to influence smoking related knowledge, attitude and educational practices in medical setting. And lack of health professionals' efficacy for smoking cessation intervention has been a major barrier to education on smoking too. In this regard, the present study was carried out to introduce and discuss the advanced cases of smoking cessation education for health professionals, and to develop theory-based educational models of smoking cessation for health professionals in order to improve the effectiveness and efficiency of intervention on smoking in a medical framework. Results: First, major issues of health professionals' smoking cessation intervention were discussed. Discussed issues were smoking prevalence among health professionals, importance of health professionals' roles both as health educators and examples, and health professionals' cognitive dissonance. As advanced cases of smoking cessation education for health professionals, ATOD(Alcohol, Tabacco, and Other Drug problem prevention) developed by US Department of Health & Human Services and the Rx for Change curriculum in California State were discussed. Finally, smoking cessation educational models for health professionals were developed on the basis of social cognitive model and TPB/TTM. Conclusions: For the effective and efficient smoking cessation intervention in medical setting, systematic efforts would be necessary to provide opportunities for ensuring the qualification of health professionals on smoking cessation through an analysis of major issues concerning smoking cessation education for health professional and the development of comprehensive curriculum for smoking cessation.

Factors Influencing Influenza Vaccination Intention among Health Personnel in General Hospitals: An Application of the Theory of Planned Behavior (종합병원 보건의료인의 독감 예방접종 의도와 영향요인: 계획된 행위이론의 적용)

  • You, Jiyoung;Yang, Jinhyang
    • Research in Community and Public Health Nursing
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    • v.32 no.2
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    • pp.175-185
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    • 2021
  • Purpose: Influenza immunization among health personnel is of particular importance given their elevated risk of influenza infection, role in transmission and influence on patients' immunization status. The purpose of this study is to identify factors associated with the influenza vaccination intention among health personnel based on the theory of planned behavior. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 131 health personnel in five general hospitals in two cities in South Korea. The data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with the SPSS 26.0 program. Results: There were statistically significant differences in influenza vaccination intention according to the high-risk group in the family, occupation, length of employment, and influenza vaccination status within a year. The influenza vaccination intention of these health personnel showed significant positive correlations with attitude, subjective norms, and perceived behavioral control towards influenza vaccination. Multiple regression analysis for influenza vaccination intention revealed that the significant predictors were attitude, subjective norms, influenza vaccination within a year and physician in occupation. These factors explained 41.4% of the variance. Conclusion: The results suggest a need to strengthen attitude and subjective norms. The findings also suggest that their characteristics through influenza vaccination status within a year and occupation should be considered for tailored interventions related to the intention. Furthermore, it is necessary to develop programs strengthening attitude and subjective norms to enhance influenza vaccination intention among health personnel.

Der Begriff der Heilkundeausübung nach deutschem Medizinrecht (독일법상 의료행위 개념)

  • Seok-Bae Lee
    • The Korean Society of Law and Medicine
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    • v.24 no.2
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    • pp.3-31
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    • 2023
  • Der Begriff der Heilkundeausübung ist im positiven Recht in Korea nirgends festgelegt. Der wurde jedoch indirekt durch die Auslegung der Heilkundeausübung ohne Erlaubnis gemäß § 27 Abs. 1 des "Medizingesetzes" geregelt. In der Vergangenheit beschränkte der kOGH(the Supreme Court of Korea) die Heilkundeausübung auf die "Behandlung von Krankheiten und stellte fest, dass "medizinische und technische Maßnahmen, die keine pathologischen Symptome oder Funktionsdefizite im Körper voraussetzen, nicht zur Heilkundeausübung gehören." Danach änderte der kOGH seine Rechtsprechung auf "Vorbeugung oder Behandlung von Krankheiten durch Durchführung ärztlicher Untersuchungen, Optometrie, Verschreibung, Medikation oder chirurgischer Eingriffe auf der Grundlage von Erfahrung und Fähigkeiten, die auf medizinischem Fachwissen basieren, und anderer Gesundheitsfürsorge, definiert "medizinische Maßnahmen" als "eine Handlung, die eine gesundheitliche Gefahr darstellen kann, sofern diese nicht von einem Mediziner durchgeführt wird". Der Begriff der Heilkundeausübung in der Rechtsprechung ist einerseits zu abstrakt und kann eine Leerformel sein, andererseits kann seine Einschränkung eine Gefahr für die öffentliche Gesundheit erbringen. Daher besteht Bedarf an einem Kriterium, das dar derzeitige Begriff der Heilkundeausübung entsprechend dem gesetzgeberischen Ziel reduzieren kann, das Risiko für das Leben, den Körper oder die öffentliche Gesundheit von Menschen zu verhindern, das durch die Durchführung medizinischer Arbeiten durch nichtmedizinisches Personal entstehen kann. Um ein Kriterium vorzustellen, das das aktuelle Konzept der Heilkundeausübung reduzieren kann, werden in diesem Artikel das positive Recht, Theorien und Rechtsprechung zum Begriff der Heilkundeausübung in Deutschland untersucht und nach einer Alternative gesucht.

Analysis of Factors Influencing the Utilization Rate of Public Health Centers in Korea (한국의 보건소 이용률에 영향을 미치는 요인 분석)

  • Park, Eun-A;Choi, Sung-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.203-215
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    • 2019
  • This study was conducted to identify the utilization of public health centers, as well as the individual characteristics and regional characteristics that affect their utilization based on data from the 2016 Community Health Survey, National Statistical Portal, and National Institute of Environmental Research. Independent samples t-tests, variance analysis, and multiple logistic regression analysis were used for analysis. Hierarchical multiple regression was used to analyze individual and regional characteristics. The results of hierarchical multiple regressions revealed that aged regions, women, older age individuals, respondents with lower education level and income level, walking practitioners, nutrition label readers, individuals experiencing depression, those who have received health checkups, those who are not covered by essential care, those who have spouses, and basic livelihood beneficiaries have increased use of public health centers. However, the use of public health centers decreased in stressors, and regions in which the population per 1,000, number of health care workers, health and welfare budget, fiscal independence, and unemployment rate were above the national average. As above, the central government and local governments need to analyze not only individual characteristics such as health behavior and psychological factors, but also regional characteristics, when establishing local health care policy.

Female College Students' Perception of Work Scope of Dental Hygienist and Boundaries of Medical Personnel according to the Major

  • Hong, Yang-Hee;Lee, Jung-Mi;Woo, Hee-Sun
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.3
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    • pp.177-183
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    • 2020
  • The purpose of the study is to investigate the women's college students' perceptions on work scope of dental hygienists and the inclusion of dental hygienists in the category of medical personnel. A self-reported questionnaire was completed by 180 Suwon women's college students from August 26, to September 11, 2019. The questionnaire consisted of oral health condition of the subjects, perception of both legal and illegal work scope of dental hygienist, the degree of recognition of medical personnel occupations by subject, and the reason why they thought dental hygienists are medical personnel. The collected data were analyzed based on frequency, percentage, and descriptive statistics using IBM SPSS VER 22.0. It showed significantly different perception of work scope of dental hygienists according to the major. Percent of 70 of the subjects perceived dental hygienist as a medical personnel, the opinions on the necessity were as follows: The Ministry of Health and Welfare issues a license through the national examination role and dental hygienists assist the care of dentist. Therefore, clinical dental hygienists should be promoted to medical personnel through the amendment of the medical law so that the duties practiced by the dental hygienist can be matched with the legal practice.

Radiation Safety Consideration Regarding the Treatment which uses the Radioactive Substance (방사성물질을 이용한 치료의 안전관리 고찰)

  • Lim, Cheong-Hwan;Kim, Seung-Chul;Lee, Gui-Won
    • The Journal of the Korea Contents Association
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    • v.8 no.11
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    • pp.217-224
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    • 2008
  • Is trend that treatment that use isotope of radioactive substance increases from 1964 to now steadily. Bursting tube state solidified accordingly. But, do not establish treatment ward in presence at a sickbed by means that present regulation and system escape this as well as possession that exert negative impact in treatment action preferably is and is treating by radioactivity of small quantity, treatment air by that do not detain many sickers without equaling the institution although there is treatment ward keeps fair death anniversary and is in reservation stand-by status. To possess about 10 therapy rooms including existing sickroom in the institute of nuclear energy recently is looked but is waiting for an opportunity for treatment during suitableness time yet indeed even as that operate 57 radiation isotope therapy rooms all in about 28 hospitals in present domestic state is solveded. Therefore, radiation safety supervision by medical treatment action that treat as radioactive substance may need more active effort. Make mandatory to equipment that hospital which correspond to present the third medical examination and treatment must equip, or effort about more active system improvement may have to be about equipment that enforce this.

A Study on the Effective Alcohol Education Strategies for the Prevention of Alcohol Problems (음주문제 예방을 위한 효과적인 보건교육방안에 관한 연구)

  • Lee, Young-Sook
    • Korean Journal of Health Education and Promotion
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    • v.12 no.2
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    • pp.139-145
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    • 1995
  • 본 연구의 목적은 알코올 문제의 현황을 파악하고 효과적인 음주교육 방안을 모색하기 위한 것이다. 사회문화적 행위로서의 음주행동의 특징을 파악하고 음주로 인한 위해가 우리에게 미치는 영향을 파악하기 위한 것이다. 음주행동은 한 사람이 속한 사회의 문화와 관습이 허용하는 범위에 따라 그 사회가 공유하는 음주에 대한 태도나 가치의 영향을 받아 학습을 통해 습득하게 된다. 음주는 사망률, 이환율, 유산율, 범죄율 등에 막대한 영향을 끼치고 있으며 이로 인한 사회적 비용과 생명손실은 엄청난 것이다. 매스미디어를 통한 음주교육은 다른법적 제재와 병행될 때 효과적이다. 음주연령이나 세금부과 등을 통해 음주행위를 통제하는 것이 가능하다. 음주교육의 주기능은 법령과 처벌에 대한 두려움(perceived fear)를 높이는 것이다. 음주행위에 관용적인 사회 분위기를 변화시키는 것이 법령이나 처벌보다 더 효과적이다. 과도한 음주행위에 대한 비판적인 사회적 분위기와 같은 비공식적인 사회적인 제재가 음주문제의 예방에 더욱 중요하다. 청소년의 음주행위는 부모와 동료집단과의 관계에 의해 크게 영향을 받기 때문에 부모와 동료집단의 참여하에 객관적인 태도를 통해 자율적인 결정을 할 수 있도록 유도해야 한다. 음주교육에 대해 지식과 경험을 갖춘 교사가 교육을 실시하여야 하며 소그룹 활동을 통해 음주문제에 대한 이해와 바람직한 태도를 습득하게 하고 동료집단의 압력을 거부할 수 있는 능력을 키우는 것이 필요하다. 교사는 편견이 없는 객관적인 태도를 갖추어야 하고 최종적 결정은 지식에 근거하여 청소년이 하도록 하여야 한다. 음주는 가정불화, 좌절감, 실업, 이혼 둥의 부정적 감정과 연관되어 있으며 깊은 인간관계를 통한 상담이 효과적이다. 단주친목과 같은 자발적인 민간단체는 알코올 문제를 가진 사람들이 서로 모여 친목하는 가운데 도움과 치료를 받을 수 있다는 점에서 매우 효과적이다. 이러한 단체의 활용이 더욱 확대되어야 한다. 병원에서의 음주교육은 노조의 참여하에 전문적인 의료인들에 의해 이루어져야 한다. 이전에 알코올중독에서 회복된 사람을 동료교육가(peer educator)로 활용하는 것도 효율적인 교육방법중의 하나이다. 의과대학의 교과과정에 음주교육에 대한 내용을 더욱 확대하여야 한다. 음주교육은 음주라는 행위의 저변에 깔린 문화적 심리적 요인에 대한 깊은 이해를 토대로 계획되고 실시되어야 한다. 음주교육은 지역사회 전체의 참여를 통해 부모, 학생, 정부, 민간단체, 매스미디어의 공동참여를 통한 다각적인 접근이 요구된다.

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