• Title/Summary/Keyword: 보건의료행정

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Analysis of the medication compliance of hypertensives and its influential factors (고혈압 환자의 투약순응도와 영향 요인 분석)

  • Son, Kyung-Ae;Kim, Yoon-Shin;Hong, Min-Hee;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.5
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    • pp.1897-1904
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    • 2010
  • The administration data of the national health insurance and health insurance bills were utilized in this study. The data of 432,915 patients who were at the age of 30 and up and used the out-patient departments of every medical institution located in some regions involving two southern and northern provinces once or more during a 184-day period from July to December. As a result of analyzing their prescription compliance and factors affecting it, the following findings were given: The average rate of the prescription compliance of the patients stood at 61.5 percent. It denoted that they were prescribed to take medicine for approximately 113 days during the six-month(184 days) period of time, and the rate of the patients who complied with the prescriptions just stood at 13.0 percent. They used out-patient department for 4.3 days on the average due to hypertension and they visited 1.1 medical institutions on the average. 94.9 percent just used a medical institution. The largest group (11.6%) suffered from diabetes as co-morbidity, and 23.3 percent of the hypertensives had co-morbidity. Concerning the relationship between their characteristics and prescription compliance, those who were male, who were beneficiaries of the national health insurance, who mainly used general hospitals and who suffered from co-morbidity complied better with the prescription they got. Their prescription compliance got better at the age of 65 to 74 and got worse afterwards. As for factors affecting their prescription compliance, the patients who were male, who were aged between 55 and 64 and who were beneficiaries of the national health insurance, who mainly used specialized general hospitals, general hospitals and public health centers and who had heart diseases and diabetes as co-morbidity complied better with the prescriptions. The above-mentioned findings of the study suggested that it's needed to make a factor analysis of the poor prescription compliance of patients from diverse angles, and that existing hypertension care plans should carefully be reviewed to improve the prescription compliance of patients and to find a feasible alternative. As hypertensives are easily likely to develop co-morbidity like diabetes, systematic health education should be provided for them to get into the right life habits such as taking low-salt meals or quitting smoking. In addition, the development of health care programs is required.

Development of Community Health Center-Based Hospice Management Model: Pilot Project at a Community Health Center in Busan (보건소 중심 호스피스 운영모델 개발 - 부산지역 일개 보건소 시범사업을 중심으로 -)

  • Kim, Sook-Nam;Choi, Soon-Ock;Kim, Young-Jae;Lee, So-Ra
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.109-119
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    • 2010
  • Purpose: This study was a part of a drive to develop a community health center-based hospice management model which is concerned with hospice care at a community health care setting and available resources of the local community. Methods: Development of a community health center-based hospice management model involved evaluation of existing hospice-related research, including literature review, and research on hospice facilities at the study site, as well as evaluation of model operation. The latter involved community health center-based hospice test operation, and evaluation of test operation by a research team, including of a nursing professor majoring in hospice care and staffs from a community health center in Busan metropolitan city, regional cancer center, and regional terminal cancer patient medical institute. The study was conducted in the 2008 calendar year. Results: The community health center-based hospice management model provides service linked with local community resources, focusing on the local community health center. Financial and administrative assistance is provided by the regional cancer center, with collaboration from academic health care professionals who guide the operation management. The community health center hospice nurse in consultation with a visiting nurse team registers terminally-ill cancer patients and, after assessment, the hospice team prioritize hospice care during team meeting. Care is delivered by staffs and volunteers. Conclusion: The developed community health center-based hospice operation management model maximally utilizes available community health resources to produce qualitative improvement of regional health and welfare policy through improving the lives of home-based cancer patients and their family who are in medical blind spot.

A Study on Satisfaction of Supplementary Education for Radiological Technologist (방사선사 보수교육에 대한 만족도 연구)

  • Jeong, Bong-Jae;Park, Ji-Koon;Kang, Sang-Sik;Noh, Si-Cheol
    • Journal of the Korean Society of Radiology
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    • v.11 no.6
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    • pp.475-481
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    • 2017
  • As the research about supplementary education of radiological technologist who works in Gyoungsangnam province, this study was conducted to draw the improvements by analyzing the satisfaction level and problems of the supplementary education. During November 01, 2016 to December 15, 2016, after we sent out a total of 250 questionnaires for the survey to radiological technologists working at medical institution located in Gyoungsangnam province, 200 questionnaires suitable for research were analysis by using SPSS 18.0 statistical analysis software. As the satisfaction factors, 21 items such as system, subject, help, appropriateness of lecturer selection, professionalism were used. And as the problem factors, 18 items such as place, transportation, diversity, administrative treatment, education promotion, proceed method were used. Consequentially, the satisfaction level(3.12 point) and problems(3.01 point) of the supplementary education were confirmed as normal level. The supplementary education is an essential education that any health and medical service personnel must complete. In order to improve the effectiveness and efficaciousness of the education, the diverse opinions and efforts to improve the education levels must be supported. Futhermore, through the realistic educational program, the continuous education for radiological technologist with excellent qualities and competence should be done.

The Effect of Post-Traumatic Stress on Depression of Korean and Vietnam War Veterans: Mediating Effect Analysis of Ego-Resilience (한국전, 베트남 참전 국가유공자들의 외상 후 스트레스가 우울에 미치는 영향에 대한 융복합적 연구 : 자아-적응유연성의 매개효과 분석)

  • Kim, Yunyoung;Hyun, Hye Sun;Choi, Nayoung;Kim, Tae Yeol
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.547-556
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    • 2019
  • The purpose of this study was to investigate the relationship between post-traumatic stress and depression in veterans and to examine mediating effects of ego-resilience in relation. Data were collected from 383 subjects of National Merit of the Korean War or Vietnam War with the cooperation of the Daegu Veterinary Association from March to June 2018, and the collected data were analyzed using the SPSS 24.0 Statistics Program to analyze the mediating effects of ego-resilience in post-traumatic stress and depression with hierarchical multiple regression. Post-traumatic stress was found to be high in the case of long absence(F=7.97, p<.001), unemployment(t=2.09, p=.040), poor economic condition(F=64.49, p<.001), and ego-resilience as a parameter in the relationship between post-traumatic stress and depression. Based on the results of this study, it is required to develop various programs focusing on improving ego-resilience and systematic management at the national level in order to intervene in depression of veteran.

The effect of Self-sufficiency Project on Participants' Self-reliance and Satisfaction -Focusing on Self-sufficiency Participants in Ulsan Metropolitan City- (자활사업이 참여자의 자립의지 및 만족도에 미치는 영향 -울산광역시 자활참여자 중심으로-)

  • Park, Ju Young
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.580-594
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    • 2021
  • The purpose of this paper is to investigate the impact on self-reliance and satisfaction of participants participating in the self-sufficiency business program of the Ulsan Metropolitan Regional Self-Sufficiency Center. A self-filled questionnaire was surveyed on self-sufficiency participants in five Borough and Country in Ulsan for 4 weeks from September 1 to 30, 2020, and final 233 copies were used in the actual analysis. As a result of the study, first, the percentage of positive responses of the participants was found to be good at 71.7%, for questions on the degree of support to the government, local governments, and administrative welfare centers. Second, in response to a system or service that would like to be supported or needed in the future, support for living expenses and support for health and medical expenses appeared and as a result of gender difference analysis, it was confirmed that there was a significant difference between support for children's education expenses and support for housing funds. Among the factors of the participant's psychological self-reliance(self-control, confidence, and willingness to work), the factor of self-control was the most significant factor, followed by confidence and willingness to work. Overall satisfaction with work was the highest among 9 satisfaction items such as salary and working hours.

Analysis of Satisfaction and Problems of Clinic Radiological Technologist on the Supplementary Education (보수교육에 대한 의원방사선사의 만족도와 문제점 분석)

  • Jeong, Bong-Jae;Park, Jun-Hong;Song, Jae-Heung;Noh, Si-Cheol
    • Journal of the Korean Society of Radiology
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    • v.12 no.7
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    • pp.861-868
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    • 2018
  • As the research about supplementary education of radiological technologist who works in medical clinics, this study was conducted to draw the improvements by analyzing the satisfaction level and problems of the supplementary education. During November 01, 2016 to April 30, 2017, after we distributed a total of 150 questionnaires for the survey to radiological technologists working at medical clinics located in Changwon-si, Gyoungsangnam province, 106 questionnaires suitable for research were analysis by using SPSS 18.0 statistical analysis software. As the sociodemographic characteristics, the age, gender, working period, level of education, and working department were used. And As the welfare factors, working environment, financial support, educational opportunity, medical support, working culture, etc. were used. As the satisfaction factors, 21 items such as system, subject, help, appropriateness of lecturer selection, professionalism were used. And as the problem factors, 18 items such as place, transportation, diversity, administrative treatment, education promotion, proceed method were used. Consequentially, the satisfaction level(3.02 point) of the supplementary education were confirmed as normal level. And the problems(3.18 point) of the supplementary education was analyzed a little higher. The supplementary education is the mandatory education that any health and medical service personnel must complete every three years for license re-issuance. There were many opinions that the supplementary education for radiologists working in various medical institutions did not meet the education level of radiologists working in the medical clinics. In order to improve the satisfaction of the supplementary education of medical clinic's radiological technologist, it should be improved the quality of education through a practical education program that reflects various opinions and improvements on conservative education.

The Evaluation of Dose Reduction and Quality of Images According to 80 kVp of Scan Mode Change in Pediatric Chest CT (소아 흉부 CT 검사에서 관전압 80 kVp 조건으로 스캔 모드별 방사선량 감소와 화질 평가)

  • Kim, Gu;Kim, Gyeong-Rip;Lee, Eun-Sook;Cho, Hee-Jung;Sung, Soon-Ki;Moon, Seul-ji-a;Kwak, Jong-Hyeok
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.284-292
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    • 2019
  • To evaluate the usefulness of pediatric chest CT scans by comparing the dose, examination time, and image quality by applying Helical mode, High-pitch mode, and Volume Axial mode to minimize the radiation exposure and obtain high diagnostic value. Revolution (GE Healthcare, Wisconsin USA) was used to divide PBU-70 phantom into Helical mode, High-pitch mode, and Volume Axial mode. After acquiring images, ROI is set for each image, heart, bone, lung, and back-ground air, and the average value is obtained by measuring CT number (HU) and noise (SD). SNR and CNR were measured and compared with DLP values provided directly by the equipment. Determining statistical significance Statistical analysis was performed using ONE-WAY-ANAOVA using SPSS 21.0. In this experiment, it was possible to inspect at a short time without deterioration of image quality with the lowest dose when using volume axial mode. Although the detector coverage of 16 cm is limited to all pediatric chest CT scans, it is recommended to be actively used in pediatric patients, and further study is needed to apply other test sites in volume axial mode.

Relationship Between Internal Marketing, Job Satisfaction and Organizational Commitment of Clinical Dental Hygienists (임상치과위생사의 내부마케팅, 직무만족도와 조직몰입간에 관련성)

  • Do, Yu-Jeong
    • Journal of Convergence for Information Technology
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    • v.10 no.12
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    • pp.1-8
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    • 2020
  • The purpose of this study was to identify the factors that influence the organizational commitment of clinical dental hygienists to contribute to manpower management. The subject of the study was 195, and the following results were obtained as a result of collecting and analyzing data using a self-filling questionnaire from March 10 to April 20, 2020. The degree of organizational commitment, job satisfaction, and internal marketing according to general characteristics were analyzed by t-test and one-way ANOVA, and post-test was set to'Scheffe'. The correlation between organizational commitment, job satisfaction, and internal marketing showed a significant positive correlation with job satisfaction (r=0.689) and internal marketing (r=0.678). The factors influencing organizational commitment were multiple regression analysis, and the influencing factors for organizational commitment were internal marketing and job satisfaction. The most influential factor was job satisfaction, and the explanatory power was 56.1%.As a result, the internal marketing of clinical dental hygienists was found to be related to job satisfaction and organizational commitment, and the factor that most affected was job satisfaction. Therefore, institutional and administrative support from dental medical institutions is needed to improve job satisfaction, which has an impact on organizational commitment of clinical dental hygienists.

A Comparative Study on the Impacts of Emotional Labor of Workers with the Types of Hospital Influencing Job Stress by Health Care - General Hospital and Nursing Hospital (헬스케어에 따른 병원종별 종사자의 감정노동이 직무스트레스에 미치는 영향 비교 : 일반병원과 요양병원)

  • Jeong, Yeon-Ja
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.659-666
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    • 2020
  • This study is a comparative study on the impacts of workers' emotional labor influencing job stress by health care and the types of hospitals. The research used 387 questionnaires as final assay data, which were obtained by health care workers who work for hospitals or higher-level hospitals located in G-metropolitan city, JD through the direct survey method. The results are as follows. First, after analyzing the difference of emotional labor and job stress in terms of socio-demographic characteristics, there was a significant difference in both general hospital and nursing hospital: In case of general hospitals, a significant difference in emotional labor is shown based on monthly earnings and the years of employment at current hospital, and a significant difference in job stress is shown based on an academic career, the years of employment at current hospital, and the establishment classification. In case of nursing hospitals, there was a significant difference in emotional labor based on an academic career, alcohol use, and monthly earnings. Second, after analyzing the correlation between emotional stress and job stress by the type of hospital, a significant positive correlation is observed at both general hospital and nursing hospital. Third, after comparing the impacts of emotional labor on job stress by the type of hospital, it was shown that emotional labor has a significant positive impact on job stress at both general hospital and nursing hospital.

The Effects of Yongin-Emotional Management Training Program on the Improvement of Life Care in Patients with Chronic Schizophrenia (만성 조현병 환자의 라이프케어 증진을 위해 용인 정서관리 훈련 프로그램이 미치는 영향)

  • Lee, Eun-Young;Jin, Myung-Ja;Kim, Young-Woon
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.385-400
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    • 2019
  • We reviewed existing studies and proposed future research on the sustainability of short-term effects, and of the Yongin Emotion Management Training program (Y-EMT). In this study, we conducted Y-EMT to verify its effectiveness in relation to affective disorders associated with chronic schizophrenia. Thirty-five patients were assigned to the experimental group, and 35 to the control group. First, results of repeated-measures analysis supported the effectiveness of Y-EMT. Comparisons of the results on the pre-test with those for the 5-month and 1-year post-training tests showed significant differences in mean scores between the experimental and control groups. Furthermore, these differences persisted at the 2-year follow-up. Second, in the experimental group, interactions between emotional behavior and expression, self-efficacy, and changes in interpersonal relationships showed significant effects at 5 months after the program ended, and these effects continued to increase up to 1 year post-training. Taken together, the findings indicate that, to maintain the effects of therapy in patients with chronic schizophrenia, patients should undergo Y-EMT along with cognitive rehabilitation training and social skills training. Human relations training such as Y-EMT is most helpful for rehabilitation when it is paired with high levels of medication.