• 대한방사선기술학회지:방사선기술과학
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• 제44권2호
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• pp.133-140
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• 2021

This study aims to analyze the quality and satisfaction of healthcare perceived by patients using hospitals and to provide basic data necessary for expanding and settling Vietnamese healthcare services by analyzing the impact on recommendation intentions. The research method selected one hospital in Vietnam and collected data from patients using the hospital and used a total of 286 effective samples as data for hypothesis verification. The research model and hypothesis verification were analyzed with the statistical data from SPSS and AMOS. The findings show that, first, tangibility, accessibility, and reliability all have a positive effect on the quality of healthcare. Second, it has been shown that only accessibility among the quality of healthcare has a positive effect on recommendation intentions. Third, customer satisfaction has been shown to have a positive effect on recommendation intentions. Fourth, when looking at the mediating effect, reliability among the quality of healthcare was shown as a full-mediated effect, but accessibility was shown to have a partial mediating effect and tangibility to have no mediating effect. Contact management is important because customer satisfaction is highly regarded when customers feel positive emotions at the interface from the provision of convenience facilities that support medical services to the reduction of waiting time for patients, employees kindness, treatment, medication, and inspection. It is also confirmed that the demand for convenient and rapid use of hospitals is increasing in Vietnam. In addition, if customer satisfaction is increased through friendly medical staff's response, the intention of recommendation will be even greater.

• 한국산학기술학회논문지
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• 제16권2호
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• pp.1253-1263
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• 2015

본 연구의 목적은 의료기관 근로자들의 환자 개인정보 보호에 대한 인식을 평가하는 도구를 개발하고, 개발된 도구의 타당도와 신뢰도를 검증하고자 하였다. 도구의 개발 및 검증과정은 도구의 개념틀 구성, 기초 문항 작성, 내용타당도 검증, 예비조사를 거쳐 최종문항을 추출하였다. 내용타당도는 3명의 보건의료전문가의 검증을 받았고, 구성타당도는 문항분석, 탐색적 요인분석과 확인적 요인분석을 실시하였다. 도구의 신뢰도는 Cronbach's alpha 로 검증하였다. 간호사, 병원 행정직원, 여러 보건의료 종사자들로 구성된 의료기관 근로자 279명을 대상으로 설문조사를 시행하였다. 확인적 요인분석 결과 4요인 모델의 적합도가 높아 구성타당도가 검증되었으며, 4요인 13문항으로 구성된 본 도구의 신뢰도 Cronbach's alpha는 .83이었다. 결론적으로, 본 도구는 의료기관 근로자의 개인정보보호 인식을 측정하기에 타당도와 신뢰도가 검증된 도구인 것으로 나타났다.

• 보건행정학회지
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• 제31권2호
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• pp.225-231
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• 2021

Unmet healthcare is an important indicator to measure accessibility of healthcare services. To examine the latest status of unmet healthcare needs in South Korea, the four different data which is composed of nationally representative sample of South Korean population were used; the Korea Health and Nutrition Examination Survey (KNAHANES, 2007-2019), the Community Health Survey (CHS, 2008-2019), the Korea Health Panel Survey (KHP, 2011-2017), and the Korean Welfare Panel Study (KOWEPS, 2006-2019). The proportion of individuals reporting unmet healthcare needs were 5.8% (KNHANES), 5.3% (CHS), and 11.6% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.5%, -8.0%, and -6.5%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.1% (KNAHANES), 0.7% (CHS), 2.4% (KHP), and 0.4% (KOWEPS). The APC was -10.5%, -14.2%, -12.2%, and -19.6%, respectively. Compared to last year, the rate of unmet healthcare needs has declined in general. However, the low-income and the elderly population were reporting the highest rate of unmet health care needs, and the disparity between lowest and highest groups were remained. These results suggest that adequate benefit coverage is needed for low-income and elderly population.

• 보건행정학회지
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• 제32권1호
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• pp.63-72
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• 2022

Background: Depression is a common disease around the world. Many studies are showing that mental health can be improved through physical activity, and daily regular exercise can reduce the negative effects of depression or depressive symptoms. In order to promote individual physical activity, a physical activity-friendly environment must precede. Therefore, this study attempted to confirm whether the number of sports facilities for all affects individual depression. Methods: Among the respondents to the 2018 Community Health Survey, data from 181,086 people excluding missing value were used. Descriptive and chi-square tests were performed to understanding the general characteristics of individual level variables. A multilevel logistic regression was conducted to confirm the effect of individual and regional level variables on depressive symptoms. Results: As a result of confirming the effect of individual characteristics on depressive symptoms, it was confirmed that both socioeconomic and health behavior factors had an effect. Similar results were shown in a model that considered regional level variables, and in the case of the number of sports facilities per population, people who belongs to smaller areas were more likely to have depressive symptoms (odds ratio, 0.98; 95% confidence interval, 0.97-0.99). Conclusion: As a result of the analysis, it was confirmed that both individual level and regional level variables had a significant effect on depressive symptoms. This suggests that not only individual level approaches but also regional level approaches are needed to improve individual depressive symptoms In particular, it may be possible to consider to increase the number of sports facilities in areas where the prevalence of depressive symptoms is high and the number of sports facilities is insufficient.

• 보건행정학회지
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• 제32권2호
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• pp.237-243
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• 2022

Unmet healthcare is an important indicator to measure accessibility of healthcare services. To examine the latest status of unmet healthcare needs in South Korea, four different data which is composed of nationally representative sample of South Korean population were used; the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2020), the Community Health Survey (CHS, 2008-2020), the Korea Health Panel Survey (KHP, 2011-2018), and the Korean Welfare Panel Study (KOWEPS, 2006-2020). The proportion of individuals reporting unmet healthcare needs were 6.4% (KNHANES), 5.4% (CHS), and 12.2% (KHP). Annual percentage change (APC) which identifies trend for the follow-up period was -9.9%, -9.1%, and -5.5%, respectively. The proportion of individuals reporting unmet healthcare needs due to cost were 1.0% (KNHANES), 0.4% (CHS), 2.2% (KHP), and 0.4% (KOWEPS). The APC was -11.3%, -17.0%, -12.2%, and -21.2%, respectively. Overall, the low-income and the elderly population reported a higher rate of unmet health care needs. Although the overall experience rate of unmet medical care due to cost decreased over the past decade, the disparity between the lowest and highest income groups still remained in 2020. Disparity between income levels and age groups is a challenge to address in healthcare system, and these results suggest the need for adequate health coverage for the low-income and the elderly populations.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.105-118
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• 2021

Objectives: This study aimed to examine the effect of Activities Daily Living(ADL)(physical health), depression(mental health), social participation(social health) on suicidal ideation among community dwelling elderly. Methods: Samples were obtained from 184 people aged over 65 years old in one county of Kyungsangbukdo. The survey samples were divided into the presence and absence group of the suicidal ideation. Data were analyzed with x² test, t-test and logistic regression analysis. Results: First, suicidal ideation were significantly different by religion. Secondly, after adjusting for socio-economic variables, logistic regression analysis showed that only depression was associated with higher odds of suicidal ideation Conclusions: It was suggested to develop customized depression and suicide prevention program were required to reduce suicide rate of the elderly.

• 보건행정학회지
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• 제31권3호
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• pp.335-343
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• 2021

Background: The purpose of this study was to extract the major areas of interest in health insurance research in Korea, and infer policy agendas related to health insurance by analyzing research keywords. Methods: For this study, 2,590 articles were selected from among 7,459 academic papers related to health insurance published between January 1987 and December 2018, which were looked up using the Research Information Sharing Service (RISS). Keyword extraction and keyword network analysis were performed using the KrKwic, KrTitle, and UCINET software. Results: First, the number of studies in the area of health insurance continued to increase in all government terms, and it was not until after the 2000s that the subjects of health insurance researches were diversified. Second, degree centrality showed that 'medical expenditure' and 'medical utilization' were consistently high-ranking keywords regardless of the government in power. Aging and long-term care insurance-related keywords were ranked higher in the Lee Myung-bak government, Park Geun-hye government, and Moon Jae-in government. Third, betweenness centrality showed the same high ranking in key topics such as medical expenditure and medical utilization, while the ranking of key keywords differed depending on the interests and characteristics of each government policy. Conclusion: We confirm that health insurance as a research topic has been the main theme in Korean health care research fields. Research keywords extracted from articles also corresponded to the main health policies promoted during each government period. Efforts to systematically investigate policy megatrends are needed to plan adaptive future policies.

• 한국융합학회논문지
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• 제13권2호
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• pp.131-142
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• 2022

본 연구는 성별에 따른 음주시작연령과 BMI 간의 상관관계를 파악하여 청소년기 음주행태와 성인기의 건강과의 관계에 대해 고찰하고자 한다. 본 연구는 2019년 지역사회건강조사를 활용하여 206,987명의 연구대상자를 대상으로 이분형 로지스틱 회귀분석을 실시하였다. 연구결과, 음주시작연령이 성인기 이전인 경우 성인 남성의 BMI가 비정상일 오즈값이 통계적으로 유의미하게 높았다. 이러한 연구결과는 남성의 높은 알코올 소비량과 음주에 대한 성별에 따른 차별적인 음주문화 때문인 것으로 설명할 수 있다. 본 연구는 성인기 이전의 조기음주가 야기할 수 있는 한시적인 어려움이 아닌 장기적인 건강 부작용 측면을 다룸으로써 자발적인 문제성 음주를 예방의 필요성을 강조하였다.

• 디지털융복합연구
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• 제20권1호
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• pp.327-334
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• 2022

본 연구는 국민들의 질환별 한방 치료효과 인식을 중심으로 한약 복용 의향에 미치는 영향을 분석하여 첩약(한약) 건강보험 시범사업의 원활한 추진 및 향후 본사업 확대 시 기초자료를 제공하고자 진행되었다. 자료는 2017 한방의 료이용 및 한약소비실태조사를 이용하였고, 일반국민 5,000명 중 응답을 완료한 3,032명을 대상으로 빈도분석, 교차분석, 로지스틱 회귀분석을 실시하였다. 로지스틱 회귀분석 결과, 소화기질환과 관절염에 대한 한방 치료효과 인식이 향후 한약 복용 의향에 유의한 영향요인으로 나타났다. 첩약(한약) 건강보험 시범사업이 한약을 제도권 내에 편입시키고, 한약의 질 관리를 통해 한약 치료의 대중화를 목표로 하고 있는 만큼, 한약 복용에 대해 수용성이 높은 소화기질환과 관절염을 대상 질환 확대 시 고려할 필요가 있다.

• 벤처혁신연구
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• 제5권1호
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• pp.145-154
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• 2022

본 연구는 요양병원 1주기 인증과 2주기 인증을 간단히 비교해 보고, 또 2주기 인증과 3주기 인증의 변화 및 성과를 검토하고, 인증 3주기를 준비하는 과정에서 당면과제와 해결방안을 사례로 살펴봄으로써 요양병원 실무자들에게 시사점을 주고 인증제도의 발전에 기여하고자 한다. 본 연구에서는 다음과 같이 제언한다. 첫째, 정부가 의도하는 인증의 실질적인 효과를 보기 위해서는 인증 전 단기간에 준비하는 전시성 행정이 아니라 항상 인증을 전문적으로 관리하고 모니터링하는 직원을 두거나 기존의 환자안전관리 담당자 등을 통하여 항상 의료의 질향상을 대비하는 시스템을 만들도록 제도적인 규정이나 지원이 있어야 한다. 둘째, 요양병원 인증제 시행 이후 의료기관인증제도가 병원성과에 미치는 연구가 질적/양적인 측면에서 부족한 상황이다. 따라서 인증제에 대한 효과를 보기 위해서는 이에 대한 연구가 활발히 진행될 수 있도록 다양한 연구적 지원도 필요하다. 셋째, 인증에 대한 표준지침이 크게 변경되지 않도록 장기적인 관점에서 인증 표준 지침서를 설계하고, 지침서 뿐만 아니라 의료기관에서 활용할 수 있는 표준 개별 규정, 양식도 인증원에서 제작하여 배포하고 각 의료기관에서는 현장에 맞게 수정만 할 수 있도록 한다면 의료기관들의 부담은 훨씬 줄어들 것이다. 넷째, 4주기 인증에서는 감염관리와 격리병동 운영지침 등에 대한 정확하고 현실감 있는 지침이 개발되어야 한다. 코로나 등으로 앞으로는 감염병 관리에 대한 중요성이 더욱 부각될 것이다. 다섯째, 의료기관에서는 단기간의 인증 준비가 아닌 평소의 활동들을 인증 기준에 맞추어 실행한다면 요양병원의 의료의 질을 향상시킬수 있고 경쟁력을 가질 수 있어 성과에도 영향을 미칠 것이다. 여섯째, 요양병원 관계자들은 인증을 준비함에 있어서 과거처럼 단기적으로 서류를 정리하거나 행정적으로 처리하기에는 문제가 있다. 이것 또한 역시 평소의 업무 프로세스를 인증기준에 맞춰 설계하여야 하며, 대부분의 업무 절차를 규정하고 지표화하여 관리하는 방식으로 변화하여야 한다고 생각한다.