• Title/Summary/Keyword: 보건 의료서비스

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업종별 산업간호사의 의료행위 분석

  • Yun, Sun-Nyeong;Hyeon, Hye-Jin
    • Korean Journal of Occupational Health Nursing
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    • v.3
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    • pp.41-53
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    • 1993
  • 본 연구는 산업 간호사의 통상증상에 대한 투약 및 처치, 타의료기관에 의뢰내용, 응급조치 내용을 업종별로 비교 분석코저 한다. 연구방법은 산업간호사회에 등록된 산업장 중 서울, 인천, 마산, 창원, 부산, 울산지역에 있는 130개 산업장에 근무하는 산업간호사를 대상으로 설문조사하였다. 연구결과는 다음과 같다. 1) 신체기관별 통상증상에 대한 처치 및 투약은 서비스업과 제조업, 기타제조업 모두에서 소화기계, 호흡기계증상에 대한 처치 및 투약 업무가 가장 많았으며 업종별로 보면 서비스업의 경우 소화불량, 감기, 근육통, 설사, 기침, 두통, 복통, 구토, 변비 등이 80% 이상을 차지하였다. 제조업의 경우 소화불량, 감기, 설사, 두통, 근육통 등이 많았으며 기타제조업의 경우 감기, 두통, 소화불량, 근육통, 설사, 기침, 눈다락지 순으로 나타났다. 2) 근로자를 타의료기관에 의뢰 하는 내용은 즉각적인 수술을 요할때나 골절, 내부장기의 손상, 두뇌손상, 출혈 등으로 나타났다. 3) 업종별 응급조치내용은 서비스업에서는 화상과 쇼크, 출혈이 가장 많았으며 유해물질의 급성중독의 경우가 가장 적었다. 제조업에서는 화상, 골절, 쇼크, 출혈, 유해물질의 급성중독이, 기타제조업에서는 화상, 골절, 쇼크, 출혈의 순으로 많았다. 4) 업종별 구비관리하고 있는 의약품은 서비스업종이 제조업, 기타제조업보다 많은 의약품을 구비하고 있었으나 경미한 통상증상에 대한 의약품으로 나타났다. 이러한 연구결과들을 통해 볼때 제조업, 기타제조업, 서비스업종의 보건관리자가 일차보건의료수준에서의 투약 및 처치를 시행하고 있는 바, 이에 대한 구체적이고 명확한 투약의 범위를 설정하여 보건관리자의 직무를 표준화할 필요가 있으며 서비스업종에 종사하는 근로자의 건강문제와 관련요인을 구체적으로 연구할 것을 제안한다.

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The relationship between dental care needs and dental service use in Korean elderly (한국 노인의 치과 의료 필요와 치과 서비스 이용의 관련성)

  • Park, Min-Sun;Choi, Bo-Youl;Kim, Yu-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.6
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    • pp.819-829
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    • 2020
  • Objectives: This study aimed to assess the relationship between dental care needs and dental service use in Korean elderly. Methods: Using the sixth Korea National Health and Nutrition Examination Survey, from 22,948 individuals, 1,572 (male 701, female 871) elderly individuals aged above 65 years were included in the study. All analyses were stratified by sex. Results: In males, the group with subjective needs was 3.74 (95% confidence interval [CI]: 2.58-5.41) times more likely to use dental services than the group without subjective needs. For females, the group with subjective needs was 2.17 (95% CI: 1.57-2.98 ) times more likely to use dental services than the group without subjective needs. Conclusions: To conclude, the elderly with symptoms, used the dental services for pain relief and functional recovery. Fundamental efforts to improve oral health are needed, such as providing treatment, prevention and educational services, besides efforts to provide treatment-oriented dental services. Further research is needed for the middle and elderly individuals who are in the blind spot of the existing policy.

Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health (지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과)

  • Kim, Jae-Hee
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.268-278
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    • 2020
  • This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.

Policy Measures for Improving Health Care Services in Rural Areas (농촌보건의료서비스 향상을 위한 제도 개선방안)

  • Moon, O.R.;Lee, L.S.;Park, J.Y.;Ko, D.H.;Lee, K.H.
    • Journal of agricultural medicine and community health
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    • v.16 no.2
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    • pp.97-119
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    • 1991
  • Korea has made a rapid economic development since the last three decades. This has helped Korea narrow the gap in health service differences in resource availability and in quality of care. However urban and rural differentials are still remarkable. This study has maintained that health status of rural residents is inferior to that of urban dwellers. Therefore, this study was carried out to develop policy measures for improving health services in rural areas. In order to achieve the objective of this study the authors collaborated closely and made field visits, interviews and conducted an extensive literature review regarding rural health services. The following policy options are recommended as a summary ; First, the quality of rural health personnel is a single most important factor influencing the level of rural health services. An innovative program for public health doctors to the internship and/or residency training program such as specialty board program of family medicine. Second, dissatisfaction regarding employment of public health doctors is problematic. More rational employment and deployment programs are needed to meet their personal desire. One way to do this is to make it wide open and competitive. Third this study shows how to increase physician productivity in the rural public health sector. Incentive system needs to be elaborated for the career development of rural health workers. University linked job opportunity as clinical professor is an example. Fourth, without straightening the function of health centers and subcenters, the future of rural health services is doomed to failure. Straightening primary health care is one way to enrich the program of public health facilities and reactivating the operation of health center/hospital is another. A close linkage of public facilities with private hospitals is a minimum requirement for the operation of health delivery system within a health district. Fifth, some measures are urgently required to enhance hospital services in medically underserved areas. Financial subsidy, tax exemption, long-term public loans and higher priority of health manpower deployment are some of them. Sixth, new health programs should be in tiated to meet changing needs of peoples in rural areas. Home health care program, hospice program, nursing home, residential program for the elderly are recommended.

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Fusion of the Guardianship System and Mental Health Law Based on Mental Capacity - Focusing on the Enactment and the Application of the Mental Capacity Act (Northern Ireland) 2016 - (의사능력에 기반한 후견제도와 정신건강복지법의 융합 - 북아일랜드 정신능력법[Mental Capacity Act (Northern Ireland) 2016]의 제정 과정과 그 의의를 중심으로 -)

  • Kihoon You
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.155-206
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    • 2023
  • When a person with diminished mental capacity refuses necessary medical care, normative judgments about when paternalistic intervention can be justified come into question. A typical example is involuntary hospitalization for people with mental disabilities, traditionally governed by mental health law. However, Korean civil law reform in 2011 introduced a new form of involuntary hospitalization through guardianship legislation, leading to a dualized system to involuntary hospitalization. Consequently, a conflict has arisen between the 'best interest and surrogate decision-making' paradigm of civil law and the 'social defense and preventive detention' paradigm of mental health law. Many countries have criticized this dualized system as not only inefficient but also unfair. Moreover, the requirement for the presence of 'mental illness' for involuntary hospitalization under mental health law has faced criticism for unfairly discriminating against people with mental disabilities. In response, attempts have been made to integrate guardianship legislation and mental health law based on mental capacity. This study examines the legislative process and framework of the Mental Capacity Act (Northern Ireland) 2016, which reorganized the mental health care system by fusing guardianship legislation with mental health law based on mental capacity. By analyzing the case of Northern Ireland, which has grappled with conflicts between guardianship legislation and mental health law since the 1990s and recently proposed mental capacity as a single, non-discriminatory standard, we aimed to offer insights for the Korean guardianship and mental health systems.

A Study on Telemedicine Service Issues (원격의료 서비스의 쟁점사항에 관한 연구)

  • Jung, Yong Gyu;Kim, Jang IL;Kwon, Jun Cheol;Choi, Young Jin
    • Journal of Service Research and Studies
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    • v.4 no.2
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    • pp.57-67
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    • 2014
  • Because telemedicine is also the medical care, it is limited by law to allow medical personnel only physician because there would cause a risk to health and hygiene. Since the work dealing with the life and honor the human body involving a small mistake, it may be difficult to recover the damages can be recovered even if the telemedicine. Therefore, systematically it is to allow remote medical care only proven national healthcare only clinical practice starting with basic medical medicine, and received training as a systematic study of the body and life of humans. The patient information could get far away in the distance to provide medical information and professional advice to the remote system, even if you can not be reached due to several issues such as the number of differences that occur in time. We Mentioned various opinions on regulatory issues and information gathered for the development of the medical industry in this respect.

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Evaluation of Thyroid Cancer Medical Information Sites using HONCODE (HONCODE를 근거로 한 갑상선암에 대한 의료정보 제공사이트의 질 평가)

  • Heo, Jun;Jung, Yong Gyu;Sihn, Sung Chul;Kim, Jang Il
    • Journal of Service Research and Studies
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    • v.3 no.2
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    • pp.45-52
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    • 2013
  • With the development of information and communication technology, the Internet is more important in the social and economic influence rapidly, and it is no different in the field of health care. As health information on the Internet increasing, the availabilities of health information from the Internet becomes more important with health care professionals and information specialists. the quality of health information on the Internet are continually being presented without any guarantee or judge on the quality. It is needed to provide the right to use of qualified health information through Internet. HONCODE has been established and managed by HON (Health On the Net) Foundation. In this paper, Web sites of thyroid cancer Information are evaluated using HONCODE. They provide domestic medical information on the Internet. Through this, more accuracy and evaluated information could be provided on the Internet about the thyroid cancer.

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Comparison of Operational Efficiency and Quality Efficiency of Medical Services by Country : Focused on OECD Member Countries (국가별 의료서비스의 운영효율성과 품질효율성 비교: OECD 회원국들을 중심으로)

  • Hyunjung Kim;Jiyoon Son
    • Journal of Service Research and Studies
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    • v.11 no.4
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    • pp.43-55
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    • 2021
  • This study analyzed the efficiency of medical services in OECD member countries by dividing it into operational efficiency and quality efficiency. For this purpose, data from 2017-2019 OECD Health Statistics were used. As the analysis method, super efficiency was measured by applying an output-oriented Variable Returns to Scale (VRS) model. As a result of the analysis, Switzerland, Korea, and Italy were included in the high group of operational efficiency, Canada, Greece, Denmark, etc. in the medium group, and Belgium, Germany, and Spain in the low group. Based on quality efficiency, Norway, Switzerland, and Spain are in the high group, and Greece, Denmark, Mexico, etc. are in the medium group, and the Netherlands, Germany, Belgium, etc. were included in the low group. As a result of comparative analysis of efficiency by OECD member countries as of 2018, it was found that Korea's operational efficiency was the most efficient and quality efficiency was inefficient. Korea (0.998) should improve life expectancy by 0.2 (0.2%) and subjective health perception by 44.2 (138.1%) by benchmarking Greece (0.422), Switzerland (0.207), and Spain (0.371) to improve quality efficiency. Unlike most previous studies that focused on operational efficiency, this study measured quality efficiency together and analyzed the efficiency of the medical service industry in each OECD member country. Through this, this study has implications in that it confirmed the international competitiveness of the domestic medical service industry and suggested ways to improve efficiency.

Cognition of Military Hospital Services according to Experience of Military Hospital Services for Serviceman (군 의료기관 이용 경혐자의 군 의료서비스에 대한 인식)

  • Hwang, Byung-Deog;Im, Bock-Hee;Choi, Ryoung
    • The Korean Journal of Health Service Management
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    • v.4 no.1
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    • pp.125-134
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    • 2010
  • This study has been conducted to estimate the degree of cognition of military hospital services according to experience of military hospital services for serviceman, and to find out some factors affecting the medical services satisfaction. Questionnaires were given to 600 persons during October 5th though 24th 2009. All 600 questionnaires distributed affair, but 343 cases were collected. Statistical analysis methods used in this dissertation are t-test, Logistic Regression Analysis and other basic statistics such as frequency, percentage, and standard deviation using SPSS ver, 17.0. Results of the study are as follows: The satisfaction of the treat a patients' to compared military hospital and private hospital was providing free medical treatment for serviceman. The dissatisfaction of the treat a patients' to compared military hospital and private hospital was army doctors treated his very unfriendly. The level of medical treatment to providing military hospital was very low cognition for serviceman. In conclusion, to increase the preference of the military hospital is level of private hospital health care level of should be to developed. More support to financial should provide for medical workforce and setting of cutting edge medical equipment in the military hospital. Military hospital is should be competition with private hospital. Also should be improve the quality of military medical service.

A Study for Activation of Consumer Health Information Service (소비자 보건정보서비스의 활성화 방안 연구)

  • Hong Ki-Sun
    • Journal of Korean Library and Information Science Society
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    • v.36 no.2
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    • pp.263-281
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    • 2005
  • This study was to elucidate the theoretical backgrounds and realities of consumer health information services from a review of the literature, to manifest the actual conditions of consumer health information services by domestic hospital libraries and public libraries, and then to activate library services at least to meet the needs of the services by enhancing their role for consumer demand for health information. This paper propose to activate consumer health information services, as follows : First, librarians both in hospital and in public libraries cognize that consumer health information services really are needed. Furthermore, they expect that when consumer health information services are implemented, the function of the library would be expanded even to the realm of preventive health medical care for consumers and as well as to the patients' right to know. Second, it is recommended that hospital libraries should actively perform their consumer health information services, along with the active collection of health information and materials and develop related bibliographies for hospital libraries to provide patients and their families with medical information. Public libraries also are required to actively collect, maintain and manage health information and to equip themselves with special books in their reference rooms. Third, it is recommended to launch such a cooperation network with a subsystem of MEDLIS as CHIN or CHIPS in the United States of America, to construct an integrated database of consumer health information and materials, an interlibrary system, a reference room service system as well as a cooperation network among hospital and public libraries.

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