• Title/Summary/Keyword: 의료취약지역

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Hygienic status of Korean hospital foodservice (국내 의료기관의 급식위생 현황분석)

  • 김정원;김동연;곽동경;서희재
    • Korean journal of food and cookery science
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    • v.17 no.2
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    • pp.105-116
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    • 2001
  • The current status of Korean hospitals on foodservice hygiene was evaluated by a survey in the March of 2000 from 96 hospitals in terms of general sanitation management, education and training, and from 35 hospitals on the observance of hygienic practices in the whole stages of foodservice, personal hygiene, and kitchen equipment and facility hygiene. The questionnaire was filled directly by the dietitian working in the subject hospital. The status of general sanitation management was satisfactory overall; however, the record-keeping or documentation of the practices was the weak point which needs to be improved. only 4% of the subjects appeared to have implemented HACCP for the hospital foodservice. Comparison of the hospitals in their observance rate of hygienic practice by the type of hospital, the location of hospital, the number of bed, and the separation of dietitian's duties as clinical nutrition and foodservice showed characteristic trends among the groups. General hospitals often showed better scores than tertiary hospitals in their observance rates. As the location of hospital moved from large cities to small towns, the observance rate for hygienic practice decreased. Hospitals with entrusted foodservice system showed better scores in hygienic practice than those with owner-operated one in the stage of planning and equipment/facility hygiene (p<0.05). And the scores of the hospitals having dietitian's duties separated into clinical and food services were higher than the ones with un-separated duties. Detailed information obtained in this study would serve for the development of guidelines or programs to improve the hygienic level of Korean hospital foodservice.

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Analysis of Vulnerability of Emergency Transport Service for Flooded Area (침수피해지역의 응급이송서비스 취약성 분석)

  • Lee, Yoon-Ha;Hong, Won-Hwa;Lee, Ji-Soo;Choi, Jun-Ho
    • Fire Science and Engineering
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    • v.32 no.4
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    • pp.122-130
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    • 2018
  • Recent urbanization, population densification, and the impact of global climate change are causing disasters to become larger and more complex. Meanwhile, in Korea, there is an emphasis on preventing, restoring, and recovering from disasters. However, disaster medical care, which is absolutely necessary to maintain life in a disaster, is being ignored. Therefore, in this study, we selected Seoul as the study area where flood damage is frequent and underground housing is densely populated. Assuming underground housing in the immersion history area as the emergency patient site, transfer distance and transfer time were analyzed. This study considered both accessibility to emergency medical facilities and disaster sites and accessibility from emergency services to disaster sites. Therefore, it seems to be meaningful as basic data for the improvement of emergency medical services.

Domestic and Foreign Case Studies on ICT Convergence for Mental Heath Improvement and Suicide Prevention (정신건강 증진과 자살예방을 위한 ICT 융합 국내외 사례 연구)

  • Kim, Ho-Kyung;Shin, Dong-Hee
    • The Journal of the Korea Contents Association
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    • v.15 no.5
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    • pp.592-606
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    • 2015
  • Depression and mental illness across all age groups, and steady increasing in suicide rate are our major social problems which cause dramatically decreasing government competitiveness. While Korean government has implemented various policies to improve mental health and prevent suicide, it faces revealing issues in progress on implementation and referral management systems. The current research examined domestic and foreign cases to understand the actual status and directivity of ICT convergence plan in terms of mental health. The United States and the United Kingdom have provided convergent ICT service, telepsychiatric care to senior citizens in rural areas, children and adolescents, socially disadvantaged class, etc. In Korea, emergency-notice devices are installed to prevent suicide for single elderly people, and diverse mobile health devices are developing to cure depression and Alzheimer's disease. ICT convergent mental health care service is needed to save socioeconomic costs and realize universal welfare for an aging society. Social consensus on sharply conflict issues, medical law and medical devices about telepsychiatry service, effectiveness studies on users' unique psychiatric characteristics by life cycle, and region-specialized strategies for the least densely populated rural regions with lower access to medical care should be considered.

Citizen Participation in the Process of Establishing the Community Health Plan: Based on the results of roundtable discussions to Resolve the Health Disparity (지역보건의료계획 수립과정에서의 시민참여: 건강 격차 해소방안을 위한 시민원탁회의 결과를 중심으로)

  • Lee, Su-Jin;Hong, Nam-Soo;Kim, Keon-Yeop;Ryu, Dong Hee;Bae, Sang Geun;Kim, Ji-Min
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.5
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    • pp.151-161
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    • 2021
  • The purpose of this study was to identify citizens' needs and what they perceive the health-related problems are so public opinion can be reflected in the Daegu Community Health Plan. A citizen participation group was organized, and two roundtable discussions were held in June and July 2018. The number of participants in the first and second round was 40 and 44, respectively. Customer itinerary guidance, DVDM (Definition, Value, Difficulty, and Method) Map, and Persona-based scenario method were used for the roundtable discussions. The measures to improve the health status proposed by the citizens included expanding access to health services, establishing health services centered on small-living areas, expanding mental health services, creating health-friendly environments, resolving environmental problems, and improving social health. In addition, enhancing communication and creating harmonized environments, improving access to healthcare, generating pleasant physical environments, and assigning socials roles for vulnerable individuals were brought up as the means to resolve health disparities. The strength of the present study lies in the fact that, unlike survey methods, the citizens' exact needs were identified by sharing their thoughts. Moreover, it was proven that practical measures would be needed to implement citizen participation in planning health-related projects.

The Vicious Cycle of Regional Exodus: Examining the Economic Environment of Birthplace and the Out-migration of Young Individuals (지역이탈의 악순환: 출생지의 경제 환경과 청년 취업자의 지역이탈)

  • Wonchang Hur;Song Hyun Seo;Bogang Jun
    • Journal of the Korean Regional Science Association
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    • v.40 no.1
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    • pp.53-67
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    • 2024
  • Regional migration is a problem faced by all non-metropolitan areas in Korea, but the extent of migration varies depending on regional economic conditions. This study examines how the extent of youth migration varies depending on the economic conditions of their birthplaces. The results showed that youth migration was more severe in areas suffering from population decline and aging problems. The smaller the economy and the weaker the financial independence of the region, the more severe the youth migration. In particular, commercial, educational, and cultural facilities, except for medical facilities, were not able to curb youth migration. In addition, there was a significant wage gap between those employed in the metropolitan area and those employed in the regions, regardless of their origin. This suggests that non-metropolitan areas are caught in a vicious cycle of regional economic deterioration and youth migration.

Strategies for Public Health Service Development in the Times of Local Autonomy (지방자치시대의 공공보건사업 발전 전략)

  • 박정한
    • Health Policy and Management
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    • v.12 no.3
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    • pp.1-22
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    • 2002
  • Health is a fundamental human right and a sine qua non for happiness of people and for national development. Government has a responsibility for the provision of health services for their people. Recent changes of disease pattern, i.e. decrease of Infectious diseases and increase of chronic and degenerative diseases Including cancer and cardiovascular diseases, together with universal coverage of health insurance and improved living standard have prompted medical care utilization and skyrocketed the national health expenses. The goal of national health policy is improving the quality of life through the betterment of health level. To achieve this goal it is necessary to establish a healthcare system for lifetime, to improve the efficiency of healthcare delivery system, and to strengthen the public health services for disease prevention and health promotion. The current public health service programs are Inefficient due to an inconsistent policy for health service program, lack of health information system, irrational health program planning and evaluation, and Inadequate training of health workers. Local government has a legal responsibility for health service program planning and promoting the competence of health workers. Thus, municipal and provincial health departments should expand their roles and strengthen their function. The strategies for developing public health service programs at local level are ${\circled}1$ stipulating the goals of health policy, ${\circled}2$ promoting the ability for health program planning and evaluation, ${\circled}3$ establishing health information and surveillance system, ${\circled}4$ training of health workers, ${\circled}5$ establishing an institution for health information management and training of health workers, and ${\circled}61$ collaboration with local universities.

The improuvale plane of information network for the southern sea island group in our country (우리나라의 남해안 도서지역 정보통신망 개선방안)

  • 신현식;윤형득;길동욱
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2004.05b
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    • pp.277-280
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    • 2004
  • The information on maritime affairs in South Korea has been provided by Ministry of Maritime Affairs and Fisheries, National fisheries Research and Development Institute, Korea Ocean Research and Development Institute, National Oceanographic Research Development Institute, and the information on marine products and maritime environment has been lively producing by laboratories, universities and other private-run institutes. In the developed countries, this information is not only open to the public to be used in a short time, but also is offered after processing it to be used conveniently. In South Korea, universities and laboratories produce, though it is very tiny volume, the data of information on maritime affairs.

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A Study on Examination of Health Inequality among Dying Alone Cases (고독사와 건강불평등에 대한 탐색적 연구)

  • Kim, Hae Sung
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.1
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    • pp.311-318
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    • 2019
  • Dying alone is an emerging social problem in South Korea. It is reported that most cases of dying alone showed various and chronic health problems. Despite of this situation, there existed neither medical support nor welfare services when dying. It indicated severe health inequality problems. With this background, the purpose of this study was to examine health inequality issue among dying alone cases by using news paper articles during the past three years(2016-2018). Content analysis was employed for 89 dying alone cases. Characteristics of dying alone cases, types of illness and health problems, and unmet medical services were analyzed. Based on the findings, future directions were addressed.

A Survey of Role Perception and Function Performance Related to Public Health Service among the Medical Staff in a National Hospital (일개 공공병원 종사자의 공공보건의료에 대한 인식과 기능수행에 대한 조사연구)

  • Cho, Young-Hye;Lee, Sang-Yeoup;Jeong, Dong-Wook;Choi, Eun-Jung;Kim, Yun-Jin;Lee, Jeong-Gyu;Go, Yu-Young;Lee, Yu-Hyone;Bae, Mi-Jin;Kim, Chang-Hoon
    • Journal of agricultural medicine and community health
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    • v.37 no.2
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    • pp.67-75
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    • 2012
  • Objectives: While there have recently been efforts to improve public health service at a governmental level, there is actually insufficient research on awareness of the roles related to public health service among hospital employees. This study examined role perception and function performance related to public health service among the medical staff in a national hospital. Methods: 15% were randomly sampled from each type of occupation among the medical staff in a national university hospital, a survey was conducted in 323 persons, and there were a total of 265 participants (80.2%): 103 doctors(38.9%), 98 nurses (37.0%), and 64 others (24.1%). Results: The hospital employees had insufficient awareness of their roles as public health service providers in terms of six required items for public health service: 1) services for supporting establishment, implementation, and assessment of public health service policies, 2) participation in the health service activities and support services by central or local governments, 3) technological support and educational services for private health service institutions, 4) health service for unprivileged brackets, 5) health service that requires association with other areas dealing with geriatric, disabled, and mentally-disordered people, and 6) health service for children and mothers. Conclusions: In general, since the hospital employees had insufficient awareness of their roles and responsibilities as public health service providers, it is necessary to secure manpower exclusively in charge of public health service and provide education about strategic public health service.

The Estimation of the Value-added Related to Agriculture in Chung-nam's Agribusiness (충청남도 농림수산 관련산업의 농림수산관련 부가가치 추계)

  • Kim, Changhwan;Yoo, Beomsik;Lee, Jongsang
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.2
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    • pp.315-339
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    • 2013
  • This study aims to suggest methods to estimate the agriculture related added value created in the agricultural production sector and the up/downstream agribusiness of Chungcheongnam-do by using the transaction table at producer's price, the domestic transaction table, the wholesale-retail profit table and the freight charge table in the input-output tables, and further aims to estimate regional and industrial agriculture related added values created in the agricultural production sector and the agribusiness of Chungcheongnam-do by using the input-output tables of the year 2005. This thesis suggests the consideration of overall and holistic policy regarding public welfare facilities in healthcare, commission sale market places for fishery products, fishery processing factories, processing factories for medicines, cosmetics, feedstuff, and tobacco leaves and the innovative distribution system with regard to wholesale/retail that Chungnam lacks in. It is also proposed to make comprehensive and cohesive policy to enhance growth and competitiveness of agricultural, forestry and fishery industry.