• Journal of Korean society of Dental Hygiene
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• v.10 no.4
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• pp.607-616
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• 2010

Objectives : This study was performed to enhance a rate of Using oral clinic and to search related factors of using oral clinics. Methods : The subjects of the study were 74,698 subjects who answered to the 2007 korea Youth Risk Behavior Web-based survey. Answers of 73,836 subjects were used for the final analysis. We used spss of version 12.0. This study conducted a Chi-square test to identify using oral clinics rate according to characteristics of subjects and a multivariate logistic regression analysis to identify whether they are independently significant. Results : Tooth scaling experiences were responded by 10,060 subjects(25.6%). Grade and metropolis, economic level had significant associations with using oral clinic experiences. The rate of using oral clinic showed significant difference in point, depending on general characteristics. Their oral health showed significant difference in point between using oral clinic experience and non-experience groups. According to the multiple logistics regression analysis whose significant independent variables were sex, grade, metropolis, economic level, blooding gum, tooth brushing, oral malodor. Conclusions : The policy is needed to prevent economic constraints from worsening oral health by supporting the poor. And our government should eventually prepare a public relation program suitable for public.

• Journal of Oral Medicine and Pain
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• v.34 no.1
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• pp.63-79
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• 2009

While previous epidemiological studies on temporomandibular disorders (TMD) have been based on a given health center or population sample, no study has been performed on general population of Korea, especially concerning about treatment pattern such as clinician’s specialty involved in TMD treatment, types and amount of prescription medication and cost. This study aimed to investigate magnitude of health visits and treatment patterns for Korean patients with TMD through the computerized database of Health Insurance Review and Assessment Service (HIRAS). Inclusion criteria were all patients registered on the HIRAS database over 3 years' period from 2003 to 2005 and the medical records of patients with TMD as a main diagnosis were extracted. Information collected was as follows; distribution related to gender, age and region and type of hospital the patients visited, treatment duration, clinicians' specialty involved in treatment, cost, types of prescription medication and surgical treatment. The results of this study indicated that 0.15% of the population yearly sought TMD treatment, presenting with increase of incidence over the three years. Most of TMD patients were women (99.8%) and the biggest age group was second and third decades and decreased with age. Seoul and Kyeonggi province presented with higher incidence of TMD compared to the other regions of Korea, which seems to be related with magnitude of population. 56% of TMD patients visited primary care sector and the numbers of treatment visits was the highest in dental clinic (38.4%), followed by orthopedics (28%) and ENT (13.6%) clinics in order. Duration of prescription medication was the longest for anti-inflammatory analgesics, followed by antipsychotic drugs and muscle relaxants. Inpatient care related to TMD was primarily performed in dental hospital compared to medical hospital. Medical database of HIRAS provided comprehensive and vast information on epidemiologic characteristics and treatment patterns for patients seeking TMD treatment, which can be more reliable data to expect medical demand for TMD in condition that accurate diagnosis and standardized treatment is delivered in clinical settings.

• Journal of dental hygiene science
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• v.8 no.4
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• pp.215-224
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• 2008

In order to meet the medical demand according to the changing medical environment and to provide patients with quality dental treatment and improve treating environment by establishing reasonable management plan, with 149 patients for whom continuous dental health program has been applied, the degree of satisfaction with the dental treatment, and the influence factors on the satisfaction were investigated. Using the SPSS Ver. 13.0, mean value analysis were performed on the satisfactions with dental care service and the quality of dental care service according to general characteristics, and regression analysis were performed on the influence of general characteristics and the degree of satisfaction with dental care service on the satisfaction of dental treatment. The result of the multiple regression analysis revealed the human (staff), environment, and the procedure of treatment as the influence factors of the satisfaction with dental treatment. Systematic management and training should be implemented to improve the quality of dental care service and enhance the satisfaction.

• Proceedings of the Korea Contents Association Conference
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• 2010.05a
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• pp.207-209
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• 2010

본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하였으며, 일개지역(2개도, 남북)에 개설되어있는 전체 의료기관을 대상으로 진료일 기준 '08.7월~'08.12월(184일)동안 외래 방문이 1회 이상인 30세 이상의 수진자 432,915명을 대상으로 하였다. 투약순응도와 영향 요인을 분석하였다. 투약순응도에 영향을 미치는 요인으로는 남성, 55~64세, 건강보험 가입자가, 종합전문, 종합병원, 보건기관을 주 이용기관으로 방문하는 환자와 심장질환, 당뇨병을 동반상병으로 가지고 있는 환자에서 투약순응도가 높았다. 본 연구 결과 투약 순응도가 낮은 환자에 대한 다양한 요인분석이 필요하며, 투약 순응도를 높이기 위한 고혈압관리사업의 정책적 검토 및 대안이 필요할 것이다.

• Journal of dental hygiene science
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• v.9 no.1
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• pp.61-67
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• 2009

The purpose of this study was to examine the relationship between the lifestyle of dental consumers and their hospital satisfaction level in an attempt to lay the foundation for successful dental marketing strategy setting. The subjects in this study were 720 medical consumers who visited dental institutions in Jeolla buk-do province. A survey was conducted from October 1 to December 1, 2006, with self-administered questionnaires. The collected data were analyzed with SPSS(Statistical Package for the Social Science) 12.0 program to find out their lifestyle and hospital satisfaction level. Concerning the impact of lifestyle on satisfaction with dental institutions, lifestyle made a difference to the satisfaction level of the hospital users with promptness and economicality(p < 0.001). As to connections between hospital-reuse intention and satisfaction level, those who were willing to reuse the dental institutions they had visited expressed better satisfaction with promptness(p < 0.05). As for links between health-related lifestyle and hospital satisfaction level, health conscious style, health promoting style health unconscious styles had a statistically significantly positive relationship to hospital satisfaction level, which showed a significant relationship between the three lifestyles and hospital satisfaction level. As for factors affecting reuse of dental institutions, it's found that their intention to reuse the same dental institution they had visited was linked to their satisfaction level with it, what made them choose it and their health-related lifestyle. In the future, more precise and in-depth questionnaires should be developed to analyze the health-related lifestyle of medical consumers.

• Journal of agricultural medicine and community health
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• v.29 no.1
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• pp.91-100
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• 2004

Objectives: This study was conducted to compare the present community health practitioners(CHPs)'s operating activities with their activity in 1989. Methods: Data were obtained two hundred seventy eight CHPs by self-administered questionnaire regarding duty traits, job satisfaction, and others. Results: The number of CHPs was 255 in 1989 and 224 in 2000. Age of CHPs in 2000 was much higher than that in 1989, and married women was 64.9% in 1989 and 95.9% in 2000. Both the primary duty of CHPs in 1989 and that in 2000 was medical service, and others(maternal health, infant health, family planning, and tuberculosis management, etc) are decreased in 2000, and community health service was added to duty of CHPs in 2000. 55% of CHPs in 1989 satisfied with their job, whereas about 80% of CHPs in 2000 satisfied with their job. The CHPs perceived that their primary necessary duty among requisite duty are medical practice(57.7%), health education(31.4%), and community health service(10.9%), in contrast, unnecessary duty are family planning(68.8%), tuberculosis management(11.1%), infant health(6.3%) maternal health(5.6%). Conclusions: These results suggest that there are such alteration of job satisfaction, needs and obstacles in duty traits of CHFs. These trend of duty traits are major issues to be caught for the health service in primary health post.

• The Journal of the Korea Contents Association
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• v.10 no.4
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• pp.247-256
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• 2010

This study, using questionnaires to target Servicemen were investigating. Study period of 2009 October to 24 was 20 days. All 600 questionnaires distributed affair, but 565 cases were collected. The purpose of the this study was serviceman investigate the actual conditions of utilization of private hospitals and awareness for the level of military hospital medical service as well as to the selection of future for the private hospitals is to finding. Results of the study are as follows: Outpatient utilization rate of each other the military hospital and private hospitals was 60.7% and 18.9%.(p<.000) The results of frequency study of the factors which affect the private hospital is satisfaction of medical workforce(58.9%), medical equipment and facilities(49.6%), etc. The choice of hospital were inpatient and outpatient both the selected by private hospitals. Had to prefer a private hospital were statistically significant (p<.005). 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.

• 대한예방의학회:학술대회논문집
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• 2001.04a
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• pp.1-26
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• 2001

국가 보건의료체계(health care system)가 올바르게 기능하기 위해서는 의료체계를 구성하는 각 요소들간의 유기적인 상호 작용이 대단히 중요하다. 정보체계는 이러한 유기적인 상호 작용을 위해 보건의료체계의 각 영역에서 꼭 필요한 시스템이다. 보건의료 서비스를 효율적으로 생산하기 위해서 투입하는 자원의 개발과 배치 체계는 물론 생산된 보건의료 서비스를 소비자가 효과적으로 이용할 수 있도록 하는 서비스 전달체계(delivery system)의 전과정에서 보건의료정보체계는 중요한 인프라가 되고 있다. 정보체계는 궁극적으로 보건의료체계가 지향하는 목적을 달성할 수 있도록 짜여져야 한다. 다시 말해, 의료체계의 각 하부영역에서 의료이용의 접근성(accessibility), 형평성(equity), 서비스의 의과학적 질(scientific technical quality), 포괄성(comprehensiveness) 등 보건의료체계가 추구하는 가치를 정보체계에서도 그대로 담아 낼 수 있어야 한다. 또한 정보체계를 구축하기 위한 요건으로 각 사업 영역별 표준화, 사업 영역간의 상호관계, 공공과 민간의 역할 분담, 정보 관련 시선과 인력, 정보기술 등의 인프라, 각 사업 영역별 정보화에서 담아야 할 정보 내용(contents, DB) 등에 대한 사전 기획이 수립되어야 한다. 그 동안 보건의료분야의 정보화사업은 1996년부터 보건소기관의 행정, 진료, 보건 업무지원을 위한 보건소정보화사업과, 1995년부터 초고속공공응용서비스 사업의 일환으로 추진해 온 전염병, 혈액유통, 장기이식, 외래진료예약, 원격진료, 응급의료, 원격치매진료 시스템 구축사업 등이 있으며, 응급의료, 혈액관리, 장기이식, 전염병정보, 외래진료예약시스템을 통합한 보건의료정보통합서비스시스템(1998년) 구축사업 등이 있었다. 이러한 사업들에 대해 현재 평가되고 있는 문제점들로는 정보화 사업에 대한 전략과 비젼이 부재한 상태에서 지나치게 정보기술 중심으로 추진되다 보니 보건의료 정보의 공유나 활용이 전혀 이루어지지 않거나 매우 제한적이었고, 시범사업의 경우는 초기 사업을 추진하기 위한 주체가 명확하지 않았고, 관련 인력의 훈련과 양성이 안 되었으며, 사업 확대를 위한 법적 기반의 취약, 정보화 사업이 부실한 데 대한 평가 기준과 대안 제시 등이 매우 취약한 것이 문제점으로 나타났다. 특히, 정보 내용과 DB 구축을 위한 표준화 등에 대한 사전 설계 부재는 개발된 정보시스템의 운영을 결정적으로 어렵게 만든 요인이 되고 있다. 전반적으로 기존의 정보화사업은 사업 추진을 위해서 꼭 필요한 비젼 수립, 비젼에 따른 목표 설정, 전략 개발, 관리체계 구축, 운영방안 수립 등 단계적인 정보화 계획이 부재한 것으로 평가되고 있어 보건의료정보체계 구축을 위한 종합 비젼 기획(ISP)이 시급한 실정이다.

• Journal of Technologic Dentistry
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• v.14 no.1
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• pp.67-79
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• 1992

This study was conducted to analyze the dental care utilization pattern of the city residents. An interview and questionnaire survey was carried for 1008 people who lived in Kimchun-city, Kyungsangpook-do, from february 1 to March 30, 1992. The summarized results are as follows : The rate of persons who experienced the oral disease was 32.7 per 100 persons during 1 year and it was highest in the age group of 20$\sim$29. During 1 year period, 90.3% of the cases had treated the perceived oral disease, 9.7% had done no action. 65.8% had treated experienced oral disease at dental clinics. The rate of person who dad experienced dental prosthesis during ten-year period was 37.5% among 18year and older, and it was higher in male as compared to female and it was highest in age group of 40$\sim$64 year old. The rate of person who had treated dental prosthetics by the unauthorized illegally was 27.0%, and the reason for it was cheap-price free(44.2%). Of the person who dad treated dental prosthetics by the unauthorized illegally, 64.3% had satisfied and 4.3% had done out of use, while each was 80.1%, 2.7% at dental clinics. The rate of persons with missing teeth was 18.0%. Of the persons with missing teeth, 57.6% did not treat the missing teeth due to economic reason and 89.6% hopped treating the dental prosthetics at dental clinics. In consideration of above finding, we may conclude that oral health community program to prevent oral diseases should be intensified, oral health education to raise oral health knowledge should be performed periodically and the control of unlicensed activities should be enforce at community health center and allows benefits for prosthetics.

• Journal of the Economic Geographical Society of Korea
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• v.16 no.2
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• pp.198-217
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• 2013

This research aims to examine the behavior changes of telemedicine participants with regard to time-space reconfiguration and to address the implications of telemedicine in terms of extensibility and restrictions (ambilaterality). According to the results of this research, telemedicine can lead to behavior changes in telemedicine participants, particularly patients. However, it is difficult to anticipate the time-space reconfiguration of telemedicine participants drastically. In other words, although telemedicine minimizes patients' burden of accessibility to and utilization of medical institutions, it requires the patients to visit medical institutions at least once due to the restricted application of telemedicine related to technological problems, the characteristics of medical practice and mutual stakes among the medical institutions involved in telemedicine. And physicians (telemedicine providers as mediators between medical specialists and patients) and medical specialists (as the ultimate telemedicine providers) do not evidence considerable changes in their behaviors, except for offline meetings for information sharing and medical training. Because the present telemedicine system does not require simultaneity between physicians, patients and medical specialists. Furthermore, present telemedicine operation is absorbed into existing medical activities as a health care delivery method. These phenomena are due to 1) the interests among medical institutions and the limitation or generalization of telemedicine technologies to stimulate regional-based telemedicine operation and 2) the goal of face-to-face interactions between patients and doctors, which is to avoid misdiagnosis and side effects. Finally, medical activities related to telemedicine do not differ from general medical activities. The ambilaterality of telemedicine in terms of extensibility and the restriction of time-space reconfiguration is an unsettled problem in the ICT technologies of medical services.