• Title/Summary/Keyword: Clinical health management

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Vision and Training Strategy for Health Management Specialist (예방의학의 발전방향: 보건의료관리 분야)

  • Kim, Han-Joong
    • Journal of Preventive Medicine and Public Health
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    • v.39 no.3
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    • pp.195-198
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    • 2006
  • The identity crisis of preventive medicine appears to have been deepening. As a solution, it is insisted that preventive medicine should focus on clinical preventive medicine. However, in the field of heath policy and management, the better solution should be found in a serious search for visions and perspectives of its study on population and society. In this regard, the specialist who studies the field can be defined as a medical doctor majoring in public health. In this paper, I first forecasted major socioeconomic changes to occur in medical and public health arena and explored the role of those studying health policy and management. Secondly, I summarized their career paths and main activities in order to establish visions. Finally, I proposed curriculums on health policy and management for medical school undergraduates and for specialists majoring in preventive medicine, respectively.

A Study on the Oral Health Belief and Oral Health Behaviors of Marriage Immigrant Women in Multi-cultural Family (다문화가정 결혼 이주여성의 구강건강신념 및 구강건강행태에 관한 조사)

  • Ku, In-Young;Ryu, Hae-Gyum
    • Journal of Korean Clinical Health Science
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    • v.3 no.4
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    • pp.456-465
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    • 2015
  • Purpose. The purpose of this study was to determine the effects of oral health belief on oral health behaviors for marriage immigrant women in multi-cultural family and provide basic data that could help develop programs necessary to improve oral health awareness and change attitude. Method. Self-administered questionnaire was used in marriage migrant women using eight multi-cultural centers in Yeongnam region from October to December, 2013 and 256 copies were finally analyzed. The statistically analysis was performed using SPSS 18.0, with the statistical significance level set at p<.05. Results. As for the effects of oral health belief on oral health behaviors, the experience of scaling was affected by sensitivity(${\beta}=2.787$), by seriousness(${\beta}=.568$), and the experience of oral health education status was affected by seriousness(${\beta}=.214$), usefulness(${\beta}=.155$). Conclusions. It is necessary to analyze the effects of oral health belief on oral health behaviors, making positive efforts to develop preventive oral health management and oral health education programs, and make fundamental policies for improving oral health in multi-cultural family so that marriage immigrant women can make efficient oral health management.

Development and Effects a Simulation-based Emergency Airway Management Education Program for Nurses in a Neonatal Intensive Care Unit (신생아집중치료실 간호사를 위한 시뮬레이션 기반 응급기도 관리 교육 프로그램 개발 및 효과)

  • Kim, Minjung;Kim, Sunghee
    • Child Health Nursing Research
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    • v.25 no.4
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    • pp.518-527
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    • 2019
  • Purpose: The purpose of this study was to identify the effects of an educational intervention by evaluating neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance after developing and operating a simulation-based neonatal emergency airway management education program for nurses in a neonatal intensive care unit. Methods: The participants were 30 nurses in a neonatal intensive care unit. Data were collected from June 6 to 15, 2018 and analyzed using IBM SPSS version 22.0. Results: The results of the pretest and posttest for each educational group showed statistically significant improvements in neonatal emergency airway management knowledge, critical thinking, problem-solving ability, and confidence in clinical performance. Conclusion: The simulation-based neonatal emergency airway management training program was an effective educational program that enhanced neonatal emergency airway management knowledge, critical thinking disposition, problem-solving ability, and confidence in clinical performance among nurses in a neonatal intensive care unit. Therefore, it is suggested that the program described in this study can contribute to improving nursing quality by enhancing the ability of nurses to cope with emergencies in practice. It can also be used for education for new nurses and contribute to the development of nurses' practices.

Aid Degree for Major Subject of Dental Hygienist in Some Areas (일부 지역 임상치과위생사들의 치위생과 전공교과목에 대한 도움정도 조사)

  • Jang, Ji-Eon;Lee, Hee-Kyung
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.113-124
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    • 2014
  • This study was the development of job-based curriculum present the basic data for the 207 people surveyed dental hygienists in clinical analysis. The data was analysed with frequency, t-test and one-way anova using the spss 20.0 windows. Person of preventive dental treatment in main duty was significantly highest than among others. In conclusion, the dental hygienist will perform the most medical support services, However the main duties of dental hygienists to perform preventive dental treatment for major help when the highest degree. Among oral hygiene management duty-related subjects showed the most helpful. Therefore dental hygiene curriculum to train dental hygienist should be organized to help with job performance in the field of clinical activities.

Relationship between Depression and Health Care Utilization (우울과 의료이용의 관계)

  • Hyo Eun Cho;Jun Hyup Lee
    • Health Policy and Management
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    • v.34 no.1
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    • pp.68-77
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    • 2024
  • Background: Depressive disorders can be categorized into daily depression and clinical depression. The experience of depressive disorder can increase health care utilization due to decreased treatment compliance and somatization. On the other hand, the clinical depression group may also experience social prejudice associated with the illness, which can limit their access to health care utilization. In terms of the significance of health care utilization as a factor in individual and social issues, this study aims to compare the health care utilization of the clinical depression group with that of the non-depressed group and the daily depression group. Methods: The analysis utilized the inverse probability of treatment weighting based on the generalized propensity score. Results: As a result of the analysis, clinical depression and daily depression were higher among women, low-income groups, individuals with low education levels, and so forth. The clinical depression group was also higher among individuals who were not economically active, did not have private health insurance, or had multiple chronic diseases. The number of outpatient department visits in the depression group was significantly higher than in the non-depressed group. In addition, the number of outpatient department visits for the clinical depression group was significantly higher than that for the daily depression group. Outpatient medical expenses were higher in the depression group than in the non-depressed group, and there was no significant difference between the clinical depression group and the daily depression group. Conclusion: Health care utilization was higher in the depression group than the non-depressed group, it was also higher in the clinical depression group than the daily depression group.

The Effects of Preceptors' Transformational Leadership on Job Stress and Clinical Performance among New Graduate Nurses (프리셉터의 변혁적 리더십이 신규간호사의 업무스트레스와 업무성과에 미치는 영향)

  • Kim, Hee Young;Park, Jong;Ryu, So Yeon;Choi, Seong Woo;Han, Mi Ah
    • Health Policy and Management
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    • v.22 no.3
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    • pp.347-364
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    • 2012
  • Objective : The purpose of this study was to investigate the effect of preceptors' transformational leadership on job stress and clinical performance among new graduate nurses. Methods : The study subjects were 180 new nurses in three University Hospitals. General characteristics, leadership, job stress and clinical performance were collected using self-reported questionnaires. Transformational leadership consisted of charisma, intellectual stimulation and individual consideration. T-test, ANOVA, pearson correlation and multiple regression analysis were performed to access the effect of leadership on job stress and clinical performance. Results : Of 180 subjects, 94.4% were female. The mean scores of transformational leadership, charisma, intellectual stimulation and individual consideration were $3.9{\pm}.46$, $3.9{\pm}.46$, $3.9{\pm}.57$ and $4.0{\pm}.58$, respectively. In multiple regression analysis, overall transformational leadership(${\beta}$=.154, p=.006) and charisma(${\beta}$=.388, p=.008) significantly increased the job stress. On the other hand, individual consideration significantly decreased the job stress (${\beta}$=-.671, p=.048) and increased the clinical performance(${\beta}$=2.472, p=.024). Conclusions : Charisma of preceptors was associated with the increase of job stress, and individual consideration was associated with the decrease of job stress and improvement of clinical performance. Therefore, the preceptors' leadership focusing on individual consideration rather than charisma may reduce job stress and improve clinical performance in the University hospital organization.

Current Status and Reform Tasks in Life Cycle Management of Korean Health Technology for the Fourth Industrial Revolution Era (4차 산업혁명 시대의 대한민국 의료기술 전주기 관리현황 및 단계별 개혁과제)

  • Kim, Arim;Kim, Eun-Jung;Yoon, Seok-Jun
    • Health Policy and Management
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    • v.30 no.3
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    • pp.270-276
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    • 2020
  • Entering the fourth industrial revolution era, health technology is rapidly developing and the people's needs for medical services are gradually increasing. Establishing a life cycle management of health technology has emerged as a new policy agenda to cope with these changes. However, the management of health technology have been conducted without continuity and with several problems pointed out. Therefore, we suggest the reform agendas by stages to establish system for a life cycle management of health technology in the fourth industrial revolution era as follows. In the stage of development, it is important not only to provide research funding, but also consulting by professional about whole cycle of health technologies. In the phase of market entry, there are needs for enhance the system that would expand the early adoption for innovative technology and increase its effectiveness. After the spread of health technology to clinical settings, a reassessment and post management system should be established that have an institutional framework with strong price adjustment and exit mechanism. Furthermore, we hope that discussions will be brisk in macro perspective on the balancing of development in healthcare industry, health of people and national health insurance finance.