• 제목/요약/키워드: Drug policy

검색결과 362건 처리시간 0.031초

의약품 사건의 리스크 인식에 영향을 주는 요인: 석면 함유 의약품 사건을 중심으로 (Factors Which Affect Risk Perception of Medications Containing Asbestos)

  • 전미숙;정재훈;손애리
    • 한국임상약학회지
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    • 제23권3호
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    • pp.269-277
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    • 2013
  • Objectives: The purpose of this study was to identify the factors which affect risk perception and attitude on government risk management over medications containing asbestos among parents of elementary school students. Methods: This research design was cross-sectional study using self-administered questionnaire. The survey subjects were parents of elementary school students in Seoul, total of 1,051 subjects. The survey period was from June through July of 2011. The collected data were analyzed using the SPSS 20.0. Results: The subjects perceived high risk regarding medications containing asbestos. About 83.6% of the subjects perceived that the result taking of medications containing asbestos was fatal, 82.8% felt that medications containing asbestos was a very serious social problem, 79.5% agreed that medications containing asbestos was a new type of threat. The risk perception for medications containing asbestos was related to political affiliation, attitudes of dealing medicines, main use of media, and personal communication credibility. Those who did not believe that the current government policy was correct and the government was working toward the public's benefit and not its own had the higher level of negative attitudes towards the government's risk management over the case of medications containing asbestos. Conclusion: In implementing government policy, all information should be efficiently and accurately communicated through a transparent implementation process. Also, the government must have plans for countermeasures in case of an emergency and respond efficiently in order to maintain their credibility. Moreover, this highlights the need for health authorities to exert more effort in increasing public education/awareness, especially those concerning drug and dug-taking behavior, in order to harness positive attitude and trust towards the government's policy. For a more effective risk communication, the media, health experts, government representatives, and related industries should work together.

제2기 새천년 개발계획과 국제보건역량강화 (Build Capacity for International Health Agenda on the "Transforming Our World: The 2030 Agenda for Sustainable Development")

  • 박윤형
    • 보건행정학회지
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    • 제25권3호
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    • pp.149-151
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    • 2015
  • United Nations (UN) adopted 17 global sustainable development agenda to the year 2030 in the 68th general assembly on september, 2015. The global agendas and goals are important for 3 reasons: (1) to adopt the international standard for determining the health status; (2) to identify areas in need of attention; and (3) to advance international cooperation regarding health issues. In the area of infectious diseases, our goals include the eradication of human immunodeficiency virus infection and acquired immune deficiency syndrome, tuberculosis, and malaria as well as a substantial reduction of hepatitis by the year 2030. In the area of non-communicable diseases, our goal is to reduce premature mortality (${\leq}70years$) at least 30% by the year 2030. Preventive activities such as smoking cessation, alcohol abstinence, nutritional measures, and physical activities, should also be promoted intensively nationwide. It is also necessary to establish stringent policies for control hypertension, diabetes, obesity, and hypercholesterolemia. Additionally, environmental health, injury by traffic accident, mental health, and drug and alcohol abuse are important health policies. Furthermore, in the area of international health and cooperation, maternal and child health remain important areas of support for underdeveloped countries. Education and training towards the empowerment of health professionals in underdeveloped countries is also an important issue. The global agenda prioritize resources(manpower and budget) allocation of international organizations such as UN, World Health Organization, United Nations Development Programme, and World Bank. The global agenda also sets the contribution levels of Official Developmental Assistance donor countries. Health professionals such as professors and researchers will have to turn their attention to areas of vital international importance, and play an important role in implementation strategies and futhermore guiding global agenda.

미국 학교폭력에 대한 무관용정책의 변화와 시사점 (Major Principles and Changes of Zero Tolerance Policy on School Violence in USA)

  • 정일환;김영환
    • 비교교육연구
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    • 제22권4호
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    • pp.25-49
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    • 2012
  • 미국에서는 1980년대 이후 학교폭력, 무기사용, 마약복용 등의 문제에 대응하기 위하여 무관용정책(zero tolerance)을 시행하고 있다. 학교폭력이나 비행이 발생한 경우 미리 예정된 정학 또는 퇴학을 엄격하게 적용하여 학교의 안전과 학습 분위기 개선을 도모하고 있다. 실제로 학교폭력비율이 감소하고 있는 것으로 나타났다. 그러나 다른 한편으로 사소한 비행에 대해서도 엄격한 처벌을 함으로써 비행이 더 악화되며, 효용성도 증명되지 않는다는 비판이 제기되었다. 이에 대안으로 무관용정책의 대원칙은 유지하면서도 폭력의 정도에 따라 처벌의 정도를 달리하자는 등급징계제도 또는 조기반응모형이 제시되고 있다. 최근 우리나라에서도 학교폭력이 사회적 이슈로 강하게 부각됨에 따라 정부도 '학교폭력근절 종합대책'을 발표하는 등 범부처 차원에서 대응하고 있다. 이 논문은 사소한 괴롭힘도 '범죄'라는 인식하에 철저히 대응하는 정부의 방침의 타당성을 탐색하기 위해 현재 미국에서 시행하고 있는 학교폭력에 대한 무관용 정책의 주요 내용과 변화과정을 분석하여 정책적 시사점을 도출하는 데 목적이 있다.

Comparison of dietary food and nutrient intakes by supplement use in pregnant and lactating women in Seoul

  • Kim, Hyesook;Jang, Won;Kim, Ki-Nam;Hwang, Ji-Yun;Chung, Hae-Kyung;Yang, Eun-Ju;Kim, Hye-Young;Lee, Jin-Hee;Moon, Gui-Im;Lee, Jin-Ha;Kang, Tae-Seok;Chang, Namsoo
    • Nutrition Research and Practice
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    • 제7권3호
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    • pp.199-206
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    • 2013
  • This study was performed to compare the dietary food and nutrient intakes according to supplement use in pregnant and lactating women in Seoul. The subjects were composed of 201 pregnant and 104 lactating women, and their dietary food intake was assessed using the 24-h recall method. General information on demographic and socioeconomic factors, as well as health-related behaviors, including the use of dietary supplements, were collected. About 88% and 60% of the pregnant and lactating women took dietary supplements, respectively. The proportion of dietary supplements used was higher in pregnant women with a higher level of education. After adjusting for potential confounders, among the pregnant women, supplement users were found to consume 45% more vegetables, and those among the lactating women were found to consume 96% more beans and 58% more vegetables. The intakes of dietary fiber and ${\beta}$-carotene among supplement users were higher than those of non-users, by 23% and 39%, respectively. Among pregnant women, the proportion of women with an intake of vitamin C (from diet alone) below the estimated average requirements (EAR) was lower among supplement users [users (44%) vs. non-users (68%)], and the proportion of lactating women with intakes of iron (from diet alone) below the EAR was lower among supplement users [usesr (17%) vs. non-users (38%)]. These results suggest that among pregnant and lactating women, those who do not use dietary supplements tend to have a lower intake of healthy foods, such as beans and vegetables, as well as a lower intake of dietary fiber and ${\beta}$-carotene, which are abundant in these foods, and non-users are more likely than users to have inadequate intake of micro-nutrient such as vitamin C and iron.

수입식품 안전관리에 대한 소비자 인식도 조사 (Survey on the Perception of Consumers on Imported Food Safety Management)

  • 장민선;강은진;조미영;최계선;홍영표;서갑종;김건희
    • 한국식품영양과학회지
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    • 제38권11호
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    • pp.1625-1632
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    • 2009
  • 본 연구에서는 수입식품에 대한 인식을 조사하고, 수입식품 안전관리 개선점을 제안하고자 하였다. 서울, 용인, 천안, 대구, 부산, 광주 그리고 강원도에 거주하는 소비자 1065명을 대상으로 설문조사를 실시하였으며, 통계처리는 S-Plus 8.0을 통하여 분석하였다. 조사대상자의 일반사항, 수입식품 확인과 범위에 대한 인식도, 구입 시 가장 고려하는 사항 및 안전성 확보를 위하여 개선되어야 할 부분 등 12가지 문항에 대하여 조사하였다. 수입식품 구입 시, 수입식품인지 반드시 확인하는 경우는 35.7%, 가장 고려하는 사항은 원산지(56.7%)였으며, 수입식품 위해요인 중 가장 큰 것은 유해한 식품첨가물의 미확인(35.7%)이었다. 안전문제 발생 시, 어떤 내용인지 잘 알아본 후에 구입을 결정하는 경우는 50.0%였으며, 방송매체를 통하여 정보를 가장 많이 습득(53.3%)하였다. 안전성 확보를 위하여 개선되어야 할 부분은 수입 시 검사 강화(30.4%)였고, 제한적 정보 제공(42.3%)으로 인한 소비자 불만이 높았다. 전반적인 수입식품에 대한 소비자들의 우려가 높았으며, 이에 따른 엄격한 검사관리 기준과 제도적인 뒷받침이 필요하다고 사료된다.

졸업 예정 간호대학생의 주관적 투약수행역량 영향요인 (Factors affecting on Perceived Medication Administration Competence in Senior Nursing Students)

  • 김정희;강경자
    • 디지털융복합연구
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    • 제17권7호
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    • pp.215-224
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    • 2019
  • 본 연구는 졸업예정 간호 학생들의 주관적 투약수행역량 수준을 확인하고, 제 특성들이 주관적 투약수행 역량에 미치는 영향요인을 살펴보기 위함이며, 구조화된 설문지를 이용한 서술적 조사연구이다. 본 연구의 대상자는 졸업예정 간호대학생 총 128명으로, 자료수집 기간은 2018년 11월부터 2019년 1월까지이다. 본 연구의 측정변수는 약물용량계산 자기효능감, 약물계산 불안감, 주관적 투약수행역량이며, 자료분석은 SPSS 25.0 program을 이용하여 t-test, ANOVA, chi-square test, multiple regression을 시행하였다. 회귀 분석결과 본 연구의 종속변수인 주관적 투약수행 역량에 영향을 미치는 요인은 약물계산자신감(${\beta}=.463$, p<.001), 임상실습 태도(${\beta}=.168$, p=.04)이었다. 임상실습태도가 적극적이고(B=7.002), 약물계산자신감이 높을 때(B=1.648) 주관적 투약수행역량이 높았으며 이들 변수들은 주관적 투약수행역량을 29.0%를 설명하였다(F=26.93, p<.001). 적극적인 임상실습 태도와 학생들의 약물계산에 대한 자신감은 간호학생들의 투약수행 역량을 높이는데 기여할 수 있다. 본 연구 결과는 환자의 약물처방에 대한 정확성 확인, 처방된 약물용량의 재계산, 투약 후 환자반응 관찰 등 학생들의 투약수행역량을 높이기 위한 다양한 교육전략을 세우는데 활용될 수 있다.

중학생의 성관계 경험 영향요인: 제8차(2012년) 청소년건강행태온라인조사 통계를 이용하여 (Factors that Influence Sexual Intercourse among Middle School Students: Using Data from the $8^{th}$ (2012) Korea Youth Risk Behavior Web-based Survey)

  • 권석현;이정열
    • 대한간호학회지
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    • 제45권1호
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    • pp.76-83
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    • 2015
  • Purpose: The purpose of this study was to investigate factors that influence sexual intercourse among middle school students in South Korea. Methods: Using statistics from the 8th (2012) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. The study sample comprised 37,297 middle school students aged primarily 12 to 15. Results: The significant predictors of sexual intercourse were grade, ever smoking, ever drinking, habitual or purposeful drug use, economic status, weekly allowance, cohabitation with family, and type of school. Conclusion: The results suggest that intensified sex education is needed not only in the 1st grade of middle school, but also in the upper grades of elementary school. Sexual health interventions for high-risk groups may be needed, given the factors predicting sexual intercourse.

의약품 경제성평가 지침의 주요 내용 (Guidelines for Economic Evaluation of Pharmaceuticals in Korea)

  • 배은영
    • Journal of Preventive Medicine and Public Health
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    • 제41권2호
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    • pp.80-83
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    • 2008
  • An economic evaluation is required in order to apply to the Health Insurance Review and Assessment Service (HIRA) for a listing in the national drug formulary. To assist companies in preparing the necessary documents, HIRA published guidelines for the economic evaluation of pharmaceuticals in 2006. The guidelines are composed of two parts: guidance and explanatory notes. Each guideline reflects the best practice which meets both the theoretical consensus within the academic community and local situations, like data availability. To enhance the transparency of evaluation, guidelines emphasize the reproducibility of data and analysis result. That is, all evaluation processes are required to be described in enough detail to be replicated by reviewers. With growing experience and theoretical development in this area, HIRA guidelines will be revised periodically.

Public Knowledge and Attitudes Regarding Antibiotic Use in South Korea

  • Kim, So-Sun;Moon, Seong-Mi;Kim, Eun-Jung
    • 대한간호학회지
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    • 제41권6호
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    • pp.742-749
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    • 2011
  • Purpose: This study was conducted to examine public level of knowledge and attitudes regarding antibiotic use and potential drug resistance. Methods: A cross-sectional face-to-face survey of 1,177 residents aged 18 or over was conducted in Korea. A quota sampling method was used. Results: Most respondents (70%) did not know that antibiotics are ineffective in treating coughs and colds. Two-thirds of the respondents were unaware of the conditions under which antibiotic resistance occurs, despite understanding the concept of resistance. Lower education level and older age were independently associated with inadequate knowledge. Lower education level, older age, inadequate knowledge and no exposure to the education campaign were independently associated with poor attitude. Conclusion: The results of this study demonstrate that the general public has misunderstandings and a lack of knowledge with regard to antibiotic use, despite a national educational campaign. However, the campaign may have had an effect on the public's attitudes towards antibiotics.

보건진료소 정보시스템을 이용한 보건진료원의 업무 분석 (Service Analysis of Community Health Nurse Practitioner using Information System)

  • 이정렬;유태엄
    • 한국보건간호학회지
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    • 제17권1호
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    • pp.26-34
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    • 2003
  • The purpose of this study was to analyze the activities of Community Health Nurse Practitionses using the Community Health Post Information System(CHPIS). The information system that have been introduced in 1994 and used by 400 Community Health Posts(CHPs) since 1997, which is about $20\%$ of the total CHPs nationwide. Twenty-five CHPs from two provinces participated in the analysis. Seventy-two percent of the CHPs among the participating CHPs started using the system since 1996. The degree of utilization of the information system was classified into three groups (i. e., high. medium, and low). The results revealed that only $48\%$ utilized the system with high level. The areas of analysis of the information system included characteristics of community residents, environmental attributes, and job analysis of Community Health Nurse Practitioners(CHNPs). The study results indicated that primary health care and drug demand and supply system showed the highest level of satisfaction in utilizing the information system by CHNPs.

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