• Title/Summary/Keyword: Essential medical service

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Socio-Medical Approach to the Welfare of Rural Residents Through the Education of Community Health Personnel (농촌지역사회 보건요원의 교육을 통한 주민의 보건복지향상에 관한 사회의학적 연구)

  • Yum, Yong-Tae;Lee, Myung-Sook;Cho, Byung-Hee
    • Journal of agricultural medicine and community health
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    • v.17 no.1
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    • pp.34-45
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    • 1992
  • In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

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The Relationship among Job stress, Emotional labor, Resilience and Mental Health in Firefighters (소방공무원의 정신건강과 직무스트레스, 감정노동, 회복탄력성간의 융합관계)

  • Kim, Yeon-Jung;Kim, Jin-Hyeon;Shim, Gyu-Sik
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.379-389
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    • 2017
  • The purposes of this study were to identify the relationships among job stress, emotional labor, resilience, mental health and to determine the influences on mental health in firefighters. The participants were 391 firefighters in Chung-Nam and some variables related to job stress, emotional labor, resilience, mental health were measured using reliable instruments. There showed significant positive relationships of mental health with job stress, emotional labor and negative relationships with resilience. Among predictors, job stress(job insecurity, lack of reward, occupational climate), emotional labor, resilience had statistically significant influence on mental health. Mental health programs to decrease job stress and emotional labor, and to enhance resilience are essential to improve the mental health of firefighters.

CQI Activity for the reduction of inaquate testing sample (부적합 검체 감소를 위한 CQI 활동)

  • Cha, Sang-Yeol;Yun, Eun-Hui;Lee, In-Suk;Bae, Seong-Hun;Gang, Ju-Seok;Baek, Yeo-Hyeon
    • Journal of Korea Association of Health Promotion
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    • v.4 no.1
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    • pp.125-131
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    • 2006
  • Background: Inadequate samples make laboratory tests delay cause errors, which will deteriorate the quality of the tests. Therefore, adequate samples are essential for reliable test result. To reduce the inadequate samples, they should to analyze problems and seek a way of improvement through CQI (Continuous Quality Improvement) activity. This will minimize errors during the test and produce a fast and accurate result. Eventrally, the qualily of entire test may be improved, and as a result, a good quality of medical care service may be provided. Methods: At first, inappropriate testing items were collected. Then, generating fctors and problems were investigated and analyzed in each case, In addition, the category with higher frequency wes primarily supervised. In consegalnce, a reduction of are dustion of improper testing sample was oxpected through continuous education and CQI activity. Conclusion : At the beginning of CQI activitv, the number of inadequate testing sample was of 8,591 total samples, which gives the frequency of 0.72%. As CQI activity was carried out the number of improper testing sample reduced to 58 out of 11,415 cases, which yields the frequency of 0,51%. One may notice the difference 0.2%. Among the inadequate sample(blood), there was a high frequency of hemolysis; thus, more of CQI activity is required for this specific matter. Because the occurrence of inadequate testing affects the clinical outcomes, it is extremely important that one manages each step of the procedure in collecting samples and mamtaines the quality of entire tests.

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The Relationship of Organizational Culture, Human resource management Practices and Organizational Performance at a General Hospital. (일개 병원의 조직문화와 인적자원관리 활동 및 조직성과에 관한 연구)

  • Kim, Yong-Soon;Park, Jin-Hee;Kim, Young-Bae
    • Korea Journal of Hospital Management
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    • v.9 no.1
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    • pp.95-114
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    • 2004
  • The purpose of this study was to identify the relationship between organizational culture based on the competing values approach, human resource management practices and organizational performance at a hospital. Participants were 138 employee in a general hospital. Data were collected during May, 2003 using four structured instruments. The data were analyzed using Chi-square test, One-way ANOVA, $scheff{\acute{e}}$ test and Cluster analysis. Three clusters were derived from cluster analysis. The first cluster consisted of cultures which were mixed developmental, consensual, hierarchial and rational culture equivalently. The second cluster consisted of the weak cultures, which was lower score than other clusters. The third cluster consisted of strong comprehensive cultures, which had higher score than other clusters. In the three clusters, hierarchial and rational culture were superior. The difference between human resource management practices and organizational commitment in organizational performance according to organizational culture clusters was found to be statistically significant. The cluster which had strong comprehensive cultures, in contrast to other clusters, more significantly affects on human resource management practices and organizational commitment. However, the strength of organizational culture does not have a significant effect on customer oriented service performance in organizational performance. These results showed that types of organizational culture were significantly related to human resource management practices and organizational commitment, and understanding the existing culture is essential to develop the organization of hospitals.

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Establishment of Graduate Education in Hospital Pharmacy (병원약국학(病院藥局學) 대학원전공개설(大學院專攻開設)을 위(爲)한 교육내용(敎育內容)에 관(關)한 연구(硏究))

  • Kim, Chong-Kook;Lee, Min-Hwa
    • Journal of Pharmaceutical Investigation
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    • v.13 no.1
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    • pp.23-35
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    • 1983
  • Since the national health insurance was introduced in 1978, the increased utilization of hospitals and the growing importance of pharmaceutical services to hospital patients have made the administration of these services a very complex and specialized responsibility. The pharmaceutical services has always been an essential component of comtemporary hospital care. In the hospital, the pharmaceutical services is the professional department which concerns itself with the evaluation, selection, control and utilization of drugs. The director of this service must be a versatile professional person who can work effectively in a heterogenous society of educated persons. However, graduate education in hospital pharmacy has not been introduced yet in Korea. The necessity of graduate education hospital pharmacy has been discussed in this research. Graduate education in hospital pharmacy emphasizes preparation for assumption of responsibility as the senior hospital pharmacist or the director of pharmaceutical services. Graduates should also be prepared as administrators of a department that must operate with great efficiency. They should be prepared serve as a consultant on drugs for the medical and allied health professional staff, organizing and disseminating a large and dynamic body of information in their interest and to establish professional roles that emphasize procurement, storage, manufacturing, packaging, distribution, control and evaluation of drugs. Senior hospital pharmacist is a teacher charged with responsibility fer formal and informal instruction of other hospital personnel in pharmaceutical sciences. In addition, the graduates have the opportunity to be a researcher dealing with aspect of hospital care and are intensively educated in the professional aspects of hospital pharmacy practices. The curriculum of graduate education in hospital pharmacy should be established detailly and carefully to fit the educational objective.

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Pattern and Trends of Cancer in Odisha, India: A Retrospective Study

  • Hussain, Mohammad Akhtar;Pati, Sanghamitra;Swain, Subhashisa;Prusty, Minakshi;Kadam, Sridhar;Nayak, Sukdev
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6333-6336
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    • 2012
  • The burden of cancer is growing globally and is one of the top leading causes of death. Information on cancer patterns are essential for effective planning of cancer control interventions. There is limited published information available on pattern of cancer for the state of Odisha, India. The present study was an attempt to explore the pattern and trend of cancer in Odisha. To fulfill the objectives retrospective data available from 2001-2011 at Acharya Harihar Regional Cancer Center (AHRCC), Cuttack, Odisha, were analyzed. Medical records of cancer patients were reviewed and relevant information on diagnosis, primary site and demographic data were retrieved. Data were entered and analyzed using SPSS 16.0 (SPSS Inc.). A total of 74,861 cancer inpatients were registered at AHRCC for the years 2001-2011. The proportion of females outnumbered males with female:male ratio 1.1:1. The number of female cases increased four folds and that of males three fold over the period studied. Malignancies such as oral cancer (16.93%), acute lymphocytic leukemia/non Hodgkins lymphoma (14.09%) and cancer of gastrointestinal tract (21.07%) are leading cancers among males and carcinomas of breast (28.94%), cervix (23.66%) and ovary (16.11%) were leading among females. Findings from this study indicate an overall increase in cancer reporting which could be regarded as proxy measure for overall cancer situation in Odisha. There is scope and need for integrating other government hospitals, existing private health service providers and research institutions across the state for better planning of cancer control program.

Personnel Attitude and Satisfaction with Hospital Inventory Management (병원 재고자산관리에 관한 병원직원의 태도와 만족도)

  • Oh, Young-Hwan;Yu, Seung-Hum;Sohn, Tae-Yong
    • Korea Journal of Hospital Management
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    • v.3 no.1
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    • pp.83-99
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    • 1998
  • The purpose of this study is to investigate factors influencing the attitude and satisfaction with inventory management of hospitals. Data were collected from 344 employees in two hospitals located in Seoul and one hospital located in Choong-Chung Do, Korea, using a self-administered questionnaire. Items included in the self-administered questionnaire were hospital and socioeconomic characteristics of personnels such as the level of knowledge, practice, attitude, and satisfaction with inventory management of hospitals. Major findings were as follows; Job position was significantly associated with satisfaction with inventory management. According to age, sex, type of position and aptitude of personnel the level of positive attitude to and satisfaction with inventory management showed significant association. Generally, those who had higher level of knowledge and practice showed a higher tendency toward positive attitude of inventory management, except for those in medical support post. A higher tendency of satisfaction with inventory management was also observed, with the exception of personnel in nurse post. This study showed that major factors affecting attitude toward inventory management are level of knowledge and practice, and factors affecting satisfaction are job position and aptitude. The level of attitude and satisfaction explained by these factors were 46.8% and 12.2%, respectively. According to the results of this study, higher level of knowledge and practice, job position and aptitude appear to be essential for the implementation of effective inventory management. Factors affecting attitude and satisfaction of inventory management should be studied more in depth systematically so that other objective test and measurements can be developed.

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A Study on the Activation of Service for Patients and Carers in the Library in Hospital (병원 내 도서관의 환자 및 보호자를 위한 서비스 활성화 방안 연구)

  • Shin, Youngji;Lee, Seok Hyoung;Noh, Younghee
    • Journal of Korean Library and Information Science Society
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    • v.51 no.3
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    • pp.149-169
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    • 2020
  • This study focused on library services for patients and carers and conducted an awareness survey on the current status of library services for patients and carers in hospitals in Korea and on future library services for patients and carers. Through this, the ways to activate library services for patients and carers in the hospital were sought. Based on the results of the study, the research team proposes the following measures: First, the legislation for the mandatory establishment of libraries in hospitals and standards for the size, book collection, and manpower of libraries in hospitals should be enacted. Second, cooperation between the Ministry of Culture, Sports and Tourism, and the Ministry of Health and Welfare is essential to lay the foundation for the mandatory and voluntary establishment of hospital libraries at the national level in the future. Third, the operation of regional representative libraries, public libraries, and other institutions should be considered.

A Disital Siver Care for the Health and Rehabilitation of the Elderly (노인 건강과 재활을 위한 디지털 실버케어)

  • Kang, Seungae
    • Convergence Security Journal
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    • v.19 no.3
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    • pp.81-86
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    • 2019
  • This study introduces trends on silver care implemented with the fourth industrial revolution technology, and discusses the use of digital technology for elderly health and rehabilitation by reviewing relevant literature to examine and present directions for future digital-based silver care commercialization. First, health smart home, which is a smart residential service available through digital technology or IT technology that supports independent living in your home, is available. Second, there are technical services using artificial intelligence(AI) and robots. Robots based on advanced intelligence can serve as an assistant for the health and rehabilitation of senior citizens by supporting services that enable the daily lives of senior, checking their health conditions, and high-quality medical care. For the commercialization of these silver care systems, information and services appropriate to the current situation, such as the physical ability and health status of the elderly, should be provided, and it would be desirable to gradually expand the use of essential technology to reflect the needs of the elderly in use so that the digital alienated.

An Improved ID-based Anonymous Authentication Scheme for Wireless Body Area Networks (WBAN 환경에서의 개선된 ID 기반 익명 인증 기법)

  • Jeong, Min-Soo;Suk, Jae Hyuk;Lee, Dong Hoon
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.21 no.2
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    • pp.322-332
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    • 2017
  • Wireless Body Area Networks is an environment that provides an appropriate service remotely by collecting user's biometric information. With the growing importance of sensor, WBAN also attracts extensive attention. Since WBAN is representatively used in the medical field, it can be directly related to the patient's life. Hence security is very important in WBAN. Mutual authentication between the client and the application provider is essential. And efficiency is also important because a used device is limited to computation cost. In this reason, ID-based anonymous authentication scheme in WBAN has been intensively studied. We show that the recent research result of Wu et al. which is about the ID-based anonymous authentication scheme is vulnerable to impersonation attack. And we propose a new ID-based anonymous authentication scheme that is secure against the attacks discovered in the existing schemes. Compared to the existing schemes, the computation cost of our scheme is improved by 30.6% and 7.3%.