• Title/Summary/Keyword: Family health management

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Categorized the Contribution evasion through Health Insurance contribution evasion expected model (건강보험 체납예측모형을 통한 체납세대의 유형화 및 특성)

  • 이애경;최인덕
    • Health Policy and Management
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    • v.14 no.2
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    • pp.78-98
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    • 2004
  • The purpose of this study was to categorize the contribution evasion and develop the expected models for contribution arrears in National Health Care System. The modified logistic regression model in non-payments was used as logistic regression model based on the statistical method. By using this model, we arranged non-payment types and typical branches those are appeared by statistical technique. First fact, sex and age branches those are able to take a part in economy had effect mostly. Also they had difference in non-payment probability by existence of their incomes and property. Especially people who didn't have their own house and car were appeared in high non-payment probability, disease and reduction characteristic(rare diseases, reduction of seniors, handicaps, numbers of medical treatments) didn't effect much in probability. The reason for some characteristic of non-payment which is higher than the correct threshold value of Logistic Regression Model (a suggested model for predicting non-payment)'s distribution of probability was mostly moral hazard. Living difficulty was the bigger reason for non-payment, but moral slackening was the bigger reason for non-payment. But it is careless to decide that moral hazard is just the reason, there is a necessity to examine on the side of sociology based in family. By the reason, the member's non-payment reason can be classified by economy, population, and psychology, but there was a comprehension that losing of work desire could be one reason. So we analyzed informations for composition of family of members. In conclusion, we grasped that family conflict makes non-payment and conversion of member in the National Basic Livelihood Protection System difficult.

A Study on Community Rehabilitation Program of the two Public Health Center (2개 보건소의 방문보건재활사업에 관한 연구)

  • Jo, Kye-Suk;You, In-Ja;Bae, Jung-Hee;Lee, Young-Ja
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.4
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    • pp.86-100
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    • 1997
  • The purpose of the study is to evaluate the community rehabilitation program of the two Public Health Center. Data were collected from the 138 clients who received rehabilitation services from visiting public health nurses. Data were analysed by SAS computer program. The result were as follows. 1. The clients have been average 7years disabled state until public health nurse visit them. 78.3% of them can't advance rehabilitation process because of insufficient family or social support. 2. The clients' burden due to their family's help was average 80.0 and that due to economic distresst was average 76.0. That factors were same that interfere rehabilitation process. 3. The clients needed exercise and modality therapy(78.2), economic support(76.0) and rehablitation advices (64.0). The needs of welfare benefit, medical service and social participation were 68.0, 61.5 and 54.5. 4. The pulblic health nurse visited the clients 2.3 time every month. And they have served emotional support (95.7%, exercise therapy (94.9%), family education(82.6%) and blood pressure management (71.7%), One client have received average 60% of the medical rehabilitation services and 27% of the refer services. 5. The rehabilitation effects of clients' attitude, knowledge and practice were 73.3, 81.0 and 68.7. The physical rehabilitation effect was 70.0. After receving rehabilitation services, the clients' preforrence to pulblic health center was 82.0. 6. The clients hopped that public health nurse visit them earlier (80.0). On the basis of this results, the following suggestions are proposed. 1. The pulblic health center is important institution in community rehabilition program, and every pulblic health center must participate in this program. 2. Various strateges have to be tryed and analysed to improve the visiting nurses' rehabilitation services. 3. For successful community rehabilitation, social welfare rehabilitation program must be developed and correlated with that of the pulblic helth center.

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The analysis of Factors associated with the Health Examination expenditure in a General Hospital based on the cased (일개 종합병원 종합(민간)검진 비용 영향요인 분석)

  • Lim, Ji Hyun;Suh, Won Sik
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.76-93
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    • 2020
  • Purpose: In this study, the general characteristics of subjects who spent more than a certain amount of cost for general medical examination at the general hospital health promotion center, and the characteristics of disease, family history, and lifestyle (smoking, alcohol, physical activity, oral care) significantly differed in cost expenditure. We intend to provide basic data for establishing an appropriate marketing strategy for comprehensive examination. Method: It was conducted for users who received comprehensive checkups at a health promotion center at a general hospital in Seoul. The research data collection period is for 979 people who performed comprehensive examinations from January 2019 to December 2020. In order to carry out a comprehensive examination, a questionnaire before the examination was distributed to the subjects who visited the hospital to prepare, and the investigation was conducted in a way that the subjects of the investigation directly filled in. Results: There was a significant influence on the difference in expenditure for comprehensive examination according to the gender, age, and type of health insurance of the subject. In addition, there were significant differences in expenditure according to the presence or absence of disease and the type of family history. Weight loss, smoking history, smoking period, smoking frequency, drinking history, and drinking frequency all had significant effects on cost expenditure. Also, strength training and oral treatment management showed a significant effect on the cost of comprehensive examination. The number of flossing and interdental brushing was also found to have a significant effect. According to the results of multiple regression analysis, disease history (t=2.683, p<.01) and mean smoking frequency (t=4.315, p<.001) appeared to have the most significant effect on expenditure statistically. In other words, when the subject has a history of disease and when the average number of smoking is large, it means that the comprehensive examination cost is remarkably large. Conclusion: By using these contents, hospitals can further refine the marketing of the examination center. In addition, a more convenient and specialized process should be used by patients by linking the general medical department and the examination center well. In terms of management of operating medical institutions, this can be expected to create patients and increase profits.

Analysis of Influence of Work and family life priority and Recognition Difference of Work-Family Reconciliation Policy on Satisfaction of Working Condition Using Path Analysis Model : Focused on Industrial Groups Showing Gender Differences (일·가정생활 우선도와 일·가정 양립제도에 대한 인식차이가 근무 만족도에 미치는 영향력 분석 - 성별 차이를 보이는 산업군을 중심으로 -)

  • Park, Min Jung
    • Journal of Family Resource Management and Policy Review
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    • v.23 no.3
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    • pp.43-74
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    • 2019
  • The purpose of this study is to analyze the effect of perceptions of work and family life on employee job satisfaction and to form a policy approach that contributes to the enhancement of worker satisfaction. In particular, we wanted to analyze how the characteristics of each variable appeared in industry groups with different gender ratios of workers. A notable point of the study was that the respondents who answered that work and family had similar importance were satisfied with their working conditions. In addition, it was found that the higher an employee's evaluation of the work-family reconciliation policy, the higher the employee's satisfaction with their working conditions. As a result of a path analysis, it was found that the most male-dominant industry was manufacturing, and the most female-dominant industry was health and social welfare. In the case of respondents who were employed in the most-male dominant industry, the degree of an employee's understanding of the work-family reconciliation policy recognition, rather than the relative priorities of work and family life, had a greater effect on job satisfaction. On the other hand, respondents who were employed in the most-female dominant industry confirmed that their level of education was highly related to the degree of institutional recognition.

Development of Bio-Check Unit and Health Index for Measuring Health Degree through Noninvasive Examination (비침습적 검사를 통한 건강 정도 측정을 위한 바이오체크 유닛과 건강지수의 개발)

  • Lee, Chong-Sun;Yi, Sung-Il;So, Byung-Rok;Park, Byung-Kang;Chung, In-Wook;Lee, Seung-Ju;Park, Seon-Kyun;Han, Cheng-En
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.7
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    • pp.859-865
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    • 2011
  • A bio-check unit and health index were developed to provide information on personal health state with easily available noninvasive measurements and surveys. Four health indices were defined such as cardiovascular index, stress index, obesity index, and management index. Methods were developed to calculate health index scores from measured physiological signals and answer of survey questions. In order to evaluate effectiveness of the health indices, a clinical trial was conducted for 362 persons who visited general hospital for annual health inspection. The cardiovascular index showed a good correlation coefficient of 0.685 with the cardiovascular health graded by a medical doctor. The stress index showed a good correlation coefficient of 0.638 with the results of stress questionnaires being used in the public health center. Once the health index function is added in the bio-check unit, the unit may provide useful contents for personal health management.

The relationship between subjective body shape perception, health factors, and oral health factors among Korean adolescents - based on the 2015 Korea Youth Risk Behavior Web-Based Survey - (한국 청소년의 주관적인 체형 인식과 건강요인 및 구강건강요인과의 관련성 - 2015년 청소년건강행태온라인조사를 바탕으로 -)

  • Lee, Kyeong-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.17 no.5
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    • pp.827-840
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    • 2017
  • Objectives: The purpose of this study was to investigate the relationship between demographic characteristics, health factors, oral health factors and subjective body shape perception of adolescents in order to provide basic data for adolescents health management. Methods: This study was analyzed using Korea Youth Risk Behavior Web-Based Survey in 2015, where 68,043 adolescents in total participated. Data were analyzed by SPSS Ver. 21.0. Multiple regression analysis was used to analyze the relationships among health factors and oral health factors related to subjective body shape perception. Results: The analysis of the factors influencing the body shape perception of male adolescents showed that they tend to be low in school performance, low in family economic level, and high school students. The worse they perceive their subjective health to be, the more they feel stress, and the less frequently they brush their teeth per day. They had bad breath. The analysis of the factors influencing the body shape perception of female adolescents showed that they tend to be low in school performance, low in family economic level, and high school students. The worse they feel their subjective health is, the more they feel unhappy, and stressful, and the less frequently they brush their teeth per day. They feel pain during chewing, and have bad breath. Conclusions: In conclusion, it is necessary to consider educational intervention in adolescent life that will make them have proper perception of their body shape for proper health management of it. To make the intervention effective, we need to consider various factors such as health factors and oral health factors.

Determinants of Caregivers' Conflict Experience in Elderly Care Institutions (요양기관 간병인의 갈등 경험에 영향을 미치는 요인)

  • Lee, Ji-Eun;Jin, Ki-Nam;Seo, Young-Joon
    • Korea Journal of Hospital Management
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    • v.14 no.3
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    • pp.66-82
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    • 2009
  • The purpose of this study is to investigate the determinants of caregiver's conflict experience in elderly care institutions. This study focused on the three key independent variable groups(e.g., socio-demographic, job-related, and individual personality). The sample used in this study are 311 caregivers who are randomly selected from 21 elderly care institutions in Korea. Data were collected with a structured questionnaire by mail from Oct. 15 to Nov. 30 in 2007. The collected data were analyzed using logistic regression. The major findings of the study are as follows: 1) Nearly 40% percent of the respondents reported that they had experienced conflicts with elderly patients. The conflict with other caregivers ranked as second(20.6%), followed by patients' families(18.6%) and hospital employees(15.1%). 2) The personality, especially uniqueness caused conflict with patients or other caregivers. The professional identity reduced conflict with patients. The negative work experiences caused conflict with patients or family. The service attitude reduced conflict with family. The service-centered culture reduced conflict with hospital employees. Those who lived with the elderly showed lower level of conflict with family or hospital employees.

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A Study on Factors of Management of Diabetes Mellitus using Data Mining (데이터 마이닝을 이용한 당뇨환자의 관리요인에 관한 연구)

  • Kim, Yoo-Mi;Chang, Dong-Min;Kim, Sung-Soo;Park, Il-Su;Kang, Sung-Hong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.5
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    • pp.1100-1108
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    • 2009
  • The Objectives: The purpose of this study is to identify the factors related to management of DM in Korea. Methods: The subjects selected by using data of National Health and Nutrition Survey(NHANS) in 2005 were 415 adults, aged 20 and older, and diagnosed with DM. This study used data mining algorithms. This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and Neural Network on the basic of validation, it was found that the model performance of decision tree was the best among the above three techniques. Result: First, awareness of DM was positively associated with age, residential area, and job. The most important factor of DM awareness is age. Awareness rate of DM with 52 age over is 76.1%. Among the ${\geq}52$ age group, an important factor is family history. Among patients who are 52 years or over with family history of DM, an important factor is job. The awareness rate of patients who are 52 age over, family, history of DM, and professionals is 95.0%. Second, treatment of DM was also positively associated with awareness, region, and job. The most important factor of DM treatment is DM awareness. Treatment rate of patients who are aware of DM is 84.8%. Among patients who have awareness of DM, an important factor is region. The awareness rate of patients who are aware of DM in rural area is 10.4%. Conclusion: Finally, the result of analysis suggest that DM management programs should consider group characteristic of DM patients.

The Comparision of Characteristics between the Married Women Participating Voluntary Activities and those not Participating Voluntary Activities - in terms of the Demographic, Psycosocial and Family Related Variables - (자원봉사 활동 참여여부에 따른 기혼여성의 특성비교 - 인구사회학적, 심리사회적, 가족환경변인을 중심으로 -)

  • 김혜경
    • Journal of Families and Better Life
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    • v.22 no.4
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    • pp.141-156
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    • 2004
  • This study was intended to find out the differences of characteristics between the married women who were participating in the voluntary activities and those who were not. Based on the review of various theories on the volunteerism, the three variable groups - demographic, psychosocial and family related- were identified as the possible factors which differentiate the characteristics of those two groups. The results were as follows 1) Significant group differences were found in the age, the last child's age, education, income, sense of health, religion, the degree of religious activities, leisure satisfaction and type of leisures. 2) Married women participating in the voluntary activities showed more sociable, higher sense of responsibility to the society and more distinct feeling of social identity. 3) Family -related variables such as family function, type of family, the degree of socialization in the family and experiences and quality of contact with successful volunteers were found to be closely related to the married women's participation in the voluntary activities.

Barriers to Employment Among Low-Income Mothers in Rural United States Communities

  • Son, Seo-Hee;Dyk, Patricia Hyjer;Bauer, Jean W.;Katras, Mary Jo
    • International Journal of Human Ecology
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    • v.12 no.1
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    • pp.37-49
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    • 2011
  • This article addresses potential barriers to sustained employment for rural low-income mothers. Drawing from a two panel longitudinal sample of 240 families from the Rural Families Speak project, it examines the extent to which human capital and family factors were related to these mothers' ability to be employed. Comparisons are made between mothers, who over a three-year period, were continuously unemployed, intermittently employed, or stably employed. Many of these rural low-income mothers faced multiple individual and family barriers that impacted their labor force participation. Notably food insecurity, mental health, caring for a young child, housing, and a family history of welfare were associated with less stable employment. The implications for public policy and service delivery are discussed.