• 제목/요약/키워드: HEALTH-CARE

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우리나라 노인들의 미충족 의료 유형별 관련요인 (Factors Associated with the Types of Unmet Health Care Needs among the Elderly in Korea)

  • 최희영;류소연
    • 보건의료산업학회지
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    • 제11권2호
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    • pp.65-79
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    • 2017
  • Objectives : This study aimed to investigate the types of unmet health care needs of the elderly and factors affecting them. Methods : This study used data from the 2012 Community Health Survey. Multinomial logistic regression analysis was conducted to identify the relevance between each type of unmet health care needs and predisposing, enabling, and needs factors, based on the cases without unmet health care needs. Results : Persons with unmet health care needs were 4,460 (9.5%) of the total sample. By types of unmet health care needs, 1,171 (2.5%), 1,026 (2.2%), and 2,263 (4.8%) persons reported inaccessibility, non-accommodativeness, and unaffordability respectively. It was concluded that the there were differences in the associated factors according to the types of unmet medical needs. Conclusions : It is suggested that unmet health care needs in the elderly should be examined from diverse angles rather than from a single aspect of partial limits. In particular, diverse types of unmet health care needs for health care in the elderly according to limited accommodation shoulder be examined. Finally, strategies to decrease unmet health care needs that reflect the associated factors should be developed.

저 출산 고령 사회에 대비한 재가 간호사업 정책 과제와 대안 (Agenda and Alternatives for Home Health Care Policy in Low Fertility and High Aged Society of Korea)

  • 유호신
    • 가정∙방문간호학회지
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    • 제14권1호
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    • pp.11-17
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    • 2007
  • The purpose of this study was to describe the policy agenda and alternatives for the home health care system in Korea. The home health care system development was not fully integrated while the medical laws were established in 2000, community health law in 1995, and elderly long-term health insurance law in 2007. Because of the increasing population of people over the age of 65 and dramatically decreasing fertility rate, the burden of various health-care expenses has become a great obstacle for the Korean government. Under these circumstances, the home of home health care system in has taken on an important role under the mandate of the national health care system. The types of home health care system in Korean shows a greater contrast from those utilized in other more industrialized countries, such as, U.S. or Japan. In conclusion, the strategy in overcoming the obstacles to enhance home health care system under the national health system would be developing it as a comprehensive and exchangeable consumer-focused organization.

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취약계층과 일반군 영유아의 건강관리 현황 및 방문건강관리사업 요구도 비교조사 (A Research on the Health Care and the Demand for Visiting Health Care Services for Vulnerable Children in Comparison with Non-vulnerable Children in a Region)

  • 남혜경
    • 한국보건간호학회지
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    • 제30권3호
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    • pp.556-569
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    • 2016
  • Purpose: This study aimed to provide baseline data on the health care of children and the demand for visiting health care services in one region in efforts to support the implementation of visiting health care services for vulnerable children. Methods: Seventy-three children and their caregivers from the vulnerable social group and 82 children and their caregivers from the general group were selected as research participants. The data were collected through home visiting survey by professional nurses. Results: Children from the vulnerable social group were at higher risk of poor health care than the general group. Regarding home safety, vulnerable children were more likely to be exposed to unsafe conditions. With respect to nutrition, developmental play, developmental screening test, and home safety, visiting health care services were in demand for caretakers. Conclusion: These results indicate that to promote health care and safety conditions for vulnerable children, it is necessary to implement visiting health care programs that include the management of vaccination, medical check-up, growth and development, home safety, and nutrition. These findings can be used as the baseline data for the development of visiting health care programs for vulnerable children.

유아기 자녀에 대한 모친의 구강건강관리행위에 영향을 미치는 요인 연구 (A study on factors affecting the oral health care behavior of mothers for young children)

  • 이세나;김은숙
    • 한국치위생학회지
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    • 제12권6호
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    • pp.1071-1081
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    • 2012
  • Objectives : This study were to find out differences in mother's oral health knowledge and oral health care behaviors and to find out factors that affected mothers' oral health care behavior for their young children. Methods : The survey was carried out with questionnaire about personal factor, cognitive factor, psychological factor and behavioral factor to 227 mothers. They had children from 3 to 5 years. The collected data was analyzed by SPSS WIN 12.0. Results : There were statistically significant differences in oral health knowledges as mother's educational background, importance of oral health, experience of oral health education, and oral health locus of control. There were statistically significant differences in mother's oral health care behaviors as mother's job, interest of oral health, importance of oral health, experience of oral health education, and oral health locus of control. And mother' oral health care behavior for herself, interest of oral health, and oral health locus of control were found as important variables in mothers's oral health care behavior for their children. Conclusions : Mother's oral health care behavior for herself was the powerful factor that affected mother's oral health care behavior for her children.

보건소 방문보건인력의 방문보건 업무수행 실태 조사 (An Analysis of the Work of Visiting Health Care Providers In Public Health Centers)

  • 김조자;이원희;이정렬;권보은;김정순;문성미;강경화
    • 한국보건간호학회지
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    • 제18권1호
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    • pp.178-186
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    • 2004
  • The purpose of this study was to analyze the work of visiting health care providers in public health centers. A descriptive analysis of self-records for work data from 875 visiting health care providers working in 242 public health centers in South Korea was done. The results of the study are as follows: 1. The number of households for each visiting health care provider ranged from under 100 households to over 500 households. 2. Low performance was found for several items on the work list for visiting health care providers. 3. There were significant differences in the work performance of visiting health care providers between nurses and nursing assistants. 4. There were significant differences in the work performance of visiting health care providers according to region. In conclusion. work performance of visiting health care providers was low and differed according to type of occupation and region. This study suggest the need for further studies which analyse the quality of visiting health care providers and services, and the visiting health care system.

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20대 여성의 미용형태별 건강위해 실태조사 (A Research on the Health Hazards by the Patterns of Beauty Care)

  • 신명자
    • 보건교육건강증진학회지
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    • 제18권1호
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    • pp.139-149
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    • 2001
  • With the increasing number of women involved in social activities, beauty industry has flourished. More women than ever before are concerned about make-up, hair care, skin care, and weight control, etc. With the success and commercialization of beauty industry, unconfirmed beauty care services have been introduced in the market. However, the health hazard from diverse beauty care services has not been systematically addressed. This study has the following two purposes: 1) to examine the utilization pattern of diverse beauty care services; and 2) to examine the health hazard from beauty care services. For this study, two major universities located in Seoul area were selected. While 450 female college students were selected from one women's university, the other 450 were from mixed university. Using survey questionnaire, we interviewed with 900 female college students. The results are as follows: As for the beauty care patterns, makeup accounted for 78.6%, Skin care 49.5%, weight/body control 32.0%, hair care 81.5%, and cosmetic operation 14.9%, indicating significant high rates of makeup(x2=9.215, p=0.002) and hair care(x2=4.435, p=0.035) at both mixed and women's universities. The health hazard was measured using four questions. The past studies have not paid special attention to the methodological issue of how to ask health hazard. Depending on how to ask health hazard, the percentage of respondents reporting health problems varied. When the respondents were asked whether or not they had suffered health problems for a short period, over 60% of respondents reported health problems; when they were asked in other ways-1) whether or not they had suffered health problems for a long period, 2) whether or not they had suffered whole body problems, 3) whether or not they had permanent traces on skin due to beauty care activities-, the percentage of respondents reporting health problems dropped substantially to less than 10%, This finding indicates the importance of ‘words’ used in questions. The relationships between health problems and utilization of beauty care services were examined, using χ2 test or t test. We found that there was a significant relationship between health problem and beauty care.

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독일의 가정간호와 통합 방문간호의 연계 모델 (German Integrated Model for Home Care and Visiting Nursing)

  • 박종덕
    • 가정∙방문간호학회지
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    • 제26권3호
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    • pp.253-264
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    • 2019
  • The aim of this review is to present a German system of an outpatient care center under the German Health Insurance Act and home care (integration of medical care, basic care, bathing) under the Long-Term Care Insurance Act. This idea of a German integrated home care system should contribute to the development of a Korean home care model. Prior the introduction of long-term care insurance (1995), and with the of the health insurance law (1989), German outpatient care centers already provided medical and basic care services for patients with acute and chronic symptoms. Since 1995, patients with acute symptoms and rehabilitation periods under the Health Insurance Act have been eligible for home care. The Long-Term Care Insurance Act is intended for all citizens who are unable to carry out their daily activities for more than six months. In 2017, 13,657 (97%) of 14,050 outpatient care centers provided home care services after long-term care and health insurance. In other words, patients in Germany can use home care in both the acute and chronic phase at the same home care center, or 'integrated home-care center'.

환자흐름에의 영향요인 (The Factors Affecting Patient-Flow)

  • 박재용
    • 보건행정학회지
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    • 제3권2호
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    • pp.27-80
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    • 1993
  • It is widely known that patients' utilization pattern for medical care facilities and the patientflow are influenced by multi-factors, such as demographic characteristics, structural characteristics of society, socio-psychological characteristics(value, attitude, norms, culture, health behavior, etc.), economic characteristics(income, medical price, relative price, physician induced demand, etc.), geographical accessibility, systematic characteristics(health care delivery system, payment methods for physician fees, form of health care security, etc.), and characteristics of medical facilities(reliability, quality of medical care, convenience, kindness, tec.). This study was conducted to research the mechanism of patient-flow according to changes of health care system(implementation of national health insurance, health care referral system and regionalization of health care utilization, etc.) and characteristics of medical facilities(ownership of hospital, characteristics of medical services, non-medical characteristics, etc.). In this study, the fact could be ascertained that the patient-flow had been influenced by changes of health care system and characteristics of medical facilities.

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학부모의 학교계속구강건강관리사업에 관한 의식조사 연구 (A Study on Parent's Consciousness in regard to School-based Comprehensive Oral Health Care Program)

  • 김수경
    • 한국치위생학회지
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    • 제3권2호
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    • pp.117-125
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    • 2003
  • This study was pursued for the sake of gathering fundamental information to implement school-based comprehensive oral health care program and for planning oral health care program in consideration of parents. The following results were obtained by investigation of consciousness and favor level of 215 parents, who have elementary school children, regarding school-based comprehensive oral health care program. 1. It appears that many parents are not knowledgeable about school-based comprehensive oral health care program. There were significant differences between recognition level of school-based comprehensive oral health care program and age(PE0.05). 2. The parents acquired information about school-based comprehensive oral health care program; 58.7% by their children, 11.2% by mass-media, 10.0% by dentists and 3.7% by dental hygienists. 3. Most parents are in favor of school-based comprehensive oral health care program (96.7%). 4. Many parents(63.7%) prefer that social security law should budget for oral health care program. There were significant differences by sex(PE0.05) and age(PE0.01) As most parents are not so conscious of school-based comprehensive oral health care program, appropriate education program for dentists, dental hygienists and parents should be developed urgently.

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체질별 건강 관리에 대한 만족도 조사 - 일계 대가계 구성원을 대상으로 - (The Degree of Satisfaction on Constitutional Health Care Program for an Extended Family)

  • 유종향;김윤영;이시우;김상혁;박기현;장은수
    • 사상체질의학회지
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    • 제21권2호
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    • pp.87-95
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    • 2009
  • 1. Objective : Researching the satisfaction on constitutional health care and studying an influential factor on the satisfaction to make use of basic materials for consitutional health care model. 2. Methods : We sent the questionnaire to 102 extended family members who received constitutional health care in oriental medicine institute. Collected 70 data analysis was statistically proceeded by SPSS. 3. Results : The rate of satisfaction on consitutional health care was 87% which was relatively high in comparison with other health care programs. Oriental clinic showed the highest in rate and then oriental hospital and institute were followed. 4. Conclusion This study showed that satisfaction on consitutional health care was high and the health care program was positive in improving health. Developing guide on health care by constitution and building up clinical data on the degree of health improvement influenced by health care program.

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