• 모자간호학회지
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• v.4 no.1
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• pp.3-11
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• 1994

Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

• Journal of Korean society of Dental Hygiene
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• v.23 no.4
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• pp.295-302
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• 2023

Objectives: In this study, existing knowledge and needs of childcare teachers for developing oral health education plans for infants and young children were investigated. Methods: From March to April 2023, an online questionnaire survey led to the collection of data from 150 childcare teachers. Data were analyzed using the SPSS 22.0 program. Results: Importance-Performance Analysis (IPA) revealed that importance and knowledge of oral health education, importance of oral health, and prevention of oral diseases were priority areas, and treatment, symptoms, and causes were priority areas that needed improvement . According to the IPA on the importance of and demand for oral health education support, the importance and demand for an educational plan were both high. Expert education based on educational goals, information sharing, educational environment support, evaluation system, and monitoring was low in importance but high in demand. Conclusions: Oral care habits during infancy are important for maintaining oral health throughout life. Oral care practice should be improved by developing an oral health education plan for childcare teachers to implement.

• Journal of Korean Dental Hygiene Science
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• v.2 no.2
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• pp.41-51
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• 2019

Introduction: This study intended to identify the current oral health care status and demand of care workers for oral health education. Methods: A survey was distributed to care workers working in 11 nursing homes for older people located in the Chungcheongdo Province. Of those distributed, 217 questionnaires were collected and analyzed. To analyze the collected data, a frequency analysis, t-test, and one-way analysis of variance(ANOVA) were performed using SPSS version 18.0. Results: The demand for an educational course on the 'Management of Oral Health Care for the Aged People' had a score of 4.22 points(full marks were 5.0 points), whereas the score for the necessity for control of oral health was 4.29 points. The control of oral health for the aged people suffering dysphagia scored 4.27 points, whereas the control of oral health for older people who have dementia was 4.27 points. The score for a course on the nutritional control for aged people having difficulties in masticating foods was 4.27. Conclusion: It is clear that the development of educational courses and standardized manuals for care workers on aspects of oral health care is necessary. Therefore, it would be desirable to develop institutional infrastructure for dental hygienists to educate care workers on oral health.

• Korea Journal of Hospital Management
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• v.26 no.3
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• pp.56-67
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• 2021

There are few domestic studies on medical services in medically vulnerable areas where medical use is not met due to a lack of medical resources. The past studies on smart medicine targeting medically vulnerable areas grasp only the overall satisfaction level, or the sub-dimensions of satisfaction are not classified clearly. Also, it lacks consideration of the patient's needs. This study aims to analyze the effect of users' experience of the smart medicine pilot project conducted in medically vulnerable areas on satisfaction and demand. The user's experience was measured by variables in the dimensions of structure, process, and outcome. Among the pilot project participants, 282 subjects responded to the 2019 survey. Using the hierarchical regression method, we tried to find out the determinants of satisfaction and service demands. Experience factors affecting satisfaction were found to be accessibility, certainty, effectiveness, and efficiency. In addition, it was found that the demand in their 60s was high and that accessibility, certainty, effectiveness, and efficiency had a statistically significant effect on the demand. It is expected that the smart medicine pilot project will be effectively operated by well utilizing the factors influencing satisfaction and demand revealed in this study.

• Health Policy and Management
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• v.8 no.1
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• pp.183-202
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• 1998

This study is to investigate patient's choice of health care and the demand for Korean traditional medicine care in rural areas in 1995. It tried to evaluate the effect of out-of-pocket expenditure, travel time, and waiting time on improving care-seeking and substituting clinical medicine for pharmacy care and Korean traditional medicine care in rural areas. The statistical model of this study is conditional logit to estimate effects of choice-specific and individual-specific characteristics on the choice of type of services. This study used, as explanatory variables, average out-of-pocket payment, travel time, and waiting time of services required to use the services. The model was empirically tested using data from 1995 Korean National Health Survery. The results showed that rural Koreans responded to out-of pocket payment and travel time. Increases of out-of-pocket payment and travel time decreased the probability to choose care in rural Korea. Rural Koreans were more likely to seek care than others with low out-of-pocket payment and travel time. The probability of choosing Korean traditional medicine were higher among the members of the households with higher education level and older persons, while they were lower in the households with large family than others compared with the probabilities of choosing public health facilities. The result of this study implies that policy on use of health care in rural Korea can be focused in managing travel time and out-of-pocket payment.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.587-597
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• 2003

Purpose: The purpose of this study was to estimate the demand and supply of visiting nursing services provided by health centers in urban area, aiming at strengthening infrastructure, which may improved the quality of life and health status of vulnerable population in the community. Methods: This study was conducted through nominal group discussion, focus group study. The demand and supply of visiting nursing were estimated by health economists based on the secondary analysis data from 25 health centers in Seoul. Result: Primary targets for the visiting nursing must be people who are homebound in the community. They can be classified into: a group of Level I: chronic patients who need visiting nursing care at least once a week: and a group of Level II: vulnerable families that need management periodically e. g. twice a month. Based on the estimation of demand for visiting nursing services in the community, the estimated supply required was $651{\sim}770$ visiting nurses including home health nurses in visiting nursing programs based on health centers in Seoul. Conclusions: The estimated demand and supply of visiting nursing are expected to provide basic data for establishing alternative policies on visiting nursing infrastructure that might be accomplished through demand-based visiting nursing programs by districts.

• Journal of The Korean Society of Integrative Medicine
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• v.6 no.4
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• pp.149-169
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• 2018

Purpose : This study was to develop a strategy for modeling future workforce projections to serve as a basis for analyzing annual supply of and demand for physical therapists across the South Korea into 2030. Methods : In-and-out movement model was used to project the supply of physical therapists. The demand was projected according to the demand-based method which consists of four-stages such as estimation of the utilization rate of the base year, forecasting of health care utilization of the target years, forecasting of the requirements of clinical physical therapists and non-clinical physical therapists based on the projected physical therapists. Results : Based on the current productivity standards, there will be oversupply of 39,007 to 40,875 physical therapists under the demand scenario of average rate in 2030, undersupply of 44,663 to 49,885 under the demand scenario of logistic model, oversupply of 16,378 to 19,100 under the demand scenario of logarithm, and oversupply of 18,185 to 20,839 under the demand scenario of auto-regressive moving average (ARIMA) model in 2030. Conclusion : The result of this projection suggests that the direction and degree of supply of and demand for physical therapists varied depending on physical therapists productivity and utilization growth scenarios. However, the need for introduction of a professional physical therapist system and the need to provide long-term care rehabilitation services are actively being discussed in entering the aging society. If community rehabilitation programs for rehabilitation of disabled people and the elderly are activated, the demand of physical therapists will increase, especially for elderly people. Therefore, healthcare policy should focus on establishing rehabilitation service infrastructure suitable for an aging society, providing high-quality physical therapy services, and effective utilization of physical therapists.

• Journal of Wellbeing Management and Applied Psychology
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• v.4 no.4
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• pp.1-14
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• 2021

Purpose: This study aims to measure the level of satisfaction with the overall education of current students, who are major consumers of education by department at the Health Care Convergence University, and to establish development strategies such as improving education quality and satisfaction by deriving problems and improvements. Research design, data and methodology: This study drew conclusions through secondary data analysis based on data surveyed by the Educational Performance Management Center of a university in the academic year of 2020. The target of the education consumer satisfaction survey was 470 students of the College in the academic year 2020. Frequency analysis and correlation analysis were applied to the data using the statistical package program SPSS 25 version. Results: In the major curriculum satisfaction survey, the department with the highest score was optics and optics, 4.11, and the department with the lowest score was medical IT, 3.29. Conclusions: The department with the highest correlation in the correlation analysis result of the demand survey by department was the Department of Medical Management and the Department of Medical IT, with a correlation coefficient r=0.984, and the lowest correlation in the correlation analysis result of the demand survey by department was the Department of Medical IT and Dental Hygiene, with a correlation coefficient r= -0.085.

• Journal of agricultural medicine and community health
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• v.17 no.1
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• pp.17-24
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• 1992

The medical care insurance system has been adopted in rural areas in 1988, since then, the utilization of medical care services has increased rapidly in rural areas. The government has restructured the 15 health centers, which are located in remoted rural areas and these 15 health centers were strengthend to provide the curative care to the residents in order to meet the curative can demand of the residents. Besides the reorganization of the health centers, the government has implemented the oriental medical care demonstration project at the health center in a designated rural areas. This study was aimed to analyze the utilization and expenses of medical and oriental medical care services in a designated rural areas. Number of annual visits of residents to health centers in 1991 showed slightly decreased compared with that in 1989. However number of annual visits to the hospitalized health centers was an increase of 49.3%~64.5%. Regarding the coverage of curative care for the residents in rural areas, the hospitalized health centers are functioning more effective than that of health center. Expenses per case of medical care rendered by health center was lower than that of oriental medical care, while the expenses of the medical care was quit higher than that of oriental medical care in the hospitalized health centers. According to the above mentioned study results, the hospitalized health centers were more effective and suitable to provide a curative care to the residents than the health centers, and also the oriental medical care could be needed to be provided by public health network in the near future.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.3
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• pp.98-110
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• 1996

As the health of people is a integral element of the public well-being, the government adopted and put the home visiting nurse system into practice from Jan. 1990, so that the public might get the necessary health service at the low cost and at home. Thus, it resulted in a rapid increase of the public need for the quality of life. The increasing demand for home care created a necessity for an increased man-power like home care nurse. Since the demand of the publics‘ home care has increased, Seoul Nurses’ Association, one of the branches of Korean Nurses Association has developed for the project team of Home Visiting Nurses Activities. The purpose of this study will analyzed and classified home nursing care activities of home visiting nurse according to the criteria of nursing diagnosis Korean Nurses‘ Association. The subject of the study was 54 patients in 1993 and 148 patients in 1994. All patients received home care at home from visiting nurses were living in Seoul city. The results of the study were as follows; 1) With regard to the nursing diagnosis, 24 items were classified. 2) The patients and families wanted to increase the number of time for home visiting. 3) Main sources of request to visit the patients at home were mainly from the families through nurses or doctors who cared for the patients. 4) In comparison of the characteristics visiting activities between 1993 and 1994, the number of the classification of nursing diagnosis and the number of visiting activities in 1994 were relatively increased than the outcomes in 1993.