• The Korean Journal of Health Service Management
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• v.10 no.4
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• pp.61-73
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• 2016

Objectives : The aim of this study was to investigate the satisfaction determinants of rehabilitation care group inpatients in rehabilitation long-term care hospitals. Methods : A survey was conducted with 262 patients from 6 rehabilitation long-term care hospitals located in Busan Kyungnam. Data were collected from June 2016 to July 2016 with a structured questionnaire and analyzed with SPSS 23.0. Results : The significant factors affecting the overall satisfaction score were disease group and 5 quality indices of medical services(Medical service quality, Rehabilitation services quality, Hospital reputation, External physical environment, and Internal physical environment). Additionally, the significant factors affecting intention to revisit were age, disease group, length of hospital stay and the 5 quality indices of medical services. Conclusions : The results of this study indicate that rehabilitation long-term care hospitals should try to improve the overall satisfaction of inpatients, especially focusing on the internal physical environment and the quality of the rehabilitation services and medical services, which will lead to a high level of intention for patients to revisit.

• Journal of muscle and joint health
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• v.29 no.3
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• pp.176-184
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• 2022

Purpose: This study attempted to examine the degree of nursing professionalism, job stress, nursing work environment, and person-centered care of clinical nurses, and also to identify the relationship between the variables and the factors affecting person-centered care. Methods: Participants included 162 nurses with a clinical experience of six months or more, who have worked at hospitals with more than 500 beds in Gangwon Province. Results: Person-centered care showed a statistically significant positive correlation with nursing professionalism (r=.43, p<.001) and nursing work environment (r=.34, p<.001). The adjusted R² was 0.266, indicating that the measured variables explained 26.6% of the variance in person-centered care. Nursing professionalism had the greatest impact on person-centered care among clinical nurses (β=.37, p<.001), followed by job stress (β=.21, p=.005), nursing work environment (β=.19, p=.007), and master's or higher degree (β=.15, p=.036). Conclusion: The findings show that four factors affect person-centered care: nursing professionalism, job stress, nursing work environment, and education level. For clinical nurses to provide high-quality person-centered care, it is necessary to strengthen nursing professionalism, address job stress and improve nursing work environment.

• International Journal of Advanced Culture Technology
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• v.11 no.2
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• pp.249-255
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• 2023

This study aims to empirically confirm the effect and impact of community care design research centered on domestic space and environment on health promotion, diagnosis treatment, disease management, rehabilitation, and mitigation through the year of publication and perspective. To this end, based on 1,227 space and environment design studies from 2,144 community care design research data conducted for about 20 years from 2002 to 2022, when care services began in earnest through the long-term care system for the elderly, SPSS 26.0 was used to create a 'Multi-layer Perceptron' artificial neural network structure model was predicted and neural network analysis was performed. Research Results First, as a result of checking studies in each field of health care by year, there is a significant difference with the number of studies related to health promotion being the highest. Second, the five perspectives are region, time, dimension, function, and content perspective. As a result of inputting these variables as independent variables and analyzing their importance in the artificial neural network, the function perspective had the most influence, followed by the region > content > dimension > time perspective.

• Journal of Korean Academy of Rural Health Nursing
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• v.1 no.1
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• pp.5-10
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• 2006

Purpose: This study was done to identify strategies for the reform of the primary health care delivery system in rural areas. Methods: Official documents on changes in the rural health care environment were reviewed along with previous articles on reform of the health care delivery system in rural areas. Results: The primary health care system in rural areas of South Korea has not been well developed by the government. The government has mainly invested in hardware like facilities and equipment but, not in software like the delivery system or personnel. Nowadays every country is confronted with an aging society, which means an increase in the prevalence of chronic disease. Thus they have again become interested in primary health care delivery system. Further, characteristics of the primary health care system have changed to be more comprehensive and to focus on chronic disease. The primary health care system in rural areas should have basic health care functions and a visiting medical officer(doctor) connected with basic health care. Conclusions: The primary health care delivery system is the best strategy when adjusted to the characteristic of the chronic diseases that are prevalent today. Cooperation of the central government and local government is important if these changes are to be realized.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.1
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• pp.5-17
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• 2022

Purpose: This study aimed to investigate the role of hospital-based home health nursing in community care by examining the institutional progress of hospital-based home health nursing and the current status of home health nursing in Korea. Methods: Korean research data, national statistical data, government press releases, and related laws were investigated to clarify the role of hospital-based home health nursing in community care. Results: Korean visiting medical care services, including hospital-based home health nursing, was not found to be sufficient nationwide. The supply of home health nursing did not increase due to the nature of the visiting services that required transportation time, poor profitability due to insufficient insurance fees, and increase in acute beds. Conclusion: The nature of the Korean medical environment and visiting medical care makes it challenging to establish a visiting medical supply system for community care. Therefore, hospital-based home health nursing is an important infrastructure for visiting medical care, and will be a valuable resource to link discharged patients returning to the community when moving health care services. Hence, laws and institutional supplementation to expand the role of home health nursing agencies nationwide are needed along with addressing the limitations in the supply of home health nurses.

• Journal of The Korea Institute of Healthcare Architecture
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• v.19 no.1
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• pp.35-46
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• 2013

Purpose: Health is one of the most important interests in current and future human society. Various efforts, which to maintain and promote their good health conditions, continue to be tried in future urban and architectural environment. The purpose of this study is to establish an integrated framework of research approaches for healthy urban and architectural environment that continuously promotes health according to people's entire life course. Methods: This was done by literature reviews, which is related to interdisciplinary researches for the determinants of health and healthy environment. Results: As a result of this study, an integrated research model, as a methodology, was proposed. This explains the concept of integrated research approaches for urban and architectural environment in the respect of people's health. Integrated health concept includes not only the area of health care environment to have recovery and treatment but also the daily living environment for people who have potential of being ill, and finally the city environment for entire people as health supporting elements including safety and primary prevention. Implications: Under the basis of this model, according to the life course, various researches on sustainable healthy urban and architectural environment should be followed from now on. The model should also be continuously complemented and developed into a standard of healthy environment.

• Journal of Korean Public Health Nursing
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• v.29 no.3
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• pp.528-539
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• 2015

Purpose: The aim of this study is to provide baseline data on the housing environment of a vulnerable population. Methods: This study provides a descriptive survey on the housing environment of a vulnerable population of a city in Gyeong-gi province. A total of 9,061 households were selected as research participants. Data were collected through face-to-face interviews by visiting nurses from February 2014 to March 2014. Results: Interviewees answered "poor" on items including cold drafts, illumination, daylight penetration, inflow of polluted air, house odor, stairs safety, noise, mold, pests, and ventilation. The score for housing environment problems showed a significant group difference due to gender, age, economic status, family type, type of housing, and type of ownership. Conclusion: These results indicate that the vulnerable population is exposed to a poor housing environment. Thus, there is an urgent need to improve the housing environment for the vulnerable population. Based on this study, linking a visiting health care service program and housing environment improvement projects from relevant administrative agencies might be recommended in order to effectively improve the housing environment.

• Asian Pacific Journal of Cancer Prevention
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• v.16 no.17
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• pp.7401-7407
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• 2015

Cervical cancer continues to be a serious public health problem in the developing world, including China. Because of its large population with geographical and socioeconomic inequities, China has a high burden of cervical cancer and important disparities among different regions. In this review, we first present an overview of the cervical cancer incidence and mortality over time, and focus on diversity and disparity in access to care for various subpopulations across geographical regions and socioeconomic strata in China. Then, we describe population-based cervical cancer screening in China, and in particular implementation of the National Cervical Cancer Screening Program in Rural Areas (NACCSPRA) and the challenges that this program faces. These include low screening coverage, shortage of qualified health care personnel and limited funds. To improve prevention of cervical cancer and obtain better cancer outcomes, the Chinese government needs to urgently consider the following key factors: reducing disparities in health care access, collecting accurate and broadly representative data in cancer registries, expanding target population size and increasing allocation of government funding for training of personnel, improving health education for women, enhancing quality control of screening services and improving a system to increase follow up for women with positive results.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.17 no.11
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• pp.2693-2698
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• 2013

As our country is currently facing "aging society," people demands for qualitively and quantitatively better social welfare services. In particular, the abruptly rapid increase in the elderly population requires various welfare services and medical care related to the elderly. It is urgent to resolve these demands. Also, IT technology in Korea is developing rapidly, and U-Health, a part of the Ubiquitous field is under the actively ongoing researches. In this paper, we studied the Elderly care system model suing U-Health technology. We designed the care system of the residential environment designed specific for the elderly. Additionally, based on that design, we studied the elderly care system using the ubiquitous technology. Since this elderly care system combines the existing community-based model and IT technology in conjunction with other mobile devices, we may supply a new care service application, thus solving the problems of the existing care and medical services.

• Health Policy and Management
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• v.9 no.2
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• pp.139-156
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• 1999

Recent changes in the health care environment have directed increasing attention to the number and specialty mix of practicing physicians. A major concern identified in Korean health care system is the serious oversupply of specialists and a relative lack of primary care physicians. Currently only 21% of Korean physicians are primary care physicians(general practitioners and family physicians), and less than 10% of recent medical school graduates are choosing to enter primary care. More primary care physicians are needed to deal with major problems in the current health care system, such as cost and access. The infrastructure that relies on primary care physicians is needed to deliver cost-effective and efficient care. To achieve a better balance of primary care to non-primary care physicians. more medical students need to choose careers in one of the primary care specialties(family medicine. internal medicine and pediatrics). This paper suggests the necessity of reforming the Korean graduate medical education system, that is, establishing the path of training primary care physicians in internal medicine and pediatrics residency training programs.