• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2011년도 추계학술논문집 1부
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• pp.189-193
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• 2011

본 연구는 2011년 9월부터 10월까지 부산 경남지역의 병원에 근무하고 있는 간호사 총 153명 간호대학생 총 147 명을 대상으로 설문 조사 수집하였으며, 300 를 배부하여 자료가 불충분한 100 부를 제외하고 최종 200부를 분석하였다. 조사자의 직접방문을 통한 개인별 면담으로 조사하였다. 본 연구에서는 건강한 사람보다는 불건강한 즉 질병에 노출된 가능성이 많은 사람들을 간호대상으로 하는 간호학생과 간호사의 영적 요구도를 파악하고 비교하기위한 목적으로 수행하였다. 따라서 향후 연구에서는 본 연구의 결과를 토대로 간호대학생과 간호사의 영적 요구 도를 파악하고 그것을 바탕으로 간호대상자의 영적간호에 더욱 효율적이고 체계화된 교육프로그램 개발이 필요한 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권19호
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• pp.8209-8213
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• 2014

Background: Cervical cancer is a common, preventable and manageable disease in women worldwide. Objectives: This study was conducted to determine the cost of follow-up for suspicious precancerous cervical lesions within a screening program using Pap smear or HPV DNA test through the decision tree. Materials and Methods: Patient follow-up processes were determined using standard guidelines and consultation with specialists to design a decision tree model. Costs of treatment in both public and private sectors were identified according to the national tariffs in 2010 and determined based on decision tree and provided services (visits to specialists, colposcopy, and conization) with two modalities: Pap smear and HPV DNA test. The number of patients and the mean cost of treatment in each sector were calculated. The prevalence of lesions and HPV were obtained from literature to estimate the cost of treatment for each woman in the population. Results: Follow-up costs were determined using seven processes for Pap smear and 11 processes for HPV DNA test. The total cost of using Pap smear and HPV DNA process for each woman in the population was 36.1$ and 174$ respectively. Conclusions: The follow-up process for patients with suspicious cervical lesions needs to be included in the existing screening program. HPV DNA test is currently more expensive than Pap smear, it is suggested that we manage precancerous cervical lesions with this latter test.

• 보건행정학회지
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• 제23권2호
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• pp.103-111
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• 2013

Seven diagnosis-related groups (DRGs) prospective payment system is going to expand to all hospitals including university hospitals this year. However there are few studies on the change of practice pattern under prospective payment system in the university hospital setting. So This study was intended to predict the practice pattern change after the introduction of 7 DRGs prospective payment system in a university hospital setting. To predict the change of practice pattern, this study used simulation technique. Five hundred and nineteen patients classified as 5 DRGs in a university hospital were selected for simulation. The change of practice pattern were predicted based on clinicians' opinion. We also predicted payment change by service items. Major findings of this study are as follows. First, the total medical payment was reduced by 14.4%. The drug payment change (8.8%) took most of total payment reduction. The followings are the change of treatment material cost (3.2%), the change of laboratory tests cost (1.8%), the change of room charge (0.5%), and other payment change (0.1%), respectively. Second, most of the reduction in total medical payment resulted from the decreased amount of medical services themselves. The transfer of medical services to outpatient setting took up only 4.9% of the total payment reduction. The change of unit price or composition took up 5.5% of the total payment reduction. In this study we found that it is possible to reduce the inpatient services through practice pattern change in university hospital setting. However, it needs to be careful to adjust DRG payment after the reduction of provided services, because most of reduction was not due to service transfer but to service volume reduction. It is desirable to utilize the saving from practice pattern change as incentive to improve quality of care.

• 한국직업건강간호학회지
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• 제8권1호
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• pp.103-108
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• 1999

In order to investigate the basic data for the visiting nursing care plan of Health Center in Korea, the questionnaire survey in regard to health care needs and health problems of the subjects with visiting nursing care was carried out on 131 subjects with visiting nursing care. The results were as follows : 1. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job. 2. In the health problem, the subjects symptoms were 31.2% of hypertension, 20.6% of arthritis, and 19.1% of diabetes and other chronical illness. Utilization of medical care facilities were 61.8% of private clinics or general hospitals and 29.0% of Health Center. 3. 10 areas of health care needs that subjects wanted were disease management(19.5%), demand for welfare concerns(15.7%), health promotion and disease prevention(14.2%), information for medical institution(12.3%), health management for the aged(10.8%), hospice care(8.0%), prevention of dementia(8.0%), care for mental hygiene(6.7%), management for drinking, smoking and drug abuse(3.3%), home care nursing and rehabilitation nursing(1.2%).

• 한국산업보건학회지
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• 제30권2호
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• pp.213-225
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• 2020

Objectives: In order to prepare measures to enhance construction workers' satisfaction with their working environment, the effects of working conditions and the mediating effects of safety and health information on workers' satisfaction with their working environment in the construction industry have been studied. The results of this study can be used as basic data for further studies in this field. Method: Data on 1,361 male construction workers from the 5th Korea Working Condition Survey (KWCS) were used for this study. The effects of working conditions were analyzed using SPSS 25.0 and the mediating effects of health and safety information were analyzed with SPSS PROCESS macro using the bootstrap method. Results: The safety and health management system and the self-determination of break time had a statistically significant positive effect on satisfaction with the working environment. Chemical and ergonomic risk factors had a statistically significant negative effect on satisfaction with the working environment. The provision of safety and health information, the mediating variable, had a statistically significant positive effect on satisfaction with the working environment. Therefore, it had a mediating effect between working conditions and satisfaction with the working environment. Conclusion: In order to enhance construction workers' satisfaction with their working environment, the above results suggest that the safety and health management system should be well established; self-determination of break times should be guaranteed; and chemical and ergonomic risk factors should be controlled. In addition, workers should be provided with necessary health and safety information related to their work. This study will be useful if these findings are used as basic data in further studies in related fields.

• 보건행정학회지
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• 제26권4호
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• pp.256-264
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• 2016

Equity-focused public health policy has solid theoretical and practical basis, in addition to ethical one. In the Republic of Korea (hereafter Korea), however, equity in health has not had a high priority in policy goals, regardless of policy areas and particular actors or approaches. Equitable health has been only a minor concern in most public health issues and their decision-making. Generic public health policies are needed to reduce inequity in health, but the importance of a firm basis for sound policy-making cannot be overemphasized. Health equity should be 'mainstreamed' in all public health policies. Potential approaches include intersectoral collaboration, health impact assessment, and 'Health in All Policies.' Public policy agendas for equitable health cannot be formulated without measurement and recognition of the problem. Korea is still suffering from the lack of reliable information on the current status of health inequity, resulting in a relatively weak awareness of the problem among both the general public and policy-makers. More information is needed to increase recognition and awareness that will increase intervention and actions. The absence of decision-making and actions should not be justified even by the lack of information on determinants and pathways of health inequities. Generic plausible solutions can often work in the real world according to political and social commitment. I have discussed several aspects of public health policy from the perspective of health equity, focusing on current status and plausible explanation. Policy process, agenda setting in particular, is highlighted and theories and concepts are presented along with analysis and description of current situation.

• 디지털산업정보학회논문지
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• 제12권3호
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• pp.215-230
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• 2016

This study aims to investigate how health belief of adult female users of the health training center affect health-promoting behavior through self-efficacy and exercise satisfaction. The proposed model is based on health belief model of Rosenstock et al. To validate the proposed model, PLS analysis is performed with the valid 177 questionnaires collected from Seoul and nearby cities. The results are as follows. First, perceived severity has a positive effect on self-efficacy, not on exercise satisfaction. Second, perceived susceptibility does not has a positive effect on both self-efficacy and exercise satisfaction. Third, perceived barriers has a positive effect on self-efficacy, not on exercise satisfaction. Fourth, perceived susceptibility has a positive effect on both self-efficacy and exercise satisfaction. Fifth, self-efficacy has a positive effect on exercise satisfaction and health-promoting behavior. Sixth, exercise satisfaction has a positive effect on health promoting behavior.

• 보건행정학회지
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• 제26권4호
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• pp.271-278
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• 2016

Background: This study purposed to analyze the relationship between regional obesity rates and regional variables. Methods: Data was collected from the Korean Statistical Information Service (KOSIS) and Community Health Survey in 2012. The units of analysis were administrative districts such as city, county, and district. The dependent variable was the age-sex adjusted regional obesity rates. The independent variables were selected to represent four aspects of regions: health behaviour factor, psychological factor, socio-economic factor, and physical environment factor. Along with the traditional ordinary least square (OLS) regression analysis model, this study applied geographically weighted regression (GWR) analysis to calculate the regression coefficients for each region. Results: The OLS results showed that there were significant differences in regional obesity rates in high-risk drinking, walking, depression, and financial independence. The GWR results showed that the size of regression coefficients in independent variables was differed by regions. Conclusion: Our results can help in providing useful information for health policy makers. Regional characteristics should be considered when allocating health resources and developing health-related programs.

• 정보관리학회지
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• 제30권3호
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• pp.49-70
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• 2013

본 연구는 인터넷 서점의 건강분야 분류체계의 개선방안으로 이를 위해 국내 외 8곳의 인터넷 서점의 건강분야 분류체계 현황을 비교분석하고, KDC, DDC의 해당 주제 분류항목과 비교 분석하였다. 그리고 인터넷 서점의 건강분야 분류체계의 이용에 대한 이용자 면담을 진행하였다. 그 결과를 바탕으로 설계원칙을 수립하고, 인터넷 서점의 건강분야 분류체계 설계안을 개발한 후, 실무자와 전문가 평가를 받아서 건강이란 대분류 아래 11개의 중분류 항목과 60개의 소분류 항목, 16개의 세분류 항목으로 제시하였다. 본 연구의 결과는 인터넷 서점은 물론 웹상에서 건강 관련 정보를 효율적으로 분류하는 기반이 될 것이다.

• 보건행정학회지
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• 제30권1호
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• pp.15-25
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• 2020

While healthcare data sets include extensive information about patients, many researchers have limitations in analyzing them due to their intrinsic characteristics such as heterogeneity, longitudinal irregularity, and noise. In particular, since the majority of medical history information is recorded in text codes, the use of such information has been limited due to the high dimensionality of explanatory variables. To address this problem, recent studies applied word embedding techniques, originally developed for natural language processing, and derived positive results in terms of dimensional reduction and accuracy of the prediction model. This paper reviews the deep learning-based natural language processing techniques (word embedding) and summarizes research cases that have used those techniques in the health care field. Then we finally propose a research framework for applying deep learning-based natural language process in the analysis of domestic health insurance data.