• 동서간호학연구지
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• 제25권2호
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• pp.157-165
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• 2019

Purpose: This study aims to provide basic data for the development of measures and promoting home health nursing by examining the current status and trends in home health nursing for long-term care (LTC) insurance beneficiaries. Methods: Secondary data, including annual LTC insurance statistics reports for 2010-2017 and LTC manpower data, were used to compute current status and trends in the provision of home health nursing. Results: Beneficiaries of home health nursing under LTC insurance, insurance-covered costs for home health nursing, home health nursing provider, and home health nursing providing institution only accounted for 3% of all insurance-covered home care services, and were on a consistent decline since 2010. In particular, vulnerable rural regions with high proportion of individuals had poor infrastructure in terms of home health nursing institutions and manpower, but had a higher home health nursing utilization rate compared to urban regions. Conclusion: In addition to measures to support home health nursing service beneficiaries, policy measures are needed to support home health nursing service personnel and institutions. Furthermore, programs to cultivate the expertise of home health nurses and improve quality of home health nursing services should be developed in order to promote home health nursing utilization in vulnerable rural regions.

• 지역사회간호학회지
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• 제21권4호
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• pp.398-408
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• 2010

Purpose: The purpose of this study was to describe and understand elementary school health teachers' role perception in their own perspectives. Methods: Data were collected from three focus groups composed of five participants for each group. Each focus group had an interview for two and a half hours on the average. The main question was "What is your perception on the roles of health teachers in elementary schools?" Qualitative data from transcribed notes and field notes were analyzed using qualitative content analysis. Results: Five main roles were identified from the participants. The participants perceived themselves as 'an expert of health education in school and community', 'a health service provider for school members', 'a health guardian for school members, the coordinator of healthcare related works in school, and the leader of school health. Conclusion: The participants have multiple role identities, which are very important for health management of school members. And the roles such as an expert of health education and a leader for school health are recently emphasized. The findings of this study can provide useful information to design orientation programs for newly appointed health teachers and continuing education programs for enhancing role performance of health teachers in elementary schools.

• 대한간호학회지
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• 제18권2호
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• pp.189-196
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• 1988

Health, a major concept in nursing, has not yet consistent or agreed upon definition. Although effective health care depends on clear communication between health care provider and client clear definition of health would enhance the promotion of quality in health care. There are no agreed definitions or criteria for overall health. An essentialstep would seem to be to determine commonly held meaning about the concept of health. Therefore, the study was aimed at identifying the Adult's perceptions of health concept. The subject's consisting of 312 adults, who were sampled through area sampling from May 10 to May 30,1988. The instruments used for this study were Health Conception Scale, which was developed by Smith, Laffrey's revised and tested its reliability. The data was Analyzed by S.P.S.S. program and the results were as follows ; 1. The results of the reliability test for content of health concept was $\alpha$＝.87. 2. The respondents perception of Health Meaning were inclined to emphasize the functional / role performance dimension rather than clinical dimension. 3. The perceptual level of health concept was proved to be significantly different by the variable : age, sex, religion, area marital status. In conclusion, adult's perception of Health Concept is revealed that functional and role performance dimension is more important than other dimensions. Futher study is necessary to clarify the structure of functional, adaptive, eudaimonistic dimension and systematic study with subculture will be and repetitive verification and modification of this tool is demanded.

• 농촌의학ㆍ지역보건
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• 제49권3호
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• pp.205-215
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• 2024

Objective: This study aimed to estimate the impact of having and the type of usual source of care on the health literacy of rural residents. Methods: Using data from the 2021 Korea Health Panel Survey, the regression model was estimated, in which the presence and type of usual source of care, categorized as medical institutions and primary care physicians, were incorporated as explanatory variables. The level of health literacy was used as the dependent variable. Additionally, statistical analysis was conducted to compare how socio-demographic backgrounds and the presence and type of usual source of care are associated with health literacy between urban and rural residents. Results: The effect of usual source of care on the level of health literacy was significant only when the service provider was the public health institution. However, this effect was smaller for rural residents than for urban residents. When the usual source of care was an internal medicine or Korean traditional medicine doctor, the level of health literacy increased than the other types of doctor. Conclusion: To improve rural residents' health literacy, it is necessary to enhance access to public health care service and provide education programs.

• 보건교육건강증진학회지
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• 제15권2호
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• pp.105-117
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• 1998

This study was conducted in order to identify quality of life(QL) and it's related factors in college students in Korea. The data were collected at september, 1996, using the instrument of QL. It was measured by a 5-point scale, composed of 20 questions, 4 regions; “the region of task”, “the region of life style”, “the region of mentalㆍemotional health” and “the region of physical health”. The subjects of this study were 413 college students. Data were analyzed with t-test, ANOVA -test using SPSS program. The results were as follows. 1. The lowest mean of QL score was 2.685 in the region of task. And the mean of QL score in the region of life style was 2.772, in the region of mentalㆍemotional health 3.114, in the region of physical health 3.323. 2. There were significant relation between “sex” and “QL” in the regions of task(p〈 .05), mentalㆍemotional health(p〈.01), and physical health(p〈.01), between “resident patterns” and “QL” in the regions of task(p〈.05), life style(p〈.01), and mentalㆍemotional health (p〈.01), between “meal provider” and “QL” in the regions of mentalㆍemotional health(p〈.05), between “monthly pocket money” and “QL” in the regions of mentalㆍemotional health(p〈.05). Mean score of QL on the subjects who exercised regularly was statistically significant higher than others' in the regions of task(p〈 .05) and physical health(p〈 .05). And QL score of working students for money was statistically significant higher than others' in the regions of physical health(p〈.05).

• 보건행정학회지
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• 제23권4호
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• pp.343-348
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• 2013

Background: Price control alone may not successfully restrain growth in health expenditures. This study aimed to propose fee adjustment model suitable for Korea reflecting health service volume and to clarify applicability of the model by comparing actual conversion factor with estimated conversion factor from simulation of this model. Methods: Fee adjustment model was developed based on Alberta's fee adjustment formula in Canada and 7 alternatives were assessed according to diversely applied parameters of the model. Results: Estimated conversion factors of the tertiary care hospital and the hospital were lower than actual conversion factors, since the utilization of heath service has been increased. However, there was no big difference between estimated conversion factors and actual conversion factors of the general hospital and the clinic. Eventually this fee adjustment model could estimate proper conversion factor reflecting health service volume. Conclusion: This model may be applicable to the mechanism as determining conversion factor between insurer and provider via negotiation and controling growth in health expenditures.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.29-40
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• 2016

Purpose: The purposes of this study were to examine the differences in need, necessity, performance, barriers, and effectiveness of workers' health promotion program and to determine the influencing factors in effectiveness of workers' health promotion program by business types. Methods: Subjects were participants of an education held by Korean association of occupational health nurses and a survey was self-reported. Survey items were developed by researchers through literature review. It included general characteristics of occupational health providers and worksites, need, necessity, performance, barriers and effectiveness of workers' health promotion (WHP) program. The total number of worksites was 168, manufacturing/construction was 76 (45.2%), other services were 52 (31.0%), and healthcare services were 40 (23.8%). We used ${\chi}^2test$, ANOVA test, correlation analysis, and multiple regression analysis. Results: There were differences in need, necessity and performance of WHP by business types. In healthcare services, WHP had statistically significant effectiveness to reduce turnover rates. And the influencing factors of WHP's effectiveness were workers' need in manufacturing/construction, health provider's career in other services, and perceived necessity in healthcare services. Conclusion: Based on this result, we propose differentiated strategies depending on the business types for effective workers' health promotion program.

• 한국학교ㆍ지역보건교육학회지
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• 제11권1호
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• pp.149-158
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• 2010

Background & Objectives: Rising concerns about patient safety and looming health provider shortages were generating new recognition for an old idea. Interprofessional education means that two or more professions learn with, from and about other to improve collaboration and the quality of healthcare. The University of British Columbia established the College of Health Disciplines in 2001 to examine the merits of interprofessional health education. The objective of this study was to review UBC's interprofessional health education and to introduce the theoretical framework of interprofessional education for collaborative patient-centered practice. Methods: This study was conducted with the materials relevant to the interprofessional education. We reviewed the journals and Web site for this subject and we obtained interview data from administrators in the University of British Columbia, College of Health Disciplines. Results: We introduced interdisciplinary education for collaborative patient-centered practice model. It is assumed valuable model in preparing the interprofessional education as well as theoretical framework for implementation. We preseuted the example for interprofessional education of the College of Health Disciplines, University of British Columbia. Conclusion: We need to introduce the interprofessional education at the health care departments of University or College in Korea.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.34-43
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• 2005

Purpose: The purpose of this study is to develop the curriculum model for occupational health nurse specialist in Korea. Method: Internet searching was conducted to analyze the type of master program for occupational health nurses in the U. S. To identify the importance of occupational health nurse specialist (OHNS)'s role, self-administrative questionnaire survey was done to335 occupational health nurses through postal mail and continuing education in 2003. SPSSWIN 10.0 was used for data analysis. Results: In the U. S., two main types of nurse practitioner program and nurse manager program are separately operated for occupational health nurses as master level. Under the governmental support, geographical and financial barrier can be decreased through the distance learning and the appointment of regional ERC. Most occupational health nurses recognized importantly the role of OHNS as direct care provider, educator, consultant, and manager. Conclusion: It is recommended that the job standard for OHNS needs to be developed, and regulation has to be changed for the diverse curriculum based on the need of occupational health nurses, and governmental support must be strengthened for occupational health nurses to apply more easily to the program.

• 보건교육건강증진학회지
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• 제32권4호
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• pp.59-65
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• 2015

Objectives: Health screening in Korea is very active in both the public and private sector. However, primary prevention for health promotion has not been activated yet. Quaternary prevention is the prevention of unnecessary medical interventions or the prevention of overmedicalization. Methods: Data was collected after a search of the literature focusing on keyword. The curriculum guidelines for family medicine residents were collected from the homepage of the American Academy of Family Physicians. Results: This quaternary prevention is just beginning. The first step to enhance the health promotion services in the community is to identify the barriers pertaining to the delivering of health promotion activities. These barriers are related to the patient, the physician, attitudes, health promotion programs and the healthcare system. The second step is to establish new changes, such as expansion of insurance coverage, improvement of medical payment system, provision of consumer-oriented services, connection and integration of providers, and the service provider education and training. Conclusions: In order to enhance the health promotion services in the community we need to identify the barriers and to establish several changes to overcome them.