• 제목/요약/키워드: Health Resource

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요양병원 환자분류체계 개발 (Development of Patient Classification System in Long-term Care Hospitals)

  • 이지윤;윤주영;김정회;송성희;주지수;김은경
    • 간호행정학회지
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    • 제14권3호
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    • pp.229-240
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    • 2008
  • Purpose: To develop the patient classification system based on the resource utilization for reimbursement of long-term care hospitals in Korea. Method: Health Insurance Review & Assessment Service (HIRA) conducted a survey in July 2006 that included 2,899 patients from 35 long-term care hospitals. To calculate resource utilization, we measured care time of direct care staff (physicians, nursing personnel, physical and occupational therapists, social workers). The survey of patient characteristics included ADL, cognitive and behavioral status, diseases and treatments. Major category criteria was developed by modified delphi method from 9 experts. Each category was divided into 2-3 groups by ADL using tree regression. Relative resource use was expressed as a case mix index (CMI) calculated as a proportion of mean resource use. Result: This patient classification system composed of 6 major categories (ultra high medical care, high medical care, medium medical care, behavioral problem, impaired cognition and reduced physical function) and 11 subgroups by ADL score. The differences of CMI between groups were statistically significant (p<.0001). Homogeneity of groups was examined by total coefficient of variation (CV) of CMI. The range of CV was 29.68-40.77%. Conclusions: This patient classification system is feasible for reimbursement of long-term care hospitals.

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중고령 남성의 시간-소득자원 확보와 건강증진행동의 관련성: 가용이론의 적용 (Time, Money and Health Promoting Behavior of Aged Men: Looking Through the Lens of Capability Theory)

  • 차승은
    • 가족자원경영과 정책
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    • 제17권2호
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    • pp.173-194
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    • 2013
  • The purpose of this study was to examine the association between time-income availability and health-promoting behavior (physical practice, smoking, alcohol consumption) of older males (55-69). This study attempted to shed light on health-behavior changes during the transition period of male retirement. The availability of time resources was examined by addressing the amount of weekly paid labor hours. The availability of financial resources was calculated by using the debt-income ratio. The study sample comprised 1,372 (age range 55-69) male respondents of the 2006 Korean Longitudinal Study of Aging (2006 KLOSA wave 1). The results of CHAID (CHi-squared Automatic Interaction Detection) analysis uncovered four distinctive combinations of resource types: time-money poor, time rich, money rich, time-money rich. According to logit results, these four groups had different socio-demographic profiles and different health-behavior risks. The time-money poor males were unlikely to perform physical activities needed to improve their health or to quit smoking or alcohol consumption. This group was also more likely to consume alcohol compared to the time-money resource types. In contrast, the time-money rich group was more likely to exercise longer and more frequently than the reference group (time and money poor). The time-rich types, those who have time-only resources and less money, were likely to be smokers and have problems with alcohol consumption.

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Intestinal parasitic infections among children aged 12-59 months in Nyamasheke District, Rwanda

  • Evariste Hakizimana;Ju Yeong Kim;Singeun Oh;Moonsoo Yoon;Tai-Soon Yong
    • Parasites, Hosts and Diseases
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    • 제61권3호
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    • pp.304-309
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    • 2023
  • Intestinal parasitic infections are a public health burden and a major cause of illness in developing countries. The diseases lead to various health threats, including growth retardation and mental health-related disorders, especially in children. We assessed the risk factors for intestinal parasitic infections among children aged 12-59 months residing in Nyamasheke District, Rwanda. A cross-sectional descriptive study was conducted using secondary data from 1,048 children aged 12-59 months whose stool samples were examined for the presence of intestinal parasites and whose results were registered in the laboratory information system in 2020. The prevalence of intestinal parasites in children aged 12-59 months was 53.2%. The dominant parasites were Ascaris lumbricoides (13.1%), followed by Giardia lamblia (10.9%), Entamoeba histolytica (7.9%), Trichuris trichiura (6.5%), hookworms (1.7%), and Taenia species (1.4%). A significant association was observed between intestinal parasites and the literacy of mothers or children's caregivers (odds ratio (OR)=5.09, P<0.001). Children from farming households were 2.8-fold more likely to contract intestinal parasitic infections than those from nonfarming households (OR=2.8, P<0.001). A significant association was also observed between intestinal parasites and food safety (OR=4.9, P<0.001). Intestinal parasitic infections were significantly associated with hand hygiene practices after using the toilet and washing fresh fruits before eating (P<0.001). The information gathered will help public health providers and partners develop control plans in highly endemic areas in Rwanda.

Taking a Closer Look at Bus Driver Emotional Exhaustion and Well-Being: Evidence from Taiwanese Urban Bus Drivers

  • Chen, Ching-Fu;Hsu, Yuan-Chun
    • Safety and Health at Work
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    • 제11권3호
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    • pp.353-360
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    • 2020
  • Background: Urban bus drivers work under conditions that are among the most demanding, stressful, and unhealthy with higher rates of mortality and morbidity as well as absenteeism and turnover. Methods: Drawing on the job demand-resource model, this study investigates the impacts of job characteristics on emotional exhaustion and the effects of emotional exhaustion on job outcomes (including job satisfaction, life satisfaction, organizational commitment, and turnover intention) in the context of bus drivers. Results: Using self-reported survey data collected from a sample of 320 Taiwanese urban bus drivers, results reveal that role overload and work-family conflict (as job demand factors) positively relate to emotional exhaustion, and organizational support (as a job resource factor) is negatively associated with emotional exhaustion. Emotional exhaustion has negative effects on both job satisfaction and organizational commitment. Job satisfaction positively leads to life satisfaction, whereas organizational commitment negatively relates to turnover intention. Conclusion: This study concludes that role overload and work-family conflict as two stressors related to job demands and organizational support as the job resource factor to affect emotional exhaustion which further influence well-being in bus driver context. The moderating effects of both extraversion and neuroticism on the relationship between job demands and emotional exhaustion are evident.

보건교육 관련 교과목의 표준 교육과정 개발 (Development of Curriculum Standards for Courses in Health Education)

  • 오영아;최승희;김광기;김명;김영복;김혜경;배상수;이주열;지영건;최연희
    • 보건교육건강증진학회지
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    • 제28권1호
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    • pp.11-22
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    • 2011
  • Objectives: This study aims to provide baseline information for health educator training, standards for university curriculum on health education and health educator training, and ultimately to help settling the national qualification system for health education specialists. Results and Conclusion: Based on literature review and professional taskforce meetings, we discuss: 1) Principles for course standards; and 2) Objectives and content standards for 9 required courses for health education specialists. The curriculum standards could be used for the course evaluation run by Korea Health Educator Qualification Management Office, and as a guiding principle for the development of courses and curricula for health education and health educator training.

A book review; "Rare earth elements in human and environmental health; at the crossroads between toxicity and safety"

  • Rim, Kyung-Taek
    • Journal of Applied Biological Chemistry
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    • 제60권3호
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    • pp.207-211
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    • 2017
  • It is introduced an outstanding book about an important topic in occupational and environmental sciences i.e., the opportunities and challenges that may be connected with increasing the use and distribution of rare earth elements. These chemically similar elements, comprising the lanthanides, scandium, and yttrium, are involved in a number of essential technological applications, and their effects raise a number of human health issues of relevance to the occupational and environmental sciences. The book that I introduced here, "Rare Earth Elements in Human and Environmental Health; At the Crossroads between Toxicity and Safety" edited by Giovanni Pagano (Pan Stanford Publishing Pte. Ltd., Temasek Boulevard, Singapore) represents a break from that situation. It is essential to increase our knowledge about the environmental fate and biological effects of these technologically important metals in order to prevent unforeseen long-term man-made consequences to human health. This book is likely to become an important resource for scientists, engineers, and decision makers who understand the need for sensible exploitation of this resource.

일본 노인들의 라이프스타일과 건강상태에 관한 연구 (Life Styles and Health Care Behaviors: The Study on Japanese Elderly)

  • 문숙재;최혜경;정순회
    • 가족자원경영과 정책
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    • 제5권2호
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    • pp.99-113
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    • 2001
  • The purpose of this study is to investigate the relationships of the life style to health care behavior among Japanese elderly. The sample was composed of 89 older people over 60 years old who live in Osaka area in Japan. Major findings are as follows: 1) Japanese elderly have strong interests in health care and put themselves out to care health, 2) Japanese elderly are likely to be benefited with the medical treatment in hospital, but not economically dependent upon their children, 3) Their life style reflects both Japanese traditional collectivism and the neo-aging cultural value, and 4) Life style patterns of the Japanese elderly are related to their health state and health care behaviors.

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Occupational Health and Safety Management and Turnover Intention in the Ghanaian Mining Sector

  • Amponsah-Tawiah, Kwesi;Ntow, Michael Akomeah Ofori;Mensah, Justice
    • Safety and Health at Work
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    • 제7권1호
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    • pp.12-17
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    • 2016
  • Background: The mining industry is considered as one of the most dangerous and hazardous industries and the need for effective and efficient occupational health and safety management is critical to safeguard workers and the industry. Despite the dangers and hazards present in the mining industry, only few studies have focused on how occupational health and safety and turnover intentions in the mines. Method: The study suing a cross-sectional survey design collected quantitative data from the 255 mine workers that were conveniently sampled from the Ghanaian mining industry. The data collection tools were standardized questionnaires that measured occupational health and safety management and turnover intentions. These scales were also pretested before their usage in actual data collection. Results: The correlation coefficient showed that a negative relationship existed between dimensions of occupational health and safety management and turnover intention; safety leadership (r = -0.33, p < 0.01); supervision (r = -0.26, p < 0.01); safety facilities and equipment (r = -0.32, p < 0.01); safety procedure (r = -0.27, p < 0.01). Among these dimensions, safety leadership and safety facility were significant predictors of turnover intention, (${\beta}=-0.28$, p < 0.01) and (${\beta}=-0.24$, p < 0.01) respectively. The study also found that turnover intention of employees is heavily influenced by the commitment of safety leadership in ensuring the effective formulation of policies and supervision of occupational health and safety at the workplace. Conclusion: The present study demonstrates that safety leadership is crucial in the administration of occupational health and safety and reducing turnover intention in organizations.