• 제목/요약/키워드: Health Services Research

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지속적·포괄적 재활서비스 제공을 위한 장애인 통합 데이터베이스 및 활용체계 연구 (A Study on Disability Database and Applicable System to Provide Continuous and Comprehensive Rehabilitation Service)

  • 이희연;호승희;강현규;이승영
    • 보건행정학회지
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    • 제21권2호
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    • pp.279-308
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    • 2011
  • Background : Demands have increased for a variety of welfare services and customized services for persons with disabilities(PWD). A management System focused on PWD was needed to provide for comprehensive services. The purpose of this study was to design a disability database and an application system in order to provide continuous and comprehensive rehabilitation service for PWD. Methods : We analyzed local and abroad disability-related policies and systems and derived the contents that should be included in the integrated database for PWD through a survey among rehabilitation specialists. Result : The integrated database for PWD was composed of 7 categories including General Characteristics, Health & Medicine, Assistance, Education, Employment, Economics and Daily & Social Life. The applicable system of integrated database for PWD was proposed to help conducting policies in such areas as follows ; 'welfare', 'education and culture', 'economic activity', 'social participation' and 'Health'. Conclusion : The main goal of disability policy and strategy should be established by systematically analyzing disability-related data integrating database of PWD. Accordingly, specific objectives and directions for disability policies should be set and efficiently managed and operated. The integrated database for PWD may be utilized for disability-related policies and service monitering, sustainable and integrated management and community participation and integration based on the rights of the disabled.

건강정보전문사서의 역할 및 자격제안에 관한 연구 (A Study on Investigating Roles and Qualifications of Health Information Librarian)

  • 노영희
    • 한국도서관정보학회지
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    • 제44권4호
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    • pp.93-122
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    • 2013
  • 본 연구에서는 전문사서 유형 중 최근 웰빙 및 건강에 대한 관심이 증가하면서 그 역할이 증대되고 있는 건강정보전문사서의 역할을 규명하고자 하였다. 즉 구인구직사이트 분석을 기반으로 건강정보전문사서가 갖추어야 할 학력, 경력, 수행할 직무 등을 제시하고자 하였다. 연구결과 첫째, 건강정보전문사서의 명칭은 매우 다양하게 나타나고 있으나 공공도서관에는 건강정보 전문사서, 병원도서관 및 의학도서관에는 의학전문사서의 명칭이 적합하다고 본다. 둘째, 건강정보전문사서는 석사 이상의 문헌정보학 교육 경력 및 학사 이상의 건강관련 교육 경력이 요구된다. 셋째, 적어도 2년 이상의 해당분야 경력이 요구되며 특히 건강정보서비스 경험이 요구된다. 넷째, 뛰어난 커뮤니케이션 능력 및 대인관계능력이 요구되며, 특히 건강관련 정보자원에 대한 높은 지식이 요구된다. 다섯째, 수행해야 할 주요 직무는 도서관운영업무, 교육업무, 연구업무, 정보자원의 접근과 공유업무, 장서관리 업무, 정보관리기술업무, 지지활동 등이 있다.

한국농촌노인의 건강증진관리요구에 관한 연구 (A Study on Health Promotion Needs Assessment of the Rural Elderly in Korea)

  • 조소영;김점자
    • 한국보건간호학회지
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    • 제10권2호
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    • pp.146-161
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    • 1996
  • This study was purposed to find health promotion and care needs of the elderly in rural area of Korea. As the rural elderly are limited in accessibility to health care resources and could not immediately solve their health care needs when they need. health promotion and care services are expected to bring better and more practical solutions of their health care needs. Thus, the type of health care services to be developed in Korea rural area is discussed to have emphasis on health care service component in addition to health promoting components. Methods of this study was based on survey data analysis : total 322 persons aged older than 55 living at one 'Kun' in Korea administrative unit were interviewed by health workers working at the region and also get trained for this study data collection. The data collection interview was continued from February till May in 1996. The interview questions were modified with adjustment to Korea situation. with basis of the WHO's health promotion program components. The collected data were analyzed using SAS program for frequency, correlation, regressions. The major findings were as follows : (1) $74.8\%$ of the surveyed were sick at the survey time point. and $95.9\%$ known the diagnosis name of the disease. The most frequently complained diseases were Muscular-Skeletal diseases $(43.7\%)$. $34\%$ of those sick had never treated or discontinued therapeutic procedures. so that shown the necessity of systematic and usual health care services with health promotion program development for the elderly. (2) The percent of those who make social participation was $95.3\%$. and the activities were visiting neighbors $(70.4\%)$ and lack of qualified social activity programs. (3) $78.1\%$ of the surveyed had health counseling and education from professional health workers. Those ceased smoking and drinking were $59.6\%,\; 60.3\%$. respectively. Those had no application of therapeutic drugs or nutrion supplements was $40.7\%\;and\;94.1\%$ had regular meals. Those practiced exercises was low remarking $17.7\%$. (4) Positive health behaviors were better carried out by sick groups than by the healthier. except smoking. regular meals. and exercise. $17.5\%$ of sick group smoke more than one case of cigarettes. in contrast to $9.5\%$ of the healthier. (5) Mental health status was heathier among positive health behavior earners. Health counseling and education shown better score of mental health than those never counseled. (6) Positive health behavior practice frequency did not show significant differences when crossed by social activity participation status. (7) Health behaviors of the rural elderly people were carried out better when they had positive 'continuency in therapeutic procedure' 'health status'. 'familial relationship'. 'Health Status' of the rural olderly were explained by 'exercise'. 'drinking'. 'familial relationship'. 'activities of daily living'. Thus, health behaviors practice mutually interact with health status. In conclusion. the health promotion and care program component are recommended to include ation on the necessity of positive health promotion active social acitivities. pleasant life style, adaption into changes on the elderly, safety in residential area. community acitivity and resource utilization. etc .. in addition to the elderly's disability and sickness caring services.

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건강보험 건강검진 대상자들의 예방적 의료서비스 이용 특성 (Use Characteristics of Health Examinations Services from Health Insurance Subscribers)

  • 최령;황병덕
    • 한국콘텐츠학회논문지
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    • 제11권2호
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    • pp.331-340
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    • 2011
  • 본 연구의 목적은 건강검진 수검자들을 대상으로 예방과 예방적 의료서비스에 미치는 공통요인을 비교 분석, 요인별 분석에 따른 원하는 건강검진 항목의 비중을 분석하여 각각의 상대적인 검진으로 예방과 치료에 소요되는 비용절감을 할 수 있도록 기초자료를 제공하고자 시도하였다. 이 조사는 건강검진 수검자를 대상으로 2010년 04월 01일부터 05월31일까지 설문조사하여 707명을 분석한 결과는 다음과 같다. 남성의 경우 연령이 높을수록, 배우자와 함께 사는 사람은 건강검진과 암검진, 예방접종을 많이 받으며, 민간의료보험 가입자, 본인건강상태 좋을수록, 학력이 높을수록 건강검진, 암검진, 예방접종을 적게 받으며, 여성의 경우 연령이 높을수록, 임금근로자는 건강검진과 암검진을 많이 받고, 민간의료보험 및 고학력 일수록 건강검진, 암검진과 예방접종을 적게 받았다. 건강상태 및 배우자와 함께 사는 사람은 암검진과 예방접종을 많이 받는 것으로 나타났다.

노인주간보호서비스 이용 부양자의 삶의 질과 영향요인 (Factors Influencing the Quality of Life of Caregiver using Day Care Service)

  • 노현정;최연희
    • 동서간호학연구지
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    • 제19권1호
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    • pp.1-6
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    • 2013
  • Purpose: The purpose of this study was to identify factors influencing quality of life of caregivers using day care services. Methods: Data were collected from 14 different day care services in D city, with a total of 146 female caregivers as participants. All participants were at home caregivers whose patients were senior citizens older than 65. Data were collected from September 1 to 30 of 2008 and analyzed by t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: Quality of life among caregivers of day care services differed significantly according to state of health, other caregivers, job, and family income. Quality of life among caregivers showed correlation with caregiving burden. The significant predictors affecting quality of life were state of health, other caregivers, job, and family income and caregiving burden. A combination of these predictors accounted for 43.5% of the variance in quality of life. Conclusion: These findings show that quality of life of family caregivers using day care services is influenced by caregiving burden. Development of day care service programs is necessary in order to reduce caregiving burden of family caregivers for the elderly.

한국의 아동복지 정책 분석 -아동상담을 중심으로 - (An analysis on child counseling services of child welfare policy in Korea)

  • 하승민
    • 한국생활과학회지
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    • 제8권3호
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    • pp.465-476
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    • 1999
  • The purpose of this study was to analyze on child counseling services of child welfare policy in Korea. Furthermore the results of analytic research were done to serve as the basic data for guidance and policy of Korean child welfare in future. The analytic data of this study were used from yearbook of health and welfare statistics(1998), ministry of health and welfare, republic of Korea. The main results obtained were as follows. 1. There were 47 guidance centers for children in Korea, and public guidance centers were 9, and private 38. 2. There were much more guidance centers in Holt Children's Services than in any other centers. 3. In terms of the occurrence of the cases, common children were about 40%, and juvenile delinquents, the scum of the street, and runaway children were from 17 to 20% of the total cases. In conclusion, government and nongovernment should provide various counseling services for the children. The data are discussed with respect to the implication of child welfare policy for attaining counseling services.

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Feasibility to Expand Complex Wards for Efficient Hospital Management and Quality Improvement

  • CHOI, Eun-Mee;JUNG, Yong-Sik;KWON, Lee-Seung;KO, Sang-Kyun;LEE, Jae-Young;KIM, Myeong-Jong
    • 산경연구논집
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    • 제11권12호
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    • pp.7-15
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    • 2020
  • Purpose: This study aims to explore the feasibility of expanding complex wards to provide efficient hospital management and high-quality medical services to local residents of Gangneung Medical Center (GMC). Research Design, Data and Methodology: There are four research designs to achieve the research objectives. We analyzed Big Data for 3 months on Social Network Services (SNS). A questionnaire survey conducted on 219 patients visiting the GMC. Surveys of 20 employees of the GMC applied. The feasibility to expand the GMC ward measured through Focus Group Interview by 12 internal and external experts. Data analysis methods derived from various surveys applied with data mining technique, frequency analysis, and Importance-Performance Analysis methods, and IBM SPSS statistical package program applied for data processing. Results: In the result of the big data analysis, the GMC's recognition on SNS is high. 95.9% of the residents and 100.0% of the employees required the need for the complex ward extension. In the analysis of expert opinion, in the future functions of GMC, specialized care (△3.3) and public medicine (△1.4) increased significantly. Conclusion: GMC's complex ward extension is an urgent and indispensable project to provide efficient hospital management and service quality.

일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과 (The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries)

  • 안양희;김의숙;고일선
    • 지역사회간호학회지
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    • 제21권3호
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    • pp.351-361
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    • 2010
  • Purpose: This study was done to analyze the effects of tele-care case management services using secondary data. Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high-risk group or the preventive group. Casemanagement services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t-test. Results: After the case management intervention, the participants' health quality of life, self-care competency, and reasonable medical care utilization increased significantly for the high-risk group. However there were no significant changes in the preventive group. Conclusion: The results showed that the tele-care case management services were effective for high-risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

환자중심 의료서비스 평가도구 개발 (Development of Patient-Centered Healthcare Services Evaluation Scale)

  • 이소라;양남영
    • 가정간호학회지
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    • 제27권2호
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    • pp.198-209
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    • 2020
  • Purpose: This study sought to develop a scale to evaluate patient-centered healthcare services at hospitals and verify its reliability and validity. Methods: We conducted a literature review and interviewed medical personnel and practitioners in medical institutions. We also conducted a content validation and preliminary survey of experts, including 40 preliminary items. We conducted the main survey among 240 medical institution workers to assess the validity and reliability of the preliminary measurement tool. Results: The validity and reliability of the scale were assessed by 29 items underlying six factors: ease of communication, continuity and extension of the hospital's role, stable environment, emotional support, respect for patients' values, and offer of information. Cronbach's α of the whole tool was .91, while the value of each factor ranged from .82 to .74, thereby verifying its reliability. Conclusion: The patient-centered healthcare services scale was identified as a tool appropriate for healthcare professionals. This tool will be useful in a diverse range of research on the development of educational programs for patient-centered healthcare services and the promotion of patient-centered causes.