• 제목/요약/키워드: Health care need

검색결과 2,055건 처리시간 0.024초

뇌성마비아 어머니의 경험 (Lived experience of mothers who have child with cerebral palsy)

  • 이화자;김이순;이지원;권수자;강인순;안혜경
    • Child Health Nursing Research
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    • 제2권1호
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    • pp.93-111
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    • 1996
  • The purpose of the study is to identify the lived experience of mothers who have children with cerebral palsy in order to understand their agony. Moreover, the result of study was to find some nursing intervention for disabled children and their mothers. For this purpose, ten mothers who are willing to cooperate with this research were selected at random from those who have children with the cerebral palsy, currently using the municipal facilities for the handicapped with cerebral malfunction. Data collection was done from October 4, 1994 th December 31, 1994. The data were collected by asking the mothers mentioned above with some unstructured open-ended questions, recorded on the tapes with permission by the interviewee in order to prevent missing of the interviewed contents. These collected data have been substantiated and properly analyzed on the basis of phenomenological approach initiated by Colaizzi's method. The results and validity are proved to be credible by means of the individual checking of the interviewed mothers. The results of this study are as follows : 1. When the mother is first informed of the diagnosis of cerebral palsy on her child, she usually misses the crucial timing needed for proper treatment of the child's disorder because she is notified through the doctor's indifference and his apparently inactive, matter-of-fact attitude. At first she suspects the doctor's diagnosis and tries to attribute it to the unknown cause from a certain genetic problem and then she quickly wants to deny the whole situation that her child is really suffering from the cerebral palsy. The reality is too much for her to accept as it is and she would not believe her child is abnormal. Therefore, she even attempts depend on the power of God for its solution. 2. The mother, who goes thorough this kind of uncommon experiences, is totally devoted to the treatment and care of the child and completely ignores her own life and happiness. At the same time, she feels sorry for her other normal children she believes having not enough care and concern. Also, she feels sorry for the sick child when the child's brothers or sisters show special concern for the patient out of sympathy. It is sorry and not satisfied for her that the child is growing with abnormality and neighbor other around have inappropriate attitudes. Likewise, she is discontent with her husband's lack of concern about the child's treatment. She believes that the health care system in this society isn't fulfilling its due purpose. In the state of her utmost distress and anxiety, she always feels the need of competent consultants, and is angry about that her child is treated as an abnormal being, she is trying to hide the child from other people and to make him or her disappear, if possible. Although she doesn't have harmonious relation with her husband, she id happy when he shows his affection for the child and she feels relieved and thankful when the relatives don't mention about the child's condition Since the child's overall status of health is continuously in unstable conditions, requiring her all-time readiness for an emergency, she feels guilty of her child's illness toward the fEmily members as if it was her own fault to have borne such an abnormal child and she feels responsible for the child morally and financially if necessary Because her life is centered on taking care of the child, she cannot afford to enjoy her own life and happiness. She is a lonely mother, fatigued, with no proper relationship with other people around her. With this sense of guilt and responsibility as a mother of an unusual disease, she has no choice but to grieve her destiny from which she is not allowed to escape. 3. Nevertheless, the mother with the child suffering from the cerebral palsy does not easily give up the hope of getting her child cured and she believes that in the long run, though slower than hoped, her abnormal son or daughter will be eventually cured to become a normal sibling someday. This kind of hope is sustained by the mother's strong faith coming from observing the progress of other similar children getting better. Sometimes she is encouraged to have this faith by other mothers who share the same painful experiences, believing that her child will improve even more rapidly than others with the same palsy. Full of hope, she painstakingly waits for the child's healing. Moreover, she plans to have another child. she thinks that the patient child's brothers and sisters only can truly understand and look after the patients. However, when she notices that the progress of other children under the treatment does not look so hopeful, she is distressed by the thoughts that her child may never get well. Too, she is worried that the patient's brother or sister will be born as the same invalid with the cerebral disease. She is discouraged to have another baby as much as she is encouraged to. She is also troubled by the thought that in case she has another baby, she will have to be forced. to neglect the patient child, especially when she does have an extra hand or some reliable person to help her with taking care of the patient.

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여성의 체중조절행위 모형 구축 (A Study on the Development of Weight Controlling Health Behavioral Model in Women)

  • 전연숙;이종렬;박천만
    • 보건교육건강증진학회지
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    • 제23권4호
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    • pp.125-153
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    • 2006
  • This study was intended to describe women's weight controlling by creating a hypothetic model on the weight adjustment behavior and by examining a cause and effect relationship, and to contribute to countermeasures for practicing their promotion of health and improving the quality of life through creating a predictable model. The subject of study was women who utilize the beauty shop located in Seoul, Busan and Daegu and the study period was 12 weeks from July 10 to September 30 in 2004. Gathered 1093 person's general specialty related with weight adjustment and analyzed covariance to prove the hypothesis using statistics compiled from authentic sources. Also proved coincidence of the hypothetical model. Exogenous variables of the hypothetical model are composed of recognition of her body shape, fatness level, age, stress, and self-respect. Endogenous variables are health- control mind, recognized health state, self-efficacy, intention, and behavior of weight adjustment. There were 5 measured variables for exogenous variable(x). There were 8 measured variable(y) for exogenous variable. And coincidence $x^2=297.38$, standard $x^2(x^2/df)=7.08$, GFI=0.962, AGFI=0.917, NFI=0.875, TLI=0.794, CFI=0.889, RMSEA=0.075. The result of hypothesis had an epoch-making record that 20 out of 27 hypothesis was proved positive way. Generally weight adjustment has been highly seen in housewives, the married and the old age. Health control mind seems to be high as fatness level, age, and self-respect are high and low stress. Recognized health state is high as age and self-respect are high and low stress. However, it is not much related with recognition of her body shape and fatness level. If age, self-respect, health control mind, recognized health state and self-efficacy are high intention of behavior is also high, but intention of behavior has no relation with recognition of her body shape, fatness level and stress. If fatness level, age, self-respect, health control mind, recognized health state and self-efficacy and intention of behavior are high, execution of weight adjustment will be high. However, recognized health state and stress has no influence for weight adjustment. To increase the coincidence of hypothesis and take a simple model I modified a model and then I got the coincidence $x^2=215.62$, standard $x^2(x^2/df)=6.34$, GFI=0.970, AGFI=0.931, NFI=0.902, TLI=0.901, CFI=0.915, RMSEA=0.070. This result is a bit better than original hypothetical model's so that this model might be more suitable. In this modification model, the factors of weight adjustment seems to be high according to this order self-efficacy, recognized health state, age, intention, health control mind, self-respect, fatness level and stress. With this result I suggest ; 1. Enforcement of IR that everybody can be controlled weight adjustment herself and continuous education, which is related with regular habit (food, exercise, restriction of a favorite food and behavior training etc.) is also needed. 2. Because self-efficacy is influenced to execution of weight adjustment specific program which can increase self-efficacy should have to develop and we need to utilize it to take care of herself. 3. To protect fatness and be active weight adjustment the peculiar program including the concept of self-respect, recognized health state, health control mind and intention must be developed and not only women but also all of people should be educated. 4. This hypothetical model is forecasting women's weight adjustment behavior and can be utilized for fundamental data to increase those people's health.

병원을 이용하는 임산부들의 산과적 지식정도에 관한 일 조사 연구 (A STUDY TO DETERMINE THE LEVEL OF OBSTETRIC KNOWLEDGE OF PREGNANT WOMEN AND POSTPARTUM MOTHERS)

  • 이선자
    • 대한간호학회지
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    • 제4권3호
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    • pp.81-91
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    • 1974
  • The purpose of this study was to investigate the level of obstetric knowledge of pregnant women and postpartum mothers, and to contribute the data to community health teaching program as well as maternity nursing. 385 pregnant women and postpartum mothers visited at or admitted to Seoul Adventist Hospital were sampled. The results of the study were as follows. 1. 97.9% of the subjects were between the age of 21 to 35, most of them (82.9%) were housewives with high school education and with a middle class family background. 2. The first symptoms of pregnancy were amenorrhea (70.4%), nausea & vomiting (23.9%), change of skin color (1.6%). 3. 77.9% of the subjects did not know how to deal with morning sickness. 4. 52.9% did not know when the sex determination of the fetus-occurs. 5. Concerning the fetus position; 77.1% of them believed it lies head down. head up (12.0%). and not knowing (10.9%). 6. 73.2% recognized the need for a well balanced food during pregnancy. 7. As to the dangerous symptoms during pregnancy: vaginal bleeding was considered the 1st, edema, the and, continuous abdominal pain, the 3rd. 82% of them would confer with physician in case of vaginal bleeding. As to the type of activities restricted by pregnancy: hard exercise was considered first, travel the second, and coitus during 1st and last trimester of pregnancy the 3rd. 8. 82.4% of them visited antenatal clinic at the second or third month of amenorrhea and 88.5% realized the regular physical examination imperative. 9. The purpose of urine test was recognized correctly by 44.7%, blood test: 89.4%, B. P. and weight check ; 69.9%. 10. The need of breast care during pregnancy was recognized by 76.9% of the subject. 11. 75.8% realized that prenatal exercise was needed. The higher the education the better the understanding of the need for it before delivery. 12. The concept of postpartum period was understood correctly by 54.4%. 13. The state of uterus after delivery was understood correctly by 49.1% only. 14, Regarding the management of colostrums: 48.3% knew it was to feed infants, and it was to squeeze and discard 43.4%. 15. Dealing with postpartum exercise; 67.8% answered it was needed, 9.1% not needed, not heard about 23, 1%.

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노인의 의미에 대한 주관성 연구 (A Subjectivity Study on the Meaning of Aging for Elders)

  • 이금재;박인숙;김분한
    • 기본간호학회지
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    • 제7권2호
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    • pp.271-286
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    • 2000
  • This study is designed to investigate what elders think about the meaning of aging. We have used Q-methods to identify meaning of aging from elders, and developed self-referenced surveys to analyze characteristics In this study, we used a non-structured method to select Q sampling. From 183 Q populations, we selected 36 Q sampling. A total of 32 persons sixty-years or older were randomly selected for P samples, When the Q-sorting was complete, we interviewed the participants at both end of the extremes(agree or disagree), and documented their responses. We used PC QUANL to process the data and used principal component analysis for Q factor analysis. There were five subjective types for the meaning of aging by elders. Of the 32 P-samples of elders, 11 were identified as Type 1, 7 as Type 2, 2 as Type 3, 8 as Type 4, and 4 as Type 5. Type 1 : 'Matured elders' Elders wished the well being of their children, thought older persons should maintain good health, worried about becoming senile, and dependent God believing in life after death. Type 2 : 'Assertive-Rights' Elders categorized as Assertive-Rights insisted on their rights to life as a person. Type 2 elders characterized themselves as people who should keep themselves healthy, become weak and lack sexual desires, act selfish like a child, need to be protected, and be financially independent. Type 3 : 'Passive-Dependents' Elders characterize themselves as those who pray for their children's well being, worry about the children even after their death. and becoming senile. Type 4 : 'Hopeless' The 'Hopeless' type of elders characterized aging as a time to pray for their children, insignificant beings, thoughts were selfish and child-like, poor, worried about going senile, regret their life overall, and preferred to die than to live as an old person. Type 5 : 'Attached-Present' The 'Attached-Present' type of elders thought elderly characterized themselves as acting selfish and child-like, wiser, anxious, regret their life, stand aloof of greed and worldly things, being a model for the society, and deserving to be treated with filial respect. Thus far, Korean elders seemed to have a positive and negative meaning of aging due to the current changes in the society, value system, and family structures. The above five subjective meanings of aging confirm that we need to approach and nurse the elderly differently. Years of aging are a part of and a natural process of life with various physical, psychological, and sociological changes. Nurses need to assist elderly to find the positive meaning of their life by providing appropriate physical, psychological, and social support at an earlier stage in nursing. Based on this study, we could derive the following two implication from the perspectives of science of nursing to care for elders. 1) Based on the studies investigating the type of meaning of aging, we could develop tools to assist in nursing intervention programs for elderly. 2) Based on research on the meaning of aging for different developmental stages of life, we could develop a model for roles for different family members in nursing and caring for the elders.

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대구.경북지역 고등학생의 식생활교육 요구도 조사 (A Study on the needs of Dietary Education of High School Students in Daegu and Gyeongbuk Province)

  • 김윤화
    • 한국가정과교육학회지
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    • 제22권4호
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    • pp.77-90
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    • 2010
  • 본 연구는 고등학생들의 식생활영역 실천도 및 교육 요구도를 조사하기 위해 대구 경북지역의 1, 2학년 고등학생 463명을 대상으로 자기기입식 설문조사로 실시되었다. 식생활교육에 대한 필요성 인식수준은 3.47/5.00점으로 높았다. 식생활 교육이 필요한 이유로는 건강관리와 성장에 필요하기 때문이 54.6%로 가장 높았다. 일상생활에서 식생활 지식의 활용도는 3.16점, 식생활 영역에 대한 흥미도는 3.23점이었고, 식생활교육이 흥미로운 이유는 내용이 다양하고 재미있어서가 28.3%로 가장 높았으며, 직업선택을 위해(21.2%), 행복한 가정생활을 위해(20.7%), 실습이 많아서(19.7%) 등이었다. 식생활 영역의 난이도는 2.82점으로 낮은 편이었고, 식생활교육 요구도는 3.24점으로 조리능력 향상을 위한 요구도가 3.59점으로 가장 높았고, 다음으로 우리나라 식생활 문화(3.46점)에 대한 요구도가 많았다. 식생활 영역의 실천도는 3.43점으로 위생적이고 안전한 식품선택(3.72점)이 가장 높았고, 다음으로 손 씻기 등의 위생적인 식생활(3.71점)이 높았지만 건강한 생활을 위한 식생활, 식생활 평가, 생애주기를 고려한 식생활에 대한 실천도가 낮았다. 식생활교육 실천도는 필요성 인식, 활용도, 흥미도, 요구도와 양의 상관관계를 나타내었지만 난이도와는 음의 상관관계를 나타내었다. 따라서 고등학교 시기의 식생활교육은 성장과 발달, 건강과 행복한 가정생활을 위해 더욱 강화되어야 하며, 일상생활에서의 실천율을 높이기 위해 교육내용과 방법의 개선이 요구되었다. 또한 식생활교육은 학교교육 뿐 아니라 가정과 사회와 연계한 통합교육으로 이루어져야 할 것이다.

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헬스케어 ICT 서비스의 글로벌 컨버전스 (Global Convergence for Healthcare ICT Services)

  • 원달수;이상산;정용규
    • 문화기술의 융합
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    • 제2권2호
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    • pp.45-49
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    • 2016
  • 해외 의료서비스 시장의 메가 트렌드는 글로벌 융합, 인접 분야와의 융합, ICT기술의 적극적 도입, 공공과 민간의 파트너십(Public Private Partnership)을 통한 혁신 4가지로 요약될 수 있다. 의료서비스는 더 이상 local industry가 아니며, Global Convergence 되어가고 있다. 선진국의 경우 소득 수준의 증가, 새로운 의학기술의 발전, 전문화된 의료서비스의 증가, 인구 고령화 등 의료 수요가 증가하면서 외국 의료진의 이주 증가하고 있으며, 지리적 근접성이나 비용에 상관없이 최고 의료기술에 대한 선택 증가하고 있다. 고품질이면서 상대적으로 가격이 낮은 외국 의료서비스에 대한 수요 증가하며 특히 미국 JCI등 국제적 병원인증 기준의 확산되고 있다. 병원 수출은 관련 기술을 더욱 더 효율적으로 융합해서 수출 할 수 있는 'ICT 융합병원' 수출 산업화의 길을 열었다고 평가되고 있다. 현재 국내의 병원은 이미 포화상태에 이르렀고, 국내병원들의 세계화가 필요한 시점임. 따라서 국가별로 전략을 달리하고, 기술 이전뿐만 아니라 건물마련, 의료장비 구매, 현지 의료인력(의사 및 간호사) 선발 및 교육훈련, 홍보마케팅 등 토탈 수출도 가능하다. 이에 공공성 유지와 해외 진출을 위해 현행 의료법이 전향적으로 개정될 필요가 있으며, 해외 의료서비스의 국내법 적용에 보다 신축성 있는 법적용과 더 나아가 적극적 정책지원이 필요하다.

만성질환 및 기능손상노인 가족수발자의 재가복지서비스 이용 결정요인에 관한 연구 (The Determinants of Community Service Utilization Among Family Caregivers of the Impaired Older Persons)

  • 이인정
    • 한국사회복지학
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    • 제56권3호
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    • pp.183-205
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    • 2004
  • 본 연구는 간병과 일상생활에서 수발을 요하는 만성질환 및 기능손상노인의 가족 수발자들을 대상으로 재가복지서비스의 이용자와 비이용자 간의 차이를 비교하고 서비스 이용여부와 이용수준에 영향을 미치는 요인들을 파악하고자 하였다. 재가복지서비스 이용여부는 164명의 가족 수발자를 대상으로 그리고 이용수준은 그 중 114명의 이용자에 대해서 소인요인, 가능성요인, 욕구요인, 욕구요인과 사회적 지지의 상호작용 변수들을 단계적으로 투입하여 회귀분석 하였다. 주요 분석결과는 다음과 같다. 첫째, 재가복지서비스 이용자가 비이용자보다 교육수준, 정서적 지지, 노인의 인지적 기능손상 수준이 더 높고 월 가족수입은 더 낮았다. 둘째, 재가복지서비스 이용여부에 대해서는 수발자의 교육수준이 높을수록, 가족수입이 적을수록, 도구적 지지의 수준이 낮을수록 재가복지서비스를 이용하는 경향이 있고 수발자의 건강상태가 나쁘더라도 도구적 지지의 수준이 높으면 재가복지를 이용하지 않는 것으로 나타났다. 셋째, 재가복지서비스 이용수준에 대해서는 정서적 지지의 수준과 수발자의 우울 정도가 낮을수록 서비스 이용수준이 높고 노인의 신체적 기능손상이 심하더라도 도구적 지지와 정서적 지지의 수준이 높으면 서비스 이용수준이 낮았다. 이러한 연구결과에 따라 재가복지서비스 이용에 대한 실천적 함의가 제시되었다.

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의료보호대상자의 의료이용양상 (Comparision of Medical Care Utilization Patterns between Beneficiaries of Medical Aid and Medical Insurance)

  • 김복연;김석범;김창윤;강복수;정종학
    • Journal of Yeungnam Medical Science
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    • 제8권2호
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    • pp.185-201
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    • 1991
  • 의료보호대상자의 상병 및 의료이용 양상, 의료이용에 대한 만족도를 의료보험대상자와 비교분석하기 위하여 1990년 7월 2일부터 7월 14일까지 대구시 1개 동 의료보호대상자 총 89가구와 의료보험대상자 총 96가구를 단순임의 표본추출한 다음 면접조사를 실시하였다. 대상자 1,000명당 15일간의 급성질환 이환율은 의료보호대상자 63, 의료보호대상자 62로 비슷하였으나, 표준화 이환율은 각각 73 및 69로 의료보호대상자가 다소 높았다. 연령별로는 19세 이하군이 각각 94 및 93으로 비교적 높았다. 1년간 만성질환 이환율은 의료보호대상자 123, 의료보험대상자 73이며 표준화한 이환율도 각각 87 및 57로 의료보호대상자가 월등히 높았다. 두 군 모두에서 연령이 증가할수록 이환율이 높았으며, 의료보호 중에는 1종의 의료보호대상자가 의료보험 중에서는 직장의료보험대상자가 그 이환율이 가장 높았다. 15일간의 급성질환 이환율은 의료보호대상자와 의료보험대상자 모두에서 호흡기질환이 각각 33.3%, 37.5%로 가장 많았으며, 1년간의 만성질환 이환율은 의료보호대상자에서는 근골격계 질환이 22.9%로 가장 많았었던 반면에 의료보험대상자에서는 위장관계 질환이 25.0%로 가장 높았다. 급성질환의 평균이환기간은 의료보호대상자가 3.8일로 의료보험대상자의 6.8일에 비해 짧았으나 만성질환의 경우는 11.5개월로 의료보험대상자의 7.8개월에 비해 월등히 길었다. 급성 이환자들의 1차 의료이용시 가장 많이 방문하는 의료기관은 의료보호대상자에서는 약국(55.6%)이었고, 의료보험대상자에서는 의원(45.8%)이었다. 만성질환 이환자의 지난 1년간 1차 의료이용은 두 군 모두에서 각각 31.4%, 53.6%로 의원을 가장 많이 이용하였다. 급성질환 이환자의 15일간 전체 의료기관 평균 이용일수를 보면 1차 의료이용은 두 군 모두에서 각각 31.4%, 53.6%로 의원을 가장 많이 이용하였다. 급성질환 이환자의 15일간 전체 의료기관 평균 이용일수를 보면 1차 이용에서 의료보호대상자 3.6일, 의료보험대상자 5.0일 이었으며 2차 이용에서는 각각 2.8일, 5.4일 이었다. 만성질환 이환자의 지난 15일간 평균이용일수는 1차 이용은 의료보험대상자는 7.2일 이었으며 2차 및 3차 이용은 의료보호대상자 15.0일 및 13.1일, 의료보험대상자 7.7일 및 6.8일 이었다. 급성질환 이환자가 1차 의료이용시 병원, 의원 그리고 약국을 방문하는 가장 많은 이유는 의료보호대상자 및 의료보험대상자 두 군 모두에서 '가까운 거리'였다. 만성질환 이환자에서 1차 의료이용시 병원을 이용하는 가장 많은 이유는 두 군 모두에서 '의료인의 명성'이었으며, 의원이용의 이유는 의료보호대상자의 경우 '의료보호혜택'이었고 의료보험대상자에서는 '가까운 거리'였다. 약국의 이용시에도 '가까운 거리'가 중요한 이유였다. 의료보장제도의 재원에 대한 물음의 정답률은 의료보호대상자 53.4%, 의료보험대상자 48.8%였다. 의료보장제도의 실시 목적에 대한 물음에 두 군 모두에서 의료비용절감이라고 대답한 경우가 각각 55.3% 및 55.7%였다. 의료기관 이용만족도 평가에서 의료인의 태도에 대한 만족도는 의료보호대상자 및 의료보험대상자 두 군 모두 약국이 47.9%, 46.5% 로 가장 높았으며 의료의 질에 대한 만족도는 병원이 각각 50.5%, 45.1%로 가장 높았다. 의료비에 대한 만족도는 의원이 각각 55.8%, 35.9%로 가장 높았고 의료기관의 환경에 대해 가장 만족하는 경우가 병원으로 각각 54.3%, 34.8%였다. 의료기관 이용절차에 대한 만족도는 약국이 각각 70.6%와 78.5%로 가장 높았다. 이상의 소견으로 우리나라 의료보호대상자는 만성질환 이환율이 의료보험대상자에 비해 매우 높아 이로 인한 경제적 어려움이 가중될 것으로 생각되며, 급성질환 이환자의 의료이용이 약국 중심으로 이루어지고 만성질환 이환자의 의료 이용이 약국중심으로 이루어지고 만성질환 이환자의 미치료율이 의료보험대상자에 비해 높다는 사실 등은 현재 의료보호제도가 효과적으로 실시되지 못하고 있을 가능성을 시사하며 병의원이용과 관련하여 의료인과 의료보호대상자의 의료보호사업에 대한 인식 및 태도 변화를 위한 홍보 및 계몽이 요구되며 또한 이용절차의 간소화를 위한 제도마련이 이루어져야 할 것으로 생각된다.

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응급의료기금, 무엇이 문제인가? (EMS fund, is it functioning or fumbling?)

  • 백홍석;이준호;김익성;박현숙;박상섭
    • 한국임상보건과학회지
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    • 제1권1호
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    • pp.35-45
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    • 2013
  • Purpose. Based on the comparison and analysis with those of United States, the aim of this research is to find the problems in current management, operation and future directions of emergency medical service (EMS) fund in S. Korea and to provide basic resources and appropriate measures to make a right decision in policies for EMS fund. Methods. Data from Ministry of Health and Welfare and other various sources during 1995 to 2012 were collected and analyzed. Results. From our analyses, several problems are identified in EMS fund operation. In brief, problems discerned are as follows. First, whereas the purpose and direction of EMS fund operations in United States are highlighted and focused on pre-hospital EMS system and associated infrastructures which need to be constructed, those of S. Korea are emphasized mainly on the in-hospital EMS system so far. Second, on the contrary to the fact that the EMS funds in United States are tuned to pre-hospital EMS system to provide prompt and efficient emergency care at the emergency scene of pre-hospital stage and to achieve the development, design, planning and demonstration projects for pre-hospital EMS systems, up to date, our investment of EMS funds demonstrated an excess biased inclination toward the construction of in-hospital EMS system, which is far from the realization of constructive and vital pre-hospital infrastructures. Third, while emergency medical technician is important and principal body in the management of emergency medical funds in United States, so far, no EMS funds in S. Korea existed for EMTs including the job condition, improved treatment and working environment for them. Conclusion. In conclusion, we strongly suggest that the problems pointed out must be revised and corrected. Current usage of EMS fund needs to be redirected predominatly to pre-hospital EMS system. Otherwise, unless current management and investment of emergency medical funds in S. Korea are applied and used for the vital necessities and demands of EMTs, public EMS units and private EMS units as well as related units in pre-hospital EMS system as in the cases of United States, in our consideration, they must be suspended or abolished.

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중년 남성 근로자의 고혈압 발생에 관련된 요인의 검토 (Risk Factors for Hypertension of Middle Aged Male Workers using Data from Health Check-ups)

  • 안권숙;박승경;조영채
    • 한국산학기술학회논문지
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    • 제13권10호
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    • pp.4686-4693
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    • 2012
  • 본 연구는 성인 남성 근로자들의 고혈압 발생에 관련된 요인을 밝히고, 고혈압의 1차 예방대책을 실시하기 위한 과학적 근거를 제공할 목적으로 대전광역시의 모 건강검진센터에서 2011년에 건강검진을 받은 남성 근로자 2,230명을 대상으로 하였다. 조사는 대상자의 연령, 비만도, 내당능, 흡연 및 음주습관, 운동습관과 혈압수준과의 관계를 조사하였다. 연구결과, 전체 조사대상자의 연령계층별 고혈압 발생은 30대 18.8%, 40대 23.8%, 50대 33.0%를 보였으며, 고혈압 발생은 연령이 증가할수록, BMI가 증가할수록 높아지는 경향이었으며, 내당능 이상군, 상습음주군, 운동부족군에서 그렇지 않은 군보다 고혈압 발생이 유의하게 높았다. 고혈압 발생에 대한 관련변수의 위험비를 구한 결과 비만도의 경우 30대, 40대, 50대 연령층 모두 정상군에 비해 과체중군과 비만군에서 고혈압이 발생할 위험비가 1.0 이상 유의하게 상승하였다. 내당능 이상군은 정상군에 비해 40대와 50대 연령층에서, 흡연군은 비흡연군에 비해 30대 연령층에서, 상습음주군은 비상습음주군에 비해 30대 연령층에서, 비운동군은 운동군에 비해 40대와 50대 연령층에서 고혈압이 발생할 위험비가 1.0 이상 유의하게 상승하였다. 위와 같은 결과는 고혈압의 1차 예방대책으로 비만, 알코올섭취, 운동부족이 중요하므로 바람직한 음주습관, 정기적인 운동 및 적정 체중의 유지에 신경을 쓸 필요가 있음을 시사한다.