• Journal of Convergence for Information Technology
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• v.12 no.5
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• pp.159-167
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• 2022

At the present time, no systematic review has been conducted to report the project's outcomes or trends. This study systematically reviewed existing evidence related with community care pilot project. A total of 61 articles, including 18 original literatures and 43 review literatures were finally selected. For original literatures, the most frequent literatures focused on demand surveys (n=4) and model proposals (n=4), the utilization of touchpoint (n=3), space design and architectural model (n=3), manpower training and role establishment (n=2), followed by prioritizing objectives (n=1) and research trend study (n=1). For review literatures, the most frequent literature focused on the elderly (n=12) and relatively few literature on the disabled and mental illness (n=2). Since the pilot project for community care has been implemented for only about one year, the present study indicates that more future research is needed to the disabled, mental illness, and homeless should be conducted as well as elderly.

• The Korean Nurse
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• v.36 no.3
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• pp.49-69
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• 1997

The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

• Korea Journal of Hospital Management
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• v.20 no.2
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• pp.28-38
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• 2015

This study was conducted by extending Ajzen's Theory of Planned Behavior(TPB) model in analyzing physician's observance behavior of National Health Insurance review standards. An extended TPB model was proposed by including 'background knowledge'and 'dorganizational commitment'in original model to predict physician's review standards observance behavior. Surveys for data collection were carried out on the physicians who were working in a general hospital, clinics, specialized hospitals, local medical centers and long term care hospitals located in Daegu and Kyoung-Buk province in Korea. Two hundreds twenty copies of questionnaires were distributed and 166 physicians responded. Data were analyzed using a structural equation model. The results show that an affirmative attitude and subjective norms have significant positive effects on physicians' behavior of observing review standards. However, the effect of perceived behavioral control on intention to behavior is not significant. The organizational commitment and background knowledge have a positive effect on the intention of observance of review standards. In conclusion, because physician's observance behaviors are affected by background knowledge and organizational commitment as well as attitudes, subjective norms, hospital managements should establish a communication system to share information on the review standards among physicians and provide appropriate measures to increase physician's organizational commitment.

• Journal of Digital Convergence
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• v.17 no.12
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• pp.535-543
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• 2019

This study was conducted to investigate factors related to Unmet Medical Needs of Injury Patient and to suggest factors, and the subjects of the study were conducted on 2,169 patients with Unmet medical needs experience among those who responded to the National Health and Nutrition Survey. Data were frequency percentage, Chi-square test, and multiple regression analysis, which were analyzed using SPSS/WIN 23.0 Program. The more stressed, the more depressed, the more thingking of suicide, the more factors related to unmet medical needs. It is expected that this will contribute to improving the medical utilization system and making policy decisions to prevent Unmet medical needs in the future.

• Journal of agricultural medicine and community health
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• v.49 no.2
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• pp.132-145
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• 2024

Objectives: This study compares cases of Dalgubeol Health Care Project, 301 Network Project, and 3 for 1 Project based on program logic models to derive measures for promoting integrated healthcare and welfare services centered around medical institutions. Methods: From January to December 2021, information on the implementation systems and performance of each institution was collected. Data sources included prior academic research, project reports, operational guidelines, official press releases, media articles, and written surveys from project managers. A program logic model analysis framework was applied, structuring the information based on four elements: situation, input, activity, and output. Results: All three projects aimed to address the fragmentation of health and welfare services and medical blind spots. Despite similar multidisciplinary team compositions, differences existed in specific fields, recruitment scale, and employment types. Variations in funding sources led to differences in community collaboration, support methods, and future directions. There were discrepancies in the number of beneficiaries and medical treatments, with different results observed when comparing the actual number of people to input manpower and project cost per beneficiary. Conclusions: To design an integrated health and welfare service provision system centered on medical institutions, securing a stable funding mechanism and establishing an appropriate target population and service delivery system are crucial. Additionally, installing a dedicated department within the medical institution to link activities across various sectors, rather than outsourcing, is necessary. Ensuring appropriate recruitment and stable employment systems is needed. A comprehensive provision system offering services from mild to severe cases through public-private cooperation is suggested.

• The Journal of the Korea Contents Association
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• v.20 no.2
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• pp.594-606
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• 2020

On the contrary to the steady rise of social problems about depression, only a few take care of mental health themselves due to their negative perception of psychotherapy. In this study, we propose service design and user interface design of mobile applications that introduce an automatic emotional recognition system to prevent leaving depression unattended. First, we have come up with improvements in the usability of existing apps through literature research and case analysis, and draw out Personas from surveys and in-depth interviews of young people. As an essential element of the design of the Depression Improvement Service, we recommend having three components: writing a diary to manage schedule, recognize users' emotional state through avatar management, and tracking down emotional points to improve the cognitive system. Through this proposal, we want to prevent the development of depression and help to resolve the changes in perception of depression and longitude depression on our own. Ultimately, we publicize the necessity of mental health care application design and expect to lower the personal and social costs for psychiatric care.

• The Journal of Korean Society for School & Community Health Education
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• v.23 no.1
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• pp.17-27
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• 2022

Objectives: This longitudinal study was done to identify the relationship of school adjustment and sponsor support or future time perspective and the differences of these 3 variables between 1st and 2nd survey of children having Didimseed account in institutional care. Methods: Participants were 25 elementary fourth to sixth grade children who are living on one facility that located in G. metropolitan area at 1st survey and 2nd survey was done at five-year intervals. Data were collected from September 2012 to September 2017 and were analyzed using t-test, paired t-test, ANOVA, post-hoc test and Pearson's correlation coefficients. Results: The level of school adjustment knowledge was not different significantly according to grade, gender and admission period at 1st survey. At 2nd survey, the level of school adjustment was different significantly according to grade only. The level of school adjustment was associated with positive future time perspective(r=.74) and negative future time perspective(r=-.54) at 1st survey, and that was associated with negative future time perspective(r=-.49) and meeting frequency of sponsor(r=-.43) at 2nd survey. There were not significantly different school adjustment and future time perspective variables between both surveys. But meeting frequency of sponsor at 2nd survey was lower significantly than that at 1st survey. Conclusions: Based on the results of this study, it would be necessary to prepare the policies that could have their positive future time perspective to increase school adjustment of institutionalized children. Also the effective strategies to increase not only Didimseed account support but emotional support through qualified meeting with sponsors should be developed.

• The Journal of Korean Academic Society of Nursing Education
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• v.7 no.2
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• pp.229-244
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• 2001

The purposes of this study are to do surveys of the state of health and dental health behaviors of higher grade students in elementary school and their mothers, to investigate the relationship of students' dental health, and to apply those results to the systematic and efficient dental health care. The subjects were totally 618 people, including 309 elementary school students in 4th, 5th, or 6th grades and their mothers in Pusan. The questionnaires were used as instruments, which were made by the researcher and related with other preceeding studies. The content validity of the instruments was tested by two professors of nursing. Dental checking were conducted by an expert of dental sanitation, according to the standard of the World Health Organization. The period of collecting data was 20 months from October 20th to December 20th in 2000 and the collected data were analyzed by SAS program and classified as the real number, the percentage, the mean, the standard deviation, t-test, and F-test. In conclusion, there is no significant correlation between grades and treated or treatment-needed permanent teeth. There is the highest significant correlation between treated or treatment-needed permanent teeth and students' dental health behaviors. There is high significant correlation between mothers' dental health behaviors and students' dental health behaviors. Also, There is significant correlation between mothers' state of dental health and students' state of dental health. From the results of this study, the students' dental health behaviors are the most important variables in the students' state of dental health. But both boys(9.48) and girls(9.97) get the low marks on the total mark 15 about brushing, which can be self-controlled. Therefore, the developments of dental health guidance in education about dental health by mothers or the educational courses in schools, such as brushing educations by the experts, dental health education, brushing after lunch, or the various equipments in brushing, should be accomplished. Above all, behavior-centered education should be conducted instead of knowledge-centered education.

• Korea Journal of Hospital Management
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• v.7 no.2
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• pp.37-51
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• 2002

It has been 2 years since the implementation of the separation of prescription and drug dispensing policy. This study analyzes the effects of the policy on the job contents and personnel structure of hospital pharmacy. The main purposes of the analysis are to determine if the policy has causes the increase of professional activities of pharmacists in hospital and to investigate whether the hospital pharmacy is equipped with enough manpower to provide high quality pharmaceutical service as intended by the policy. The level of professionality of pharmacists' activities is measured by the number of activities of direct involvement in inpatient care such as participation in patient rounding, medication consultation, the number of hospital committee the pharmacists involved and the number of continuous education pharmacists took. The adequacy of personnel structure to provide high quality pharmaceutical care is measured by the level of compliance to the governmental standard of hospital pharmacy personnel. In order to collect the data, surveys were performed for two periods: year 1999 (before the implementation of the policy) and year 2001 (after the implementation of the policy). The results show that the pharmacists' participation in inpatient rounding decreased and that the inpatient medication history management activities, operation of ward pharmacy, participation in hospital committee increased. In personnel structure, the average number of pharmacist per hospital decreased and the number of prescription processing per pharmacist increased. Based on the results this study concludes that the professional activities of hospital pharmacists has increased a little and there were structural changes in hospital pharmacy service activities to increase the professionalism in providing care. However, the pharmacy departments were understaffed hampering the strive to increase the provision of professional pharmaceutical service in hospitals.

• Journal of the Korea Convergence Society
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• v.9 no.9
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• pp.337-343
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• 2018

The study is investigated socioeconomic variations in perceived oral health status and contribution of oral health behavioral factors. A nationally representative sample (365 health and 1,787 unhealth aged 20 over years) from the 2015 Korea National Health and Nutrition Surveys was analyzed using logistic regression. Perceived oral health was lower among lower socioeconomic groups compared with higher socioeconomic groups. This association was increased when demo-socioeconomic factors and oral health behavioral were adjusted. When each oral health behavioral factor was considered separately, mediators such as smoking, frequency of tooth brushing and used oral care products or oral health examination explained a large part of the increased socioeconomic oral health status. Subjective bad oral health arise from different socioeconomic status, but this difference is increased by oral health behavioral factors. Therefore, socioeconomic inequity in perceived oral health status can be corrected more effectively by promotional oral health behaviors.