• 보건의료산업학회지
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• 제7권4호
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• pp.289-303
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• 2013

This study looks at priorities in managing public hospitals by figuring out categories needed to examine the quality of each hospital. In order to analyze priorities and relative importance of valuation indicator in Seoul municipal hospitals, surveys were sent via e-mail to medical professionals who have participated in evaluation of municipal hospitals. The analytic hierarchy process (AHP) was conducted using the Expert Choice 11.5 program. The results show that 'providing public service' is considered to be the most important category for all kinds of public hospitals, followed by 'improving the quality of medical care', 'hospital management and governance', and 'efficient hospital management'. The importance of 'hospital management and governance' and 'efficient hospital management' is different depending on the types of hospitals, but the importance of 'providing public service' and 'improving the quality of care' remains the same regardless of the types of hospitals. Based on these results, the study comes to a conclusion that public hospitals should place high value on certain categories and their management purposes should differ depending on their specific fields and characteristics. This study will help furthering discussions on the identity and roles of public hospitals.

• Journal of Korean Biological Nursing Science
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• 제20권2호
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• pp.84-91
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• 2018

Purpose: The purpose of this study was to construct and test a structural equation model to investigate the risk factors of metabolic syndrome in rural women. Methods: The raw data in this study was collected from the Korean Genome and Epidemiology Study supervised by the Korea Centers for Disease Control and Prevention from 2005 to 2010. The data included physical examinations and surveys of 1,125 women, who resided in three rural areas of South Korea. The structural model in this study was composed of five latent variables: depression, stress, social support, health behavior, and metabolic syndrome. The structural equation model was used to assess the relationships among the variables. Results: The results of the study showed that depression and stress had direct effects on metabolic syndrome. Social support had a direct effect on health behavior and metabolic syndrome. Also, health behavior had a direct effect on metabolic syndrome. Conclusion: This study may serve as a guideline for interventions and strategies used to reduce metabolic syndrome in rural women.

• Clinical and Experimental Pediatrics
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• 제64권9호
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• pp.443-458
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• 2021

In Korea, several national cross-sectional surveys monitor the diet, nutritional status, and health status of children. This continual dedicated national surveillance system contributes to the identification of nutritional and health issues, establishment of public health policies, and development of nutrition recommendations. This paper provides recent information about the Korea National Health and Nutrition Examination Survey and the Korean Youth Risk Behavior Web-based Survey and describes key nationwide survey findings published in the last 5 years on infant feeding practices and the dietary intake and nutritional status of Korean infants, children, and adolescents. There have been increasing trends in children, and teenagers who skip breakfast, eat fast food, consume sugary drinks, have vitamin D deficiency, and are obese. This review will inform pediatricians, nutritionists, and other health care practitioners who track children's growth and development. It may also help researchers and policymakers identify diet-related policies and strategies for chronic disease prevention in Korean infants, children, and adolescents.

• 대한치과의사협회지
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• 제53권11호
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• pp.855-869
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• 2015

The purpose of this study was to evaluate the oral health promotion of the disabled persons by voluntary dental services in Ulsan Metropolitan City. Two dentists taken a calibration training for national oral health survey examined the oral health status of 473 disabled persons from two special schools for the disabled children and adolescents, a residential facility and a gymnasium for the disabled persons in 2009-2010. The surveyed disabled persons in the age range was from 7 to 74 years old. Voluntary dentists, oral hygienists and other civilian volunteers had supplied with the oral health care services to the disabled persons at dental clinics of special schools for the disabled children and adolescents, and a dental clinic supported from Nam-Gu Public Health Center in Ulsan Metropolitan City since 1997. The obtained data from these surveys were analyzed with the SPSS statistical package. Among subjects aged 12-14 years, subjects with decayed, missing and filled teeth (DMFT) in permanent dentition was 46.9%; subjects with untreated decayed teeth, 17.2%. The number of decayed, missing and filled teeth in permanent dentition was 1.36. The proportion of decayed components of DMFT score was 28.00%; proportion of missing components of DMFT score, 1.43%; proportion of filled components of DMFT score, 70.57%. The proportion of filled components of DMFT score among disabled persons of all age group in Ulsan were evaluated to be a similar level to non-disabled citizens in Ulsan from 2010 Korean National Survey. The oral health care programs for disabled persons by voluntary services of dental professionals and other civilians are evaluated to be effective for the oral health promotion of disabled persons in Ulsan.

• 대한간호학회지
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• 제48권1호
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• pp.38-49
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• 2018

Purpose: This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery. Methods: The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients. Results: The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96). Conclusion: This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

• 한국비블리아학회지
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• 제27권2호
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• pp.213-233
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• 2016

고령화 사회가 진행됨에 따라 공공도서관의 고령 이용자도 증가하고 있어 이들을 위한 서비스의 개발이 요구된다. 고령자에게 필요한 정보는 건강, 의료, 복지 등 지역과 밀접한 일상생활 관련한 정보가 많으며, 이는 공공도서관에서 제공하는 지역정보서비스의 주요 영역이기도 하다. 본 연구에서는 고령자에게 필요한 지역정보의 유형 및 내용, 제공 방법 등을 문헌연구, 해외사례조사 및 국내 현황조사를 통하여 정리하고 공공도서관의 지역정보서비스를 통한 고령자 서비스 강화 방안을 제안하였다.

• Journal of Gastric Cancer
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• 제21권3호
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• pp.221-235
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• 2021

Purpose: The Korean Gastric Cancer Association (KGCA) has been conducting nationwide surveys on patients with surgically treated gastric cancer, every 5 years, since 1995. This study details the results of the survey conducted in 2019. Materials and Methods: This survey was conducted from March to December 2020 using a standardized case report form, which was sent to every member of the KGCA via e-mail. We collected data on 54 items, including patient demographics, tumor characteristics, surgical procedures, and surgical outcomes. We compared the results of the 2019 survey with previous surveys. Results: Data of 14,076 cases were collected from 68 institutions. The mean patient age was 62.9 years and the proportion of patients who were aged ≥71 years increased from 9.1% in 1995 to 28.8% in 2019. The proportion of upper-third tumors steadily increased from 11.2% in 1995 to 20.9% in 2019 and that of early gastric cancer increased from 57.7% in 2009 to 63.6% in 2019. Regarding operative procedures, a total laparoscopic approach was used in more than half of the cases (55.1%) in 2019. The most common anastomotic method was the Billroth II procedure (45.0%) after distal gastrectomy and double tract reconstruction (81.2%) after proximal gastrectomy in 2019. The postoperative mortality rate was 1.0%, and the overall postoperative complication rate was 14.5%. Conclusions: The results of the 2019 nationwide survey demonstrate the current status of gastric cancer treatment in Korea. This information will provide a basis for gastric cancer research in the future.

• 한국학교ㆍ지역보건교육학회지
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• 제2권1호
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• pp.41-52
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• 2001

The purpose of this research is to plan the activation of university health business through the appraisal of the function and role of university health centers. To be more specific: Firstly, analyze the facility, personnel, health service of the health centers, Secondly, appraise the role and function of the health centers, and Thirdly, consider the activation plans of health centers. The research method taken was the study of surveys conducted and written research materials on 5 women's universities in Seoul. These materials where descriptively analyzed by converting the surveys, facility and usage of health center and current personnel status in to percentage. The major results of the research are as follows: Unlike as stated in each university's additional clause on the number of personnel were working. This lack of specialized personnel resulted into lack of specialized and various services. Medicine for external application were stocked well whereas only simple medicine for internal application were on shelf and were issued only with a doctor's prescription. Universities with a full-time doctor had various available equipments. One university conducting dental treatment was equipped with indirect chest camera, dental X-ray, unit, chair(dental treatment chair) and even supersonic, electrocardiogram were available. In the case of D women's university, the number of beds compared to the number of students was lower than that of the other 3 universities, to the total size of the university was smaller than that of the other 3 universities. Among health prevention and care matters, health consultation was the only matter practised by all universities. Uniquely, there was one university that hosted epidemic prevention business. There are various tests given by each university, with each showing many differences, but some universities did not even conduct these tests. Vaccinations were usually being conducted through commission. All universities provided basic treatment, therefore matters concerning treatment at health centers were being conducted well. Concerning the management of equipment and documents, all the matters were being conducted except one university where instead of a student medical record, they were using a daily record. Because these were women's universities, most of the educations were on women's health. The subjects of these educations included: sex, contraception, prevention and control of tuberculosis, obesity, mouth hygiene, alcohol, geriatric disease, mental health and first-aid. The rate of health center usage is growing. Being women's universities, the service and treatment practised were mostly concerning sex education.

• 보건교육건강증진학회지
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• 제27권5호
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• pp.51-61
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• 2010

목적: 본 연구는 요양보호사 교육 수료생들을 대상으로 요양보호사의 업무 인지와 요양보호서비스 대상자 인지 정도를 예측변인들을 통해 검증함으로써 요양보호사가 인지하는 직업의 전문성 정도를 파악하는 것을 연구목적으로 한다. 방법: 응답자가 직접 기입하는 '자기기입식질문지법'을 이용하였고 불성실 응답 및 다문항 미기재 설문지를 제외한 총 2백83부를 분석에 사용하였다. 관련요소들의 기술적 통계를 통해 요양보호사 업무에 대한 인지 정도 및 서비스 대상자의 특성에 대한 인지 정도를 살펴보았다. 그리고 위 두 변수와 관련 요소들간의 상관관계를 알아보고, 어떠한 요소가 요양보호사 업무에 대한 인지 정도 및 서비스 대상자의 특성에 영향력을 갖는지 알아보기 위하여 다단계회귀분석을 실시하였다. 결과: 요양보호사 업무 인지에 관한 단계적 회귀분석에서 요양보호사는 전문직업이다(${\beta}$=.300)와 업무 특성에 관한 지식을 갖고 있다(${\beta}$=.254)가 유의미하게 나타났다. 또한 요양보호서비스 대상자 특성에 관한 단계적 회귀분석 결과로 가족들의 지지(${\beta}$=.187)와 요양보호사 업무인지 정도(${\beta}$=.509)가 유의미한 변인으로 밝혀졌다. 결론: 이상의 결과를 통해 본 연구에서 제기한 요양보호사 업무에 대한 인지정도 및 서비스 대상자 특성에 영향력을 갖는지에 대한 연구결과를 제시하였다.

• 융합정보논문지
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• 제12권5호
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• pp.159-167
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• 2022

2018년 11월 보건복지부가 지역사회 돌봄 사업을 제20대 국정과제로 채택하였음에도 프로젝트의 성과나 동향을 보고하는 체계적인 검토가 이루어지지 않았다. 본 연구는 커뮤니티 케어 시범사업과 관련한 기존 근거를 체계적으로 검토하였으며, 그 결과 원저 18편과 평론 43편이 최종 선정되었다. 원저의 경우 수요조사(n=4) 및 모델제안(n=4), 터치포인트 활용(n=3), 공간설계 및 건축모델(n=3), 인력양성 및 역할 설정(n=2), 우선 순위 목표(n=1) 및 연구 동향 연구(n=1)등이 있었으며, 리뷰 문헌의 경우 노인에 대한 문헌이 가장 많았고(n=12), 장애인 및 정신질환에 관한 문헌은 상대적으로 적었다(n=2). 지역사회 돌봄 시범사업이 시행된 지 1년 정도밖에 되지 않아 본 사업과 관련된 근거가 부족하고 사업의 성과를 정량적으로 보고한 연구가 부족한 실정이다. 본 연구는 노인뿐만 아니라 장애인, 정신질환자, 노숙자에 대해서도 더 많은 연구가 필요함을 시사한다.