• 제목/요약/키워드: Health management

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보건소 근무 의사의 업무 참여가 이직의도에 미치는 영향 (Effects of Job Participation on Intention to Leave among Physicians Working in Public Health Center)

  • 송현종;조형원;이석구;박현경
    • 보건행정학회지
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    • 제26권3호
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    • pp.219-225
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    • 2016
  • Background: Intention to leave was an important managerial issue among physicians working in public health centers. This study was conducted to explore the relationship between job participations and intention to leave among physicians working in health centers. Methods: A cross-sectional questionnaire survey was conducted to gather information about job participation, intention to leave and demographics among physicians (n=243) in public health centers in Korea. Job participation was measured by 15 items categorized 3 dimensions. Multiple regression analysis was performed to determine the effect of job participation on intent to leave among physicians working in public health center. Results: Participation of medical treatment and administrative job were significantly associated with intention to leave adjusted for sex, age, income, working area, working duration, tenure, and overall job satisfaction. Therefore, physicians who actively participated in administrative job showed a lower turnover intention. Physicians who actively participated in medical treatment job had a higher quit intention. Conclusion: To retain qualified physicians in public health center, education should be reinforced to physician for administrative capacity building.

학령후기 아동의 자기효능감과 건강증진행위와의 관련요인 연구 (A Study on the Factors Related to Self-Efficacy and Health Promotion Behavior of the Late School-Aged Children)

  • 위광복
    • 보건의료산업학회지
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    • 제7권1호
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    • pp.45-58
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    • 2013
  • To study the factors related to self-efficacy and health promotion behavior of the late school-aged children, the questionnaire survey was conducted on 285 students from elementary schools in Daegu metropolitan city from September 3 to september 14, 2012. Correlation analysis showed that there was significantly normal correlation between self-efficacy and health promotion behavior of elementary school students and in correlation according to each sub-area, exercise area showed the highest correlation, followed by stress area, self-realization area, personal relations area, eating habits area, and responsibility for health area. It is considered that the level of health promotion behavior in the areas of low stress management and responsibility for health found in the results of the study will be able to be higher if schools and homes prepare so as to enhance the students' belief in health promotion behavior with mental stability by developing the programs for the improvement of eating habits in the group with low self-efficacy and especially, recognizing the necessity of stress management.

보건관리형태에 따른 산업보건에 대한 지식, 태도 및 실천 (Knowledge, Attitude and Practice according to Types of Occupational Health Management)

  • 김성희;신혜련;김상우;우극현;박완섭;박재용
    • Journal of Preventive Medicine and Public Health
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    • 제29권3호
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    • pp.579-596
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    • 1996
  • 중소영세 섬유업체 근로자들 1,138명을 대상으로 자기기입식 설문조사를 하여 근로자의 보건관리형태에 따른 산업보건에 관한지식, 태도 및 실천의 정도를 비교하고 다음으로는 집단보건관리군 694명만을 대상으로 하여 집단보건관리 기간이 지식, 태도 및 실천에 미치는 영향을 알아보고자 하였다. 1. 보건관리형태에 따라서 산업보건에 관한지식, 태도 몇 실천의 평균점수는 개별보건관리군에서 모두 높았으나 실천의 점수만 통계적으로 유의한 차이를 보였다. 그러나 비교하고자 하는 두 집단간에는 대부분의 일반 특성이 유의한 차이가 있으므로 이를 교정하고자 중회귀분석을 실시하였다. 중회귀분석 결과, 지식에 유의한 영향을 미치는 변수는 연령, 교육 수준, 총 근무기간이었고, 태도에 유의한 영향을 미치는 변수는 연령, 교육수준, 결혼상태였다. 실천에 유의한 영향을 미치는 변수는 성, 연령, 교육수준, 결혼유무, 총 직장근무기간이었다. 연구의 목적인 보건 관리형태별로 비교시는 지식, 태도 및 실천에 미치는 영향은 집단보건관리군의 경우 지식의 평균점수가 조금 높았을 뿐이며, 태도 및 실천의 점수는 낮았다. 그러나 두 가지 보건관리형태에 따른 유의한 차이는 없었다. 2. 집단보건관리군에 국한하여 분석한 결과, 보건관리기간(개월수)은 대상 근로자들의 산업보건에 관한 지식, 태도 및 실천 모두에 유의한 영향을 미친다고 할 수 있다.

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고혈압 대상자의 방문간호 중재프로그램의 효과 (Effect of Case Management Intervention Program for Registered Clients with Home Health Care of Hypertension)

  • 오숙희;김용순;박지원;유문숙
    • 가정간호학회지
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    • 제17권1호
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    • pp.28-35
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    • 2010
  • Purpose: The study compared the hypertension care efficacy of a case management intervention program for registered clients. Methods: The nonequivalent control group pretest-posttest design involved 53 registered hypertensive patients of a customized visiting health care service in S-city(n=28 experimental group, n=25 control group). Data collection and case management intervention were carried out from April to July, 2009. The experimental group had six home visits and two phone calls, and the control group had two home visits during the 8-week period. Outcome variables for test hypotheses were changes in physiologic index (blood pressure and total cholesterol) and degree of self-management performance and confidence. Results: Repeated measure ANOVA and t-test of means revealed significant differences before and after program for systolic and diastolic blood pressure and self-management performance and confidence, but no significant difference concerning total cholesterol. Conclusion: A case management program can have positive effects on blood pressure control and self management. However, research is needed to create a more effective case management for vulnerable patient populations.

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The Relationship Between Human Resource Management Practices, Work Engagement and Employee Behavior: A Case Study in Vietnam

  • PHAM, Thi Ngoc Mai
    • The Journal of Asian Finance, Economics and Business
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    • 제8권4호
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    • pp.1003-1012
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    • 2021
  • This study aims to identify the relationship between human resource management practices, work engagement, and proactive behavior of health workers in Gia Lai Province in Vietnam. Based on theoretical frameworks of human resource management, work engagement, and proactive behavior, this study developed a research model and tested its relationship between human resource management practices, work engagement, and the proactive behavior of healthcare workers in Gia Lai Province. This research has used a mixed research method with qualitative and quantitative research. The quantitative research was conducted by survey with 232 health workers. The hypotheses were tested by using structural equation modeling (SEM). The findings showed that human resource management practices have a positive and significant influence on proactive behavior, which directly influences healthcare workers' work engagement. Besides, work engagement plays a role in mediating the influence of human resource management practices on proactive behavior. This research implies that health care organizations should pay more attention to human resource management practices to improve work engagement that assists in increasing employee proactive behavior. Efficient human resource management practices help boost work engagement and, initiality, improve the quality of health care services and minimize errors in treatments.

생활양식과 건강수준간 상관성분석 -간호사와 비간호사 비교연구- (Correlations among Lifestyle and Health Status -A comparative study between nurses and clients-)

  • 김영임
    • 지역사회간호학회지
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    • 제5권1호
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    • pp.53-63
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    • 1994
  • Health could be maintained and promoted by pursuing an active healthy lifestyle. Life-style include health habits and behavior pattern such as exercise, diatry change, weight control, stress management et al. The objectives of this studies are (1) to analyze recognition and practice of lifestyle between nurses and non-nurses, (2) to analyze health status of clients which presented healthy lifestyle, (3) to analyze factors that affected healthy lifestyle. The lifestyle assessment questionnaire is divided into ten sections: competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, self-actualization, sense of purpose, relation with others, environmental control, and use of health care system. The major results are as follows : (1) The level of recognition and practice of lifestyle was not high. Nurses showed more higher score than non nurses in lifestyle area such as competence in selfcare, stress management, environmental control, and use of health care system. (2) Good health status and lifestyle presented positive relation. (3) In mutiple classifiction analysis, competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, environmental control, and use of health care system had significant relation to independent variables. (4) Change of concept for healthy lifestyle after this survey was higher in nurses group and the most concern area was stress management. To sum up, lifestyle pattern of nurses as health professional was not desirably high. Therefore nurses ownself should effort to practice healthy lifestyle prior to others, and then educate importance of lifestyle for health promotion and disease prevention. In conclusion, it will be useful to consider significant lifestyle factors that was be identified in this study to develop health promotion program.

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사업장 보건관리사업의 형태별 수행성과 분석 -실적, 수혜도, 영향요인을 중심으로- (Performance of Occupational Health Services by Type of Service)

  • 조동란
    • 지역사회간호학회지
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    • 제6권1호
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    • pp.34-54
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    • 1995
  • Occupational health services in Korea have been operated as dual types: one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative. health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area: 154 places (39.4%) managed by designated. health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation due to the characterstics of each variable and analyzed for impacting factors with relation to the using multiple regression analysis using SPSS PC program, especially using t -test method in order to compare each type of health care management. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. The common sickness management is the most accomplished item in health care area of occupational health care services, while the preventive care and control for the workers who have serious health problems are insufficient in workers health care area. 3. An insufficient accomplishment of overall health education has been shown because it is difficult to perform health education due to almost no chance of the direct introduction at workplaces. Therefore a strong support system for making and supplying the media is necessary in order to activate indirect health education by means of media. 4. Because health care managers and the agencies managers where take the workplaces for this study are almost nurses who have been comparatively high work site rounding rate about an environmental management at the workplaces, that non-profession can also do it, the activities about the professional area not enough. Therefore, an appropriate referral system should be established in order to complement professional area. 5. Two factors which have an effect on the coverage rate of occupational health care services are : one is those from the workplaces such as type of services, the number of workers, the number of harzadous factors and safety & health committee, the other from health care organization about whether there is its own manager or not.

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대규모 건설현장 건설업 산업안전보건관리비 계상기준 개선에 관한 연구 (A Study on Improvement of Occupational Safety and Health Management Cost Accounting Standards)

  • 백용현;위경수;백인수;김재준
    • 한국건설관리학회논문집
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    • 제21권2호
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    • pp.39-46
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    • 2020
  • 산업안전보건관리비는 산업 현장에서 발생하는 인적 안전사고를 사전에 방지하기 위한 목적으로 1988년에 시행되었다. 그러나 다섯 개의 공사종류와 세 개의 공사금액을 기준으로 한 산업안전보건관리비의 계상기준은 다양한 건축현장의 특성을 반영하지 못하고 있다. 이를 연구하기 위해, 본 연구는 국내건설업체 현장의 건설업 산업안전보건관리비의 사용률과 사용세부항목을 분석하였다. 그 결과, 상당수의 현장에서 산업안전보건관리비를 초과 사용한 사실과 그 원인을 밝혀낼 수 있었다. 이를 토대로 본 연구에서는 건설업 산업안전보건관리비의 계상기준 개선의 필요성과 방향성을 제시하고자 하였다.

보건교사 배치기준의 변천과정 및 배치정책의 문제 연구 (A Study on the Change in Health Teacher Placement Standards and the Problems in the Placement Policy)

  • 김미경
    • 한국학교보건학회지
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    • 제26권3호
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    • pp.133-143
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    • 2013
  • Purpose: The purpose of this study is to provide basic data for a more reasonable health teacher placement policy sending teachers to more appropriate sites, by analyzing the change process of the health teacher placement standards and the problems caused by an unreasonable placement policy. Methods: This study mainly analyzed relevant research data and existing studies focusing on a literature analysis. Results: To date, the placement policy for health teachers has changed, going through expansion, reduction, and retrogression, since its establishment. The standard, placing health teachers only in elementary schools with more than 18 classes, was created in 1952. Despite the expansion of the role of health teachers and the revision of the school health law in 2007, this standard has been applied to date without modification. In the meantime, there have been many problems caused by inappropriate placement of health teachers. It was difficult for health teachers in large schools to carry out proper health education; and, in many schools, passive health management, such as first aid, health tests, and student health management, was mainly executed rather than active health management. Students in small schools were not even given an opportunity to receive health education and health management owing to the absence of health teachers. Also, compared to teachers teaching other subjects, health teachers have had very unfair placement standards. Conclusion: The placement policy for health teachers, which has been applied to the present, has never reflected social change, the increase of student health issues, and the demand from the school area. Although the role of health teachers expanded with the execution of health education, the current placement standards for health teachers are very unreasonable. Accordingly, it is necessary to review the health teacher placement policy in a reasonable manner and to revise the standards considering the reality.

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