• Journal of Korean Academy of Rural Health Nursing
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• v.8 no.1
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• pp.25-32
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• 2013

Purpose: The purpose of this study was to investigate the changing process of work activities of community health practitioners in medically vulnerable areas. Methods: For the study an historical research method was used, based on literature data and collected literature data related to the work of community health practitioners from 1940 to 2013. Results: There were 45 records according to the literature data about the work activities of the practitioners. Analysis of the process of work activities by time period was based on the historical records: first, the introduction period (1940~1980) saw the "community health practitioners begin their work activities"; second, the development period (1981~1997) involved "provision of comprehensive health and medical service"; third, the stagnation period (1998~2005) characterized by "attempts at new role changes in a crisis"; fourth, the expansion period (2006~2011) "focused on the work of health promotion"; and finally, the stable period (2012~the present) observed "work activities of community health practitioners recognized." Conclusion: Results showed five topics in the process of work activities of community health practitioners by time period. The results offer basic data to investigate work activities of these practitioners and enable discussions about the future of community healthcare.

• The Journal of the Korea Contents Association
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• v.16 no.9
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• pp.512-522
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• 2016

The purpose of this study was to investigate general population's awareness and attitudes toward medical records and an 'Open Notes' system which allows the general public to access their medical records anytime on the hospital website. This study also examines the possibility of making the 'Open Notes' system available to Korean medical community and the general public. The results of this study shows that the general population usually used internet for health information. They obtained their medical records from the hospital mostly for the purpose of submitting to insurance company. They also believed that medical records that hospital and doctors provided might be forged or falsified. The majority of them responded that they could trust their doctors and hospitals more if they could have access to their own medical records anytime. Most of the respondents agreed that the Open Notes system would be beneficial for the general public and that it should be implemented in Korea. And they would be willing to participate in the Open Notes system if it is introduced. In conclusion, if the Open Notes system which emphasizes transparency in medical records is introduced, it could enhance the trust between doctor and patient. The trust doctor-patient relation would make patients more likely to comply and be satisfied with doctors.

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.746-754
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• 2001

In order to analyze the health problems of school-aged children. daily health records from a convenient sample of two primary schools were analyzed. Diseases were classified into 21 categories according to the KCD (Korea Standard Classification of Diseases). The mean number of visits to health care rooms during school per student was 1.98 during 212 school days from Mar. 2000 to Feb. in 2001 and the mean number of daily visits was 11.66. Male students and 3rd graders visited health care rooms more frequently than female students and other graders. The total spell base incidence rate was 1976.8 per 1.000 students in a year: the incidence rate from injuries was 960.0: 542.4 were for digestive diseases: and 415.2. for respiratory diseases, 97% of all diseases were injuries, digestive diseases and respiratory diseases. The most frequent diseases for male students resulted from trauma, and those for female students. from digestive and respiratory symptoms. The services that nursing teachers implemented were wound treatment (48.8%), medication (44.6%), and so on. Therefore, the findings of this research can serve as the basis for developing school health service program and health education program.

• Korean Journal of Childcare and Education
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• v.17 no.5
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• pp.105-128
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• 2021

Objective: This study aimed to explore the experience and meaning of pre-service early childhood teachers who practiced health promoting activities for themselves. Methods: Research participants were 115 pre-service early childhood teachers enrolled in the health education for children course at one college in G region. The reports of activity records of their eight-week long health promotion activities were collected as qualitative data followed by content analysis being implemented. Results: First, the experience of the health promoting activities the participants took part in was categorized into 'Early phase of experience: A mix of worries and anticipation, and success and failure', 'Mid phase of experience: Being motivated by physical changes and records', and 'Late phase of experience: Continuous execution through habituation.' Second, the meaning of health promotion activities the participants took part in was categorized into 'A great opportunity for introspection', 'A meaningful start of college life', and 'A valuable chance to consider desirable roles of a teacher for early childhood health education.' Conclusion/Implications: The results of this study suggest that pre-service early childhood teachers should pay close attention to their health management, and that contents that emphasize the importance of teachers' health should be included in health education.

• Journal of the Korean housing association
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• v.19 no.5
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• pp.57-65
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• 2008

The purpose of this study is to figure out the relationship between the residence stories in high-rise condominium and residents' disease patterns throughout the dweller's medical reports. Research basic data are obtained from medical fee request of National Health Insurance Corporation. Data are limited to 'A' high-rise condominium and a medical treatment time to 3 years (2004. 1-2006, 12). Data for analysis are composed of total 346,286 medical records, 43,159 disease records, and 8,999 personal records. Data are stored by sex, age, building story, residence story, visiting year and month, treatment days, main disease type (KCD-4). Treatment number, disease type and asthma in disease records and personal records are statistically analyzed by residence story considering age. Findings are as follows: 1) Women have more medical treatments than men, 40-50 age group is more treated, and the residents of 6-25 stories are more received medical treatments. According to KCD-4, diseases of the respiratory system and diseases of the eye and adnexa are relatively treated higher than other diseases. 2) The diseases of he respiratory system, the eye and adnexa, the skin and subcutaneous issue, the ear and mastoid process, and the asthma have not relation to the high-storied residence through the data of disease records and personal records. But the analysis on the data of children, age 7 and less, showed a significant relation. to conclude, there is no relationship between the residence of high-stories in the condominium and residents' disease patterns, but there is a little probable to the relationship in the pre-school child.

• Women's Health Nursing
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• v.2 no.1
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• pp.25-39
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• 1996

The Korean government has a new system for charging patient care for patients in hospital, on hold for the present(9 / 1995) but to start implementation in certain areas of patient care next year. From the latter half of next year the Ministry of Health and Welfare would like to start demonstration projects for hospitals who want to start using DRGs for frequently seen medical diagnosis and for patients with a course that is predictable and for whom non-insurance costs are minimal : such as the patient who has a delivery, cesarean deliveries, cataract surgery, tonsillectomy or an appendectomy, and apply the DRG system of payment for hospital care for these patients. The purpose of this study was to establish a recording system to give effective home health care to postpartum women and their newborns. Recently the government announced a DRG system to apply to postpartum women for pilot purposes starting next year. This gives impetus to the need to develop home care records that will allow for systematic recording and provide continuity and consistency in care across all health professionals and with in-depth communication between the professions to assure high quality care. There has been a rise in medical costs and a shortage of patient bed space in hospitals, particularly since the introduction of national medical insurance. The study focused on developing client selection criteria, a primary assessment tool, progress notes and nursing diagnoses applicable to postpartum and newborn clients. Selection criteria for home health care, assessment tool content, nurses progress notes and diagnoses were developed through a review of the literature, advice from professionals who are expert in home health care and actual practice in the use of recording tools through workshops. The recommendations based on the research results are as follows : 1) Replication and application of these tools is needed to test the validity of the tools 2) In order to have systematic nursing records standardization of records has to be done after nurses have had experience using them. 3) Reliability and validity of the tools has to be established through applicability to actual care situation.

• The Journal of Pediatrics of Korean Medicine
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• v.31 no.3
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• pp.46-63
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• 2017

Objectives The Korean Medicine (KM) PHR platform is a personalized healthcare service which allows individuals to keep and manage their own health records. When parents are reporting for their children from their memories, there is high possibility of recall errors. In these cases, it could be useful for doctors to collect the patient's symptoms through PHR platform. In this study, we aimed to investigate the clinical significance of the PHR by using the KM PHR platform in the pediatric clinic. Methods The PHR platform was used to collect child health information from parents and child care teachers. The collected data were analyzed in comparison with the results of screening by pediatrician. Results A total of 58 children were recruited, 44 of which health information were collected from their parents and their child care teachers. The remaining 14 children's health information were collected from their parents only. As a result the parents tended to perceive their children weaker than the child care teacher. Compared to other organs, there was a only significant difference in the heart weakness score and spleen weakness score in the comparison of the weak and healthy children. Conclusions Although the study was conducted on a small group of subjects, and used PHR platform developed specifically for adults to indirectly input child's symptoms, and analyzed their health information, there was a difference in health records between information providers. Development of PHR platform for children is needed to collect more reliable information.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.8 no.3
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• pp.402-415
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• 2001

The purpose of this study was to identify nursing diagnoses and nursing interventions that are found in the home health care patients, and to establish a basis for a standardized Nursing Intervention List that would help nurses doing home health care nursing. For this study, the records of 150 home health care clients who were discharged, from the Home Health Care Center at Yonsei Medical Center, between January to July. 2001 were analyzed. Of the 43 nursing diagnoses recorded for these clients are 43, the most frequent diagnoses were in the area of Exchanging. There were 2.814 nursing interventions which is a mean of 4.73 nursing interventions Per diagnosis. We confirmed that most of the interventions were related to 'education' and 'advice'. We present a Home Health Care Nursing Intervention List that was developed based on the results of this study. It has the five 5 criteria of the ICNP classification, Observing, Management, Performance, Caring, and Informing.

• Quality Improvement in Health Care
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• v.15 no.1
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• pp.123-133
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• 2009

Background : The principal diagnosis has been used in many different fields such as hospital statistics, medical research, insurance claim, national health statistics and so on. Some principal diagnoses have a relatively low level of reliability in the medium-sized hospitals. The purpose of this study is to identify the reliability level of principal diagnoses and to suggest ways to improve reliability of the principal diagnosis. Method : Data were collected from a medium-sized hospital located in Pusan. The discharge summaries on 323 patients who were discharged in January, 2008 and the outpatient summaries on 251 patients who visited the hospital on March 28, 2008 were collected, and descriptive analysis was performed using SPSS version 12.0K. Result : The findings are the followings: (1) the diagnostic consistency rate between medical records and doctors' was 92.0%; (2) the diagnostic consistency rate between medical records and insurance claims was 86.1%; (3) the diagnostic consistency rate between doctors' diagnoses and insurance claims was 80.2%. The evidence seems to indicate that some principal diagnoses have reliability problems in the medium-sized hospitals. Conclusion : The results of this study suggest the followings: (1) employees should be trained and supervision of hospital activities are needed; (2) network systems should be constructed for each department; (3) professions need to be fostered (4) doctors' awareness of medical records should be changed.

• International Journal of Advanced Culture Technology
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• v.10 no.1
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• pp.17-23
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• 2022

The purpose of this study is to develop a cancer rehabilitation program for cancer survivors in the form of a smartphone application and to confirm the effectiveness through Pilot study. The contents of the application consisted of health records, lab-test records, and health information, and the information recorded by the patient was graphically checked for changes over time on my page. 7 subjects who ended acute treatment and were undergoing follow-up were asked to use the application for 4 weeks, and then changes in variables (uncertainty, e-health literacy, self-efficacy, and cancer rehabilitation) were confirmed. It was confirmed that e-health literacy and self-efficiency increased significantly over time after using the application. In addition, the level of cancer rehabilitation was found to increase significantly over time. The application for cancer rehabilitation developed in this study needs to be expanded to improve the quality of life of cancer survivors.