• Clinical and Experimental Pediatrics
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• 제60권5호
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• pp.138-144
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• 2017

Purpose: Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. Methods: We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment. Interview questions examined participants' experiences in pregnancy and childbirth and concerns regarding their child's health status. Initial data analysis involved all researchers' immersion in the entire collection of transcripts. We then noted recurrent topics and themes and identified similar issues. Results: At the time of giving birth, 5 participants were asylum seekers and one had undocumented status. The following barriers impeded their access to maternal child healthcare: socioeconomic factors (unstable social identity, low economic status, difficulty obtaining health insurance), language barriers (lack of linguistically appropriate health information, limited access to translation services), and cultural barriers (religious and cultural differences). Weak social support also hindered access to healthcare soon after migration; however, social links with the community emerged as a key coping strategy following settlement. Conclusion: We identified barriers to maternal and child healthcare and coping strategies among African refugee mothers in Korea. Future research should assess refugees' health status and improve health access and literacy among refugee mothers.

• 보건의료산업학회지
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• 제3권1호
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• pp.33-46
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• 2009

In order to analyze possible effects of senior hospital selection factors and service satisfaction on senior hospital patients' revisit of senior hospital, this study surveyed guardians of total 204 patients hospitalized in major 4 senior hospitals in Busan. As a result, this study came to the following conclusions: First, it was found that guardians considered appropriateness of medical treatment cost as the biggest factor of choice, which was followed by kindness of doctor and hospital employees, locational accessibility (traffic convenience), and doctor's medical capacity. Second, the factor analysis about patients' satisfaction showed that the influential factors consisted of satisfaction at medical staffs, satisfaction at nursing and care, and satisfaction at facilities. Third, there was not significant difference in the overall impression of hospital and the intention of revisit depending upon sociological variables. Fourth, satisfaction at nursing and care and satisfaction at facilities had significant effects on better satisfaction at overall impression of hospital, and it was noted that the shorter admission period and the less complaint led to the higher intention of revisit. Therefore, it is necessary to improve satisfaction at medical staffs, nursing and care, and facilities rather than patients' own sociological characteristics.

• Journal of Information Technology Applications and Management
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• 제21권2호
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• pp.31-48
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• 2014

The concept of Health Related Quality of Life and its determinants have evolved since the 1980s. Although many researchers have published articles of technology usage in hospitals and the installation of technology based healthcare system, the research about applying the information technology to improve the patients' perceived quality of healthcare services is still limited. In general, services are deeds, processes and performances that are essentially concerns of the consumer. The healthcare service quality depends on tangible factors, such as equipments, facilities, and the quality of hospital staff and also the intangible ones. The main purpose of this work is to establish new model and find out the contribution of information technology to enhance the patients' perceived quality of healthcare service. We attempted to examine the main information technology related factors in 3 aspects, namely quality of information, the technology accessibility and the community that can improve patients' perceived quality of healthcare services. Offline and online questionnaires were used to measure the patients' perceived quality and were distributed to 384 people in 2 countries, Laos and South Korea. A principle component analysis and multiple regressions were used to verify our model. Results show that the use of information technology has partial positive effect on patient-physician interaction in both countries. However, patient knowledge and patient autonomy which are the 2 dimensions of patient-physician interaction has significant positive effect on patients' perceived quality of healthcare service.

• 보건의료산업학회지
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• 제14권1호
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• pp.177-194
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• 2020

Objectives: This study aims to identify the drinking environment and drinking culture in an area with high drinking rates in order to provide the basis for the development of a drinking intervention program. Methods: Forty-six local experts and residents participated in focus group interviews that mainly asked questions about the drinking environment in the community, the culture and behavior of drinking, and the community efforts to reduce the drinking rates. The interviews of four groups were transcribed and analyzed. Results: Drinking environments and cultures were categorized into the following five themes: high physical accessibility to drinking, type of housing and long duration of stay in the same region, drinking-friendly culture and daily life events, various reasons and patterns of drinking, and lack of health (education) programs. Conclusions: Community efforts are required to make the residents aware of how the local environment is related to the high drinking rates in their community. Further, the study underlines the need for the community to make efforts to create an environment where drinking rates are low, and foster a diverse leisure culture.

• 한국사회복지학
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• 제36권
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• pp.147-173
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• 1998

최근 들어 국내외에서 '여성복지'에 대한 관심의 증가와 더불어 사회복지정책이나 서비스를 성인지적(gender-sensitive)관점에서 분석하는 작업이 시도되고 있다. 그러나 아직도 클라이언트로서의 여성에 대한 관심은 그리 많지 않으며 여성을 서비스의 주 이용자로 하는 여성복지서비스 전달체계에 관한 연구 또한 미흡한 실정이다. 이에 본 연구에서는 여성복지서비스 전달체계의 현황을 개괄하고, 전달체계의 기능이 서비스 효과에 미치는 영향을 분석하였다. 이를 위해 여성복지담당 공무원인 여성복지계장과 여성복지상담원을 대상으로 설문조사를 실시했다. 이들의 주관적 평가내용에 기초하여 통합성, 접근용이성, 지속성, 적합성, 노력성, 전문성의 6가지 원칙으로 여성복지서비스 전달체계의 기능을 평가하고, 직무만족도와 업무효과를 중심으로 전달체계의 서비스효과를 측정하였다. 분석결과를 정리하면 1)여성복지계장과 여성복지상담원 모두 전달체계의 기능 중 노력성(재정과 인력의 충분성)이 미흡하다고 지적하였다. 2)업무효과에서는 여성복지계장의 경우 대부분 긍정적인 평가를 하고 있으나 여성복지상담원은 업무내용에 따라 비교적 긍정적인 평가와 부정적인 평가가 엇갈렸다. 3)직무만족도에서는 여성복지계장과 여성복지상담원 모두 동료나 지도감독자, 상담소 이용자 등과의 인간적인 관계에 있어서는 만족하고 있으나 업무수행과 관련된 부분에서는 불만족스러워하고 있었다. 4)전달체계 기능 중 업무효과에는 전문성(계장)과 접근용이성(상담원)이, 직무만족도에는 노력성(계장), 통합성, 접근용이성, 적합성(상담원)이 유의미한 영향을 미치는 것으로 나타났다. 집단에 따라 상이한 결과를 보이긴 했어도 전달체계의 접근용이성, 적합성, 통합성, 노력성 및 전문성이 부분적으로 서비스의 효과와 만족도에 통계적으로 유의미한 영향을 미치는 것으로 나타난 것은 전달체계의 기능과 서비스의 효과성간에 유의미한 관계가 있음을 어느 정도 뒷받침해주고 있다.

• 보건교육건강증진학회지
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• 제26권5호
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• pp.27-39
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• 2009

목적: 이 연구의 목적은 성매매종사자들이 현행 성병검진서비스에 대해 어떻게 인식하는지를 파악하고, 이러한 인식이 성매매종사자들의 성병검진서비스 이용의도에 어떻게 관련되어 있는가를 살펴보는 데 있다. 방법: 이 연구의 자료는 보건소에서 제공하는 성병검진서비스를 이용한 경험이 있는 성매매종사자들을 대상으로 실시한 설문조사를 통해 수집되었다. 성병검진서비스에 대한 성매매종사자의 인식과 이용의도는 웨어와 그의 동료(Ware and his colleagues)들이 개발한 '환자만족도설문지(PSQ)'의 문항들로 측정하였다. 결과: 대부분의 성매매종사자들은 현재 보건소가 제공하는 성병검진서비스에 대해 만족하고 있으며, 이러한 서비스를 이용하려는 강한 의사를 지니고 있다. 성병검진서비스에 대한 일반적인 만족도와 이용의도를 예측하는 데 있어 사회경제적 변수들은 별다른 영향을 미치지 않았다. 성병검진서비스에 대한 구체적 차원들에서는 기술적인 질과 서비스에 대한 접근성이 일반적인 만족도와 이용의도에 긍정적인 방향으로 영향을 주었다. 성병검진서비스 이용의도의 가장 중요한 결정요인은 성병검진서비스에 대한 일반적인 만족도였다. 결론: 성매매특별법 시행 이후에 성매매종사자를 대상으로 하는 보건소의 성병검진사업은 크게 위축되고 있다. 이번 연구결과에서 나타난 것처럼 성매매종사자들은 보건소의 성병검진사업이 활성화되기를 희망하고 있었다. 따라서 국민의 건강 유지, 증진, 보호를 목적으로 하는 보건소는 성매매특별법의 시행과는 별도로 성병관리 사업을 계속해서 수행할 필요성이 제기된다.

• 농촌의학ㆍ지역보건
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• 제19권2호
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• pp.97-106
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• 1994

In order to estimate the utilization pattern of a rural health subcenter, and to identify the recognition for it among the inhabitants in Kogsung district, a questionnaire survey was carried out for objects of 708 population. The results observed were as follows; 1. The annual utilization rate of a rural health subcenter for a basic health service unit was 27.5 per 100 persons, and annual mean visiting times was 1.43 times. 2. The most frequent disease by, annual health subcenter utilization illness was respiratory disease(26.5%), and the next was musculoskeletal disease(23.9%), gastrointestinal disease(15.9%) by order. 3. Favorite reasons for community health subcenter utilization were lower medical cost(23.4%), near distance from living place(20.7%) and lower disease severity(19.5%) by order. But disfavorite reasons for it were non effective treatment(26.2%), insufficient equipment(25.4%) and absence of specialist(17.4%) by order. 4. Insufficient items about community health subcenter utilization were restriction of treatment limit(47.1%), lower reliance(22.4%) and not punctral(21.8%) by order. 5. The results of logistic regression analysis suggested that statistically significant factors in health subcenter utilization were age, educational level and the nearest medical facility class. 6. There was no difference between recognition for a community health subcenter's work and actual utilizing service, and desirable works for it were disease preventing service, disease control of elderly and sanitation control by order. These results suggested that to increase the utilization of rural health subcenter and to promote the accessibility of rural residents to primary health care, there must be considered public relation about health subcenter, expansion of health equipment and recognition about access time.

• 한국산학기술학회논문지
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• 제13권7호
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• pp.3237-3243
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• 2012

본 연구는 한국의 40개 중소도시를 대상으로 도시의 물리적환경과 주민건강의 상관관계를 분석하는데 목적이 있다. 이를 위해 본 연구에서는 개인의 사회경제적 속성과 함께 도시환경을 토지이용, 도시형태, 시설접근성으로 구분하고 다수준분석을 이용하여 지역주민들의 건강에 영향을 미치는 요인을 분석을 수행하였다. 분석결과 인구밀도가 높을수록 지역주민들의 비만정도가 낮은 것으로 나타났으며 토지이용혼합도가 높을수록 지역주민들의 건강수준이 높고 고혈압 유병률이 낮은 것으로 나타났다. 또한 도로의 연결성이 높고 대중교통접근성이 낮을수록 지역주민들의 비만도가 높아지는 것으로 나타났다. 마지막으로 오픈스페이스에 대한 접근성은 지역주민들의 건강수준(EQ-5D)에 긍정적인 영향을 미치는 것으로 나타났다. 따라서 향후 주민건강 증진을 위한 계획을 수립하는데 있어 토지이용혼합, 대중교통시설 및 오픈스페이스에 대한 접근성 등을 중요한 계획요소로 활용할 필요가 있다.

• 한국병원경영학회지
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• 제25권4호
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• pp.29-37
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• 2020

Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.

• 대한한의학회지
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• 제40권3호
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• pp.87-98
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• 2019

Objectives: Patients with respiratory diseases are increasing as air pollution due to fine dust gets worse. Diseases that occupy a large proportion of respiratory diseases in medical institutions are acute bronchitis, chronic bronchitis and Allergic rhinitis. The number of patients with all three diseases is gradually increasing. This study was to suggest assignment of medicine policy for improving accessibility to Korean medical treatment of respiratory diseases analyzing the current treatment status of acute bronchitis, Chronic bronchitis and Allergic rhinitis patients in Western medical and Korean medical institutes in this situation. Methods: This study used 2017 National patient sample data from the Korean Health Insurance Review and Assessment Service for research. Acute bronchitis, Chronic bronchitis, Allergic rhinitis was according to KCD code. This research contains Socio-demographic analysis classified by sex and age, the number of three disease's patients. Also the number of medical treatment, the expense of recuperation cost, medical practices were analyzed compare with Western and Korean medicine. Results: The incidence of three diseases is higher among female than male. There are many patients under the age of 10 in the case of acute bronchitis and allergic rhinitis, while there are many patients over 50 years of age in chronic bronchitis. Western medical treatment take up a larger proportion than Korean medical treatment in part of the number of three disease's patients, the number of medical treatment, the expense of recuperation cost. Conclusions: Much more patients of these diseases visit in Western medical clinic and hospital than Korean medical clinic and hospital for treatment. There are many parts of Korean medical treatment that are not covered by Health insurance benefits like herbal decoction, pharmacopuncture, etc. Korean medicine need to do the efforts for expanding medical field in variety. Also it is demanded for institutional support for reduction of the cost burden and improving on accessibility of Korean medical treatment in order to treat with the increase in respiratory diseases due to fine dust.