• Title/Summary/Keyword: Health service research

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A Comparative Study of the Future Demand for Medical Rehabilitation Services by Rehabilitation Professionals (의료재활 서비스 수요전망 및 인력수급에 관한 재활인력간 응답특성)

  • Kwon, Hyuk-Cheol;Kim, Jong-Kab
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.8-18
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    • 1996
  • Korea will soon experience a high demand for medical rehabilitation specialists, if it tries to deliver advanced health welfare service. In order to medical rehabilitation manpower policies, this study attempts to analyse, estimate and plan a long-term supply for physiatrists, physical therapists, and occupational therapists. The study analysed both national and foreign statistical data of manpower supply for medical rehabilitation specialists. A structured category of questionnaire was developed to survey the opinions of regarding the supply for rehabilitation specialists in Korea. Based on the above data, the demand of and supply for each specialists were estimated for long term up to the year 2030. Based on the comparative analysis results of the future demand and supply, the author intended to develop a new supply plan for the three specialist categories. The major findings of the supply plan are as follows : First, the replied proper mean ratios of rehabilitation professionals(physiatrists : physical therapists occupational therapists) appeared 1 : 5.93 : 3.59, and there is no significant difference between interprofessionals (p>0.05). Secons, the estimated demand for rehabilitation services by interprofessionals appeared significant difference among the interprofessionals (p<0.05).

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A Study on Natural Element Application Method for Creating Healing Environment in Hospital's Interior Space (병원 실내공간의 치유환경 조성을 위한 자연요소 적용방법에 관한 연구)

  • Kim, Jeong-Ah
    • Korean Institute of Interior Design Journal
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    • v.20 no.5
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    • pp.245-253
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    • 2011
  • As interests towards health rapidly increase recently, interests and demand for hospital interior space are increasing as well. Therefore, most of today's hospitals that have been functionally designed are transforming into healing environments that consider psychological aspects, in order to assist patients forget about fear, desperation and have peace of mind. With such creation method of healing environment, natural elements can be applied to spaces in order to allow patients feel vitality, hope and adapt positive thinking, and these can eventually lead to affluent fusion of humans, nature and space. Through case analyses of how natural elements are applied to hospital's interior space, this study understands its characteristics. According to the findings, nature is largely classified into light, water, plant, stone/soil, and its application methods can be classified into center, transition, continuity, division, opening and closure. As evident from case analyses, application of natural elements to hospital's interior space promotes exchanges among patients through community formation, and achieves the effect of spatial concentration and public place. Also, ambiguity of exterior and interior boundary creates a sense of expansion and continuous effect, and can also provide a healing environment that can fully absorb natural environment open to patients. This study aims to be of service when designing hospital's interior space, with its natural element application method for healing environment research, and wishes for continuous studies on healing environments with more diverse methods.

Experiences of Family of Patient with Newly Diagnosed Advanced Terminal Stage Hepatocellular Cancer

  • Shih, Whei-Mei Jean;Hsiao, Ping-Ju;Chen, Min-Li;Lin, Mei-Hsiang
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.8
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    • pp.4655-4660
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    • 2013
  • Background: Hepatocellular carcinoma (HCC) is the most common primary liver cancer and the third leading cause of cancer-related death worldwide due to its generally poor prognosis. Caregiver burden for liver cancer cases is higher than with other cancer and needs especial attention. Methods: To explore the experiences of families of patients with newly diagnosed advanced terminal stage hepatocellular cancer by interview. Results: Nine participants were recruited in this study. Content analysis of the interviews revealed four themes: blaming oneself, disrupting the pace of life, searching all possible regimens, and not letting go. Conclusions: This study provides new insight into the needs and support of family members especially when they are facing loved ones with newly diagnosed advanced terminal stage HCC. These results will inform future supportive care service development and intervention research aimed at providing assistance in reducing unmet supportive care needs and psychological distress of these family members.

Franchisors' Support Services and Their Consequences: Resource-Based View and Expectation-Confirmation Perspectives

  • Adeiza, Adams;Moon, Bo-Young;Malek, Marin Abdul;Ismail, Noor Azizi;Harif, Mohd Amy Azhar Mohd
    • Journal of Distribution Science
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    • v.15 no.9
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    • pp.37-52
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    • 2017
  • Purpose - This study explores the influence of franchisors' supports on franchisees financial performance, overall satisfaction and intention to remain. Research design, data, and methodology - Given the exploratory design of the investigation, purposive sampling technique was used to select twenty-six (26) franchisees as key informants for this study. In-depth face-to-face interviews were conducted leading to generation of rich qualitative data on the phenomenon of support services in the Nigeria franchise system. Results - Results indicate that at both the initial and growing stages, training and management service supports have marked influence on franchisees business outcomes. However, findings revealed that at the initial stage, the impact of training is greatest but this impact subsequently declines as franchisees master the nuances of the business. Management services on the other hand maintains a constant relevance through all stages of franchisees business. Conclusions - Three key conclusions were drawn from the findings of this study. First, the quality of initial and ongoing supports have consequences for the long-term health of franchisees and franchisors' businesses. Second, poor management of franchisees' expectations and perception of supports could damage franchise partnerships. Third, franchisees form their expectation of supports largely from the nature of initial supports provided by the franchisors.

CardioSentinal: A 24-hour Heart Care and Monitoring System

  • Gao, Min;Zhang, Qian;Ni, Lionel;Liu, Yunhuai;Tang, Xiaoxi
    • Journal of Computing Science and Engineering
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    • v.6 no.1
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    • pp.67-78
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    • 2012
  • People are willing to spend more for their health. Traditional medical services are hospital-centric and patients obtain their treatments mainly at the clinics or hospitals. As people age, more medical services are needed to exceed the potentials of this hospital-centric service model. In this paper, we present the design and implementation of CardioSentinal, a 24-hour heart care and monitoring system. CardioSentinal is designed for in-home and daily medical services. It mainly focuses on the outpatients and elderly. CardioSentinal is an interdisciplinary system that integrates recent advances in many fields such as bio-sensors, small-range wireless communications, pervasive computing, cellular networks and modern data centers. We conducted numerous clinic trials for CardioSentinal. Experimental results show that the sensitivity and accuracy are quite high. It is not as good as the professional measurements in hospital due to harsh environments but the system provides valuable information for heart diseases with low-cost and extreme convenience. Some early experiences and lessons in the work will also be reported.

A Study on the Introduction of Home-Based Physical Therapy for Patients with Cerebrovascular Disease

  • Kim, Gyu-Yong;Ahn, Chang-Sik;Jeon, Hye-Won
    • The Journal of Korean Physical Therapy
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    • v.27 no.2
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    • pp.118-123
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    • 2015
  • Purpose: This study was conducted in order to present basic policy data for introduction of a home-based physical therapy (HBPT) policy. Methods: The study surveyed physical therapists and patients for six weeks, in order to identify satisfaction with physical therapy. The statistical significance of the management plan with regard to costs and cost estimation and payment methods was determined and managed according to the operating principals of HBPT, eligibility criteria, number of visits, treatment time, and team approach. Results: Through the survey all groups of patients and physical therapists recognized the need for HBPT. They felt that the most desirable methods for activation of physical therapy visits involve precise diagnosis and evaluation through a team approach. While making regular visits to the patient three times a week, an expert visiting physical therapist with 3 to 5 years of experience in the clinical field could provide central nerve developmental treatment in less than 60 minutes; this service could be provided at a reasonable cost, minimizing unnecessary hospital visits, reducing time, medical expenses and facilitating a quick recovery due to psychological satisfaction resulting from a decrease in the psychological anxiety patients often experience in medical institutions. Conclusion: Based on the study results provided above, if HBPT is to be introduced, appropriate pricing and programs should be based on the results of pilot projects.

Nutritional Assessment of the Older Population: Practical Application and Limitation

  • Yoon, Jin-Sook
    • Journal of Community Nutrition
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    • v.2 no.1
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    • pp.36-49
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    • 2000
  • Evaluation of nutritional status is an essential element in providing appropriate intervention strategies to achieve the highest level of health, Nutritional assessment of the older population is complicated by many factors which do not significantly affect the nutritional status in young adults, therefore, it should be considered in two ways; community-dwelling elders group and hospitalized or institutionalized elderly group. To sort out the individuals with nutritional problems in a community efficiently, nutrition screening tools must be simple, relatively inexpensive, and applicable to a large number of subjects. Combination of tools and indicators such as 24-hour food recall, body weight and height, and questionnaires on eating practices, and the presence of chronic diseases is practically applicable as basic tools of nutritional screening of older age group. However, the lack of validated screening techniques remains a barrier in improving nutrition. Validation is only limited to energy, BMI, protein intake of the older populations living in western countries. Further refinement of nutritional assessment tools is demanded to figure out whether those are practically applicable to community-living older adults in Asian Society. A careful and systematic evaluation of nutritional assessment tools should be carried out prior to implementation of stepwise nutrition service to the heterogeneous older population. For an in-depth nutritional assessment at the individual level, we need to extend research efforts to clarify the requirements of nutrients due to aging and diseases. More cost-effective method that will allow rapid analysis of survey results are needed so that information can be readily available to policymakers.

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Emerging Pathogenic Bacteria: Mycobacterium avium subsp. paratuberculosis in Foods

  • Kim, Jung-Hoan;Griffiths, Mansel W.
    • Food Science of Animal Resources
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    • v.31 no.2
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    • pp.147-157
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    • 2011
  • Mycobacterium avium paratuberculosis (MAP), the cause of Johne's disease in animals, may be a causative agent of Crohn's disease (CD) in humans, but the evidence supporting this claim is controversial. Milk, meat, and water could be potential sources of MAP transmission to humans. Thus, if the link between MAP and Crohn's disease is substantiated, the fact that MAP has been detected in retail foods could be a public health concern. The purpose of the present study was to review the link between MAP and CD, the prevalence of MAP in foods, heat inactivation, control of MAP during food processing, and detection methods for MAP. Although MAP positive rates in retail milk in nine countries ranged from 0 to 2.9% by the culture method and from 4.5 to 15.5% by PCR, high temperature short time pasteurization can effectively control MAP. The effectiveness of pasteurization to inactivate MAP depends on the initial concentration of the MAP in raw milk. Development of highly sensitive and specific rapid detection methods for MAP may enhance investigation into the relationship between MAP and CD, the prevention of the spread of MAP, and problem-solving related to food safety. Collaboration and efforts by government agencies, the dairy industry, farmers, veterinarians, and scientists will be required to reduce and prevent MAP in food.

Study on the Safety Standard Establishment of Halogen Clean Extinguishing Agents (할로겐화합물청정소화약제 안전기준 설정에 관한 연구)

  • Cho, Jung-Rae;Lee, Jong-Ho
    • Fire Science and Engineering
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    • v.32 no.5
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    • pp.22-33
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    • 2018
  • The amount of halogen clean fire extinguishing agents has been increased by the excellent features of extinguishing, adaptability and no residue. On the other hand in situations without a hazard assessment and safety standard of agents, chemical accidents by the agents occurs frequently. This study was performed to propose the halogen clean agents' regulatory exposure limit and safety standard including the quantitative ventilation system with gas leak monitoring, hazard recognition and optimal personal protection selection through a literature review and experimental research.

A Study on the Eating-out Behavior of Daegu City Workers(II) - On the Difference Selection Attributes in Customer's Behavior - (외식 유형별 선택 속성에 따른 대구 지역 직장인들의 외식 행동에 관한 연구(II))

  • Kim, Duck-Hee;Beik, Kyung-Yeun;Kim, So-Ja
    • Culinary science and hospitality research
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    • v.13 no.2
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    • pp.240-253
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    • 2007
  • The purpose of this study is to crystallize the factors which influence the eating-out tendency at home and work site including in the range of Daegu city. We can find out that taste is the most important element for family eating-out style. Then comes sanitation, service, reputation of a restaurant and price in that order. There are some differences between family eating-out style and workers eating-out style. The only thing that differs from above referred to statement is that price is prior to the reputation of a restaurant. Thus, taste is more important than any other factor in investigative studies. And, in case of family eating-out style, the reputation of a restaurant is prior to price. In case of workers eating-out, however, price is more important than the reputation of a restaurant.

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