• Title/Summary/Keyword: Healthcare Planning

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Relationships among Social Support, Social Networks and Drinking Behavior by Gender Differences in Residents of an Apartment Complex in Seoul (성별에 따른 아파트 주민의 음주, 사회적 지지와 사회적 연결망과의 관계)

  • Kim, Jin-Hee;Choi, Man-Kyu
    • The Korean Journal of Community Living Science
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    • v.21 no.1
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    • pp.105-115
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    • 2010
  • This study explores the gender differences in the relationship between social support, social networks and drinking behavior and illustrates gender differences in drinking behavior in order to provide evidence in planning a community health promotion program. Data was collected from 444 surveys (Male=190, Female=244) from a total of 1,899 adult residents in 738 households in the "Y" Apartment Complex in the Gangnam area of Seoul, Korea. Results show significantly higher rates of drinking frequency and alcohol consumption volume in males. Women with high-risk drinking behavior have fewer social relationships than women with normal drinking behavior. Within social networks, friends were significantly associated with drinking behavior and alchol abuse. Drinkers had more friends than non-drinkers in both genders. However, in association with alchol abuse, while male abusers had less friends than normal male drinkers, women abusers had more friends, indicating women who have drinking problems have a stronger social network. This pattern suggests gender differences in the association between social networks and alchol abuse. Therefore in approaching drinking issues, social support and social networks act as a key factor. For men, alcohol prevention programs should be aimed at achieving healthy drinking behavior at the aggregate level including people in his social support and social network groups. For women, the priority is alchol abuse. More attention is required in revealing the context between female social networks and alchol abuse and in developing coping strategies other than drinking.

Making Primary Policies for Reducing Particulate Matter (미세먼지 저감을 위한 정책 선정 연구)

  • Kim, Bong Gyun;Lee, Won Sang;Jo, Hye In;Lee, Bong Gyou
    • The Journal of Society for e-Business Studies
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    • v.25 no.1
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    • pp.109-121
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    • 2020
  • The purpose of this study is to find out primary policies for reducing PM(particulate matter) as well as for improving the quality of life. Serious particulate matters cause to diverse healthcare and economy problems including business transactions. Unfortunately, until recently there are very few researches regarding the decision-making process for particulate matter policies. This study has applied the AHP(Analytic Hierarchy Process) method to develop cooperative policy making processes. The upper layer of this hierarchy analysis consists of four parts, i.e., transportation, production facility, living environment, and urban planning management. And each upper layer parts has their own three policies. 25 experts including policy-makers, academic researchers and industrial specialists have decided the primary policies and directions. The most significant PM policy is the mandatory reduction of air pollution and suspension of factory operation in the production industry. The results of this study can lead to guidelines for making environmental policies.

Factors Affecting Health of the Rural Residents (일부 농촌지역 주민들의 건강결정 관련요인)

  • Son, Dong-Koog;Lee, Kyu-Sik;Park, Jong-Ku;Koh, Sang-Baek;Jin, Ki-Nam;Nam, Eun-Woo;Lee, Hae-Jong
    • Health Policy and Management
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    • v.19 no.4
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    • pp.1-17
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    • 2009
  • The purpose of this study was to find factors affecting health of the rural residents. The data were collected from a sample of 2,587 people aged from 40 to 70 in the year 2005-2006, Wonju City and Pyeongchang County, Gangwon-do, Korea. The theoretical model adopted in this study was the Lalonde's health field(human biology, environment, lifestyle, and health care organization). SF-12 was used to measure subjective health status. In the category of human biology, men were healthier than women. Age and BMI showed negative relation to health status. Income, education and social support showed positive relation to health status in the environment category. In the category of life style, stress showed negative relation to health status. Medical expenses showed negative relation to health status in the category of health care organization. After converting SF-12 score to percentage score, the health determinants portions were 47% lifestyle, 26% environment, 18% human biology and 9% health care organization. These findings suggest that life style, environment and biology are main factors in determinants of health. Especially stress in the life style category is more focused for the community health promotion. We also may be able to improve income, education and social support in the environment category with self empowerment efforts, community supports and government helps. Finally greater attention must be payed to life style in the future health planning and budget allocation priority in the healthcare area.

A Study of Directions for Development of Smart Clothing Based on the Consumer's Lifestyle (소비자 라이프 스타일 기반의 스마트 의류 기획을 위한 요인 연구)

  • Cho, Ha-Kyung;Kim, Jin-Sun;Lee, Joo-Hyeon
    • Science of Emotion and Sensibility
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    • v.13 no.1
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    • pp.11-20
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    • 2010
  • According to diversity of life style, introduction of well-being trend and increase of demand based on the IT-convergence, Recently "smart clothing" study has been diversified on user applications such as entertainment, healthcare, business and sports. And the smart clothing's market has been progressed in diverse aspects. But, study of smart clothing based on consumer aspect and market diversification is insufficient. The purpose of this study is to identify consumer's needs on smart clothing and to suggest directions for development of smart clothing based on their lifestyle that focused on digital and fashion lifestyle that be closely connected with smart clothing product development. This study is focused on the ages of 20-30 who are considered to be high demand consumers on the smart clothing market. As a result of study, life style based on clothing and digital is categorized 3 types as trend-pursuit style, sensual information-pursuit style and practical function-pursuit style. we suggested direction for development of smart clothing based on consumer's needs of the smart clothing according to the customer's lifestyle types.

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Correlation study of the oral health knowledge, attitude and behavior in the high grade students of elementary school in some regions of the metropolitan (수도권 일부 초등학교 고학년 학생의 구강보건에 관한 지식과 태도, 행동의 상관성 연구)

  • Kim, Seok-Hwan;Kim, Jae-Hong;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.33 no.4
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    • pp.495-503
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    • 2011
  • Purpose: The purpose of this study was to obtain data that can be utilized in the planning of oral health education plan, by surveying the correlation between oral health knowledge, attitude, and behavior among high grade students elementary school in some regions of the metropolitan. Methods: The subject of this study through the survey of the recognition of the oral health, a questionnaire survey was conducted for 548 male and female students who were in the 4th, 5th, 6th grade of elementary school in some regions of the metropolitan. Statistical analysis was conducted using the SPSS 12.0 with t-test, ANOVA, and correlation. Results: Knowledge of oral health was very high. Correct attitudes and positive behavior were indicated. There was a significant difference in oral health knowledge according to school year and parents' dental condition(P<.05). The student one recording oral health behavior degree where the oral health knowledge is high appears highly, considers statistically the difference which it was visible. Positive correlation was significantly observed among oral health knowledge, attitudes, and behavior. Especially, attitudes and toothbrush method were highly correlated(r=.853). Conclusion: Oral health program through the elementary school students and their parents for the development of proper oral health care education programs continue to be made should be considered.

The Index of Nausea, Vomiting, and Retching(Korean Translation) (오심, 구토, 구역질 측정도구의 신뢰도와 타당도 검증)

  • Kim, Young Jae;Kim, Ji Young;Choi, In Ryoung;Kim, Mi Won;Rhodes, Verna
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.278-285
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    • 2000
  • Nausea, vomiting and retching are universal symptoms that affect individuals' state of health and self-care activities of individuals. Accurate measurements of individual symptoms are required to gather more definitive data, and enhance understanding, planning, and implementation of self-care actions. Recently the Rhodes Index of Nausea, Vomiting, and Retching(INVR), a new format of the INV-2(the Rhodes Index of Nausea and Vomiting), was developed to measure the symptoms of nausea, vomiting and retching in an English speaking population. To determine the reliability and validity of the INVR, and the possibility of using the instrument in Korea, the Korean translation of the INVR and the INV-2 were administered to a convenient sample of 105 patients at two University Hospitals in Kwangju, Korea. The Cronbach's alpha to estimate the internal consistency of reliability for INVR was 0.844. Equivalent measures of reliability were conducted to determine the percentage of agreement and the Spearman rank correlation coefficients for responses on the two instruments. The percent agreement was 83% and the correlation coefficient was 0.906 over all. A significant differences between the INVR scores of the patients with and without nausea, vomiting, or retching were seen, which indicated a construct validity. The INVR was found to be more user friendly for the patient and the healthcare providers. As a result, it is suggested that the INVR can provide a scientific base for measuring the symptoms of nausea, vomiting, and retching for nurses to improve patients' care and quality of life.

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Bayesian Method for Modeling Male Breast Cancer Survival Data

  • Khan, Hafiz Mohammad Rafiqullah;Saxena, Anshul;Rana, Sagar;Ahmed, Nasar Uddin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.663-669
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    • 2014
  • Background: With recent progress in health science administration, a huge amount of data has been collected from thousands of subjects. Statistical and computational techniques are very necessary to understand such data and to make valid scientific conclusions. The purpose of this paper was to develop a statistical probability model and to predict future survival times for male breast cancer patients who were diagnosed in the USA during 1973-2009. Materials and Methods: A random sample of 500 male patients was selected from the Surveillance Epidemiology and End Results (SEER) database. The survival times for the male patients were used to derive the statistical probability model. To measure the goodness of fit tests, the model building criterions: Akaike Information Criteria (AIC), Bayesian Information Criteria (BIC), and Deviance Information Criteria (DIC) were employed. A novel Bayesian method was used to derive the posterior density function for the parameters and the predictive inference for future survival times from the exponentiated Weibull model, assuming that the observed breast cancer survival data follow such type of model. The Markov chain Monte Carlo method was used to determine the inference for the parameters. Results: The summary results of certain demographic and socio-economic variables are reported. It was found that the exponentiated Weibull model fits the male survival data. Statistical inferences of the posterior parameters are presented. Mean predictive survival times, 95% predictive intervals, predictive skewness and kurtosis were obtained. Conclusions: The findings will hopefully be useful in treatment planning, healthcare resource allocation, and may motivate future research on breast cancer related survival issues.

Development of the DVH management software for the biologically-guided evaluation of radiotherapy plan

  • Kim, Bo-Kyong;Park, Hee-Chul;Oh, Dong-Ryul;Shin, Eun-Hyuk;Ahn, Yong-Chan;Kim, Jin-Sung;Han, Young-Yih
    • Radiation Oncology Journal
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    • v.30 no.1
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    • pp.43-48
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    • 2012
  • Purpose: To develop the dose volume histogram (DVH) management software which guides the evaluation of radiotherapy (RT) plan of a new case according to the biological consequences of the DVHs from the previously treated patients. Materials and Methods: We determined the radiation pneumonitis (RP) as an biological response parameter in order to develop DVH management software. We retrospectively reviewed the medical records of lung cancer patients treated with curative 3-dimensional conformal radiation therapy (3D-CRT). The biological event was defined as RP of the Radiation Therapy Oncology Group (RTOG) grade III or more. Results: The DVH management software consisted of three parts (pre-existing DVH database, graphical tool, and $Pinnacle^3$ script). The pre-existing DVH data were retrieved from 128 patients. RP events were tagged to the specific DVH data through retrospective review of patients' medical records. The graphical tool was developed to present the complication histogram derived from the preexisting database (DVH and RP) and was implemented into the radiation treatment planning (RTP) system, $Pinnacle^3$ v8.0 (Phillips Healthcare). The software was designed for the pre-existing database to be updated easily by tagging the specific DVH data with the new incidence of RP events at the time of patients' follow-up. Conclusion: We developed the DVH management software as an effective tool to incorporate the phenomenological consequences derived from the pre-existing database in the evaluation of a new RT plan. It can be used not only for lung cancer patients but also for the other disease site with different toxicity parameters.

An Analysis on Appropriateness of Health Insurance Fee Using the Activity Based Costing(ABC) Approach (활동기준 원가분석을 통한 건강보험수가의 적정성 분석)

  • Kim, Han-Sung;Shin, Hyun-Woung;Cha, Jae-Young
    • Korea Journal of Hospital Management
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    • v.20 no.3
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    • pp.36-44
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    • 2015
  • The Activity Based Costing(ABC) means the process that makes clear how the actions and input resources have changed into service to calculate medical services costs. These days, the number of hospital which is using the ABC system is increasing to make their policy decision making efficient and run the hospitals more resonable. This study analyzes the unbalance in the level of health insurance service fee and the improvement plans based from 8 hospitals(ABC system) and 95 clinics(ABC survey). The cost recovery ratio has shown different levels according to each service type. A surgery service type recorded 76.8% and an evaluation & management service type is 84.6%, a treatment procedure type(85.8%), a function test type(91.6%) and health insurance fee even did not reach to the original cost. Meanwhile, a laboratory test type and imaging test type show high level of cost recovery ratio. they recorded 188.3% and 158.8%. Resultingly now of unbalance in the level of health insurance service fee accelerates supply of every test. so there is a need to make laboratory test type and imaging test type lower to keep balance with the surgery and medical service. These methods should be performed gradually with monitoring the unbalance fee ratio and for this, a panel medical institution have to be established for generalizations of studying result, fairness of selecting researching sample.

The Effect of Oriental Medicine Therapy on Results of In Vitro Fertilization-Embryo Transfer (한방치료가 체외수정시술에 미치는 영향)

  • Lee, Yoon-Jae;Kim, Eun-Ki;Choi, Dong-Hee
    • The Journal of Korean Medicine
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    • v.31 no.2
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    • pp.71-77
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    • 2010
  • Objectives: We investigated whether oriental medical therapy influences the results of in vitro fertilization-embryo transfer. Methods: 19 women with infertility were treated by oriental treatment from August 1999 to June 2000 in the department of obstetrics and gynecology of an oriental medical center. The women were planning in vitro fertilization-embryo transfer after oriental medicine treatment. The data from the women was analyzed, we obtained the following results. Results: The average age of infertile women was $35.42{\pm}4.86$; infertility caused by male factor or tubal factor were the most frequent. The average number of previous failed IVF treatments was $2.21{\pm}1.81$. The number of aspirated oocytes was $9.00{\pm}6.09$ in IVF cycle before oriental therapy, increasing to $9.80{\pm}5.41$ after therapy, but it was not statistically significant. In IVF before oriental therapy, the average number of embryos transfer was $3.20{\pm}1.90$, and it significantly increased to $4.40{\pm}1.45$ after treatment. The quality points of embryos were $10.00{\pm}6.02$ before treatment, but statistically significantly improved to $14.07{\pm}4.98$ after. The characteristics of women being pregnant and non-successful women were compared with age, period of taking herbal medicine and the number of failed IVF treatments, but there was no significant difference. Conclusion: Oriental treatment before IVF could be expected to have good results in treatment of infertility.