• Journal of Preventive Medicine and Public Health
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• 제49권5호
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• pp.308-322
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• 2016

Objectives: The objective of this study is to investigate associations between contextual characteristics and unmet healthcare needs in South Korea after accounting for individual factors. Methods: The present study used data from the 2012 Korean Community Health Survey (KCHS) of 228 902 adults residing within 253 municipal districts in South Korea. A multilevel analysis was conducted to investigate how contextual characteristics, defined by variables that describe the regional deprivation, degree of urbanity, and healthcare supply, are associated with unmet needs after controlling for individual-level variables. Results: Of the surveyed Korean adults, 12.1% reported experiencing unmet healthcare needs in the past. This figure varied with the 253 districts surveyed, ranging from 2.6% to 26.2%. A multilevel analysis found that the association between contextual characteristics and unmet needs varied according to the factors that caused the unmet needs. The degree of urbanity was associated with unmet need due to "financial burden" (odds ratio [OR], 0.53; 95% confidence interval [CI], 0.42 to 0.66 for rural vs. metropolitan), but not unmet need due to "service not available when needed." There were no significant associations between these unmet need measures and regional deprivation. Among individual-level variables, income level showed the highest association with unmet need due to "financial burden" (OR, 5.63; 95% CI, 4.76 to 6.66), while employment status showed a strong association with unmet need due to "service not available when needed." Conclusions: Our finding suggests that different policy interventions should be considered for each at-risk population group to address the root cause of unmet healthcare needs.

• International Journal of Advanced Culture Technology
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• 제4권2호
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• pp.43-46
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• 2016

Modernization of the medical healthcare system, through the use of technology, has become an important field of study today. The healthcare system is intended to efficiently deliver care and services to consumers. It is such that the healthcare system is defined as an industry which provides health services (health activities) so as to meet the health needs and demands of individuals, the family and the community. In this study, transforming healthcare so as to better meet the needs of patients will require changes in the strength of delivering care for patients who already have good access to services, while also improving the care for patients who find it harder to get the care they need.

• 보건의료산업학회지
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• 제12권2호
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• pp.39-49
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• 2018

Objectives : In this study, we used the data of the 2015 National Health and Nutrition Survey in its 6th Phase, and the total number of subjects included was 4,884. Methods : Frequency analysis, crosstab and logistic regression analysis were conducted to investigate unmet medical factors related to family members. Results : The subjects of the study were 10.3% single-person households and 89.7% non-single-person households. There were statistically significant differences in age, education level, marital status, income level, private health insurance, and subjective health status. Factors associated with unmet healthcare needs according to single-person households was subjective health status. Age, gender, marital status and subjective health status were the factors associated with unmet healthcare needs according to non-single-person households. Conclusions : It is necessary to establish health care policies that can expand the health education necessary for providing appropriate information on medical care and improving awareness of social illnesses and improving affordability and convenience.

• 가정∙방문간호학회지
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• 제17권2호
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• pp.135-143
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• 2010

Purpose: The study analyzed continuing educational needs with the aim of developing continuing education program for home healthcare nurse specialists. Methods: A convenience sample of 101 home healthcare nurse specialists affiliated with 89 home health care agencies in Seoul, Busan, Dae-gu, Inchon, Jeonnam, Keongnam was used. Data was collected with a self-report questionnaire from May 10-31, 2010, and analyzed with descriptive statistics using SAS 9.13 program. Results: Of the participants, 88.1% reported that continuing education was necessary and 58.2% reported that the education was needed for peak job performance. The participants also reported that it would be proper if continuing education is given on a Saturday(56.4%) by home healthcare institute(49.5%) or homecare nurses association (38.6%) for 1-3 months(56.4%). The participants scored more than 3.0 in the current performance at six of the seven home healthcare nurse specialist roles, and scored more than 3.5 in the necessity of continuing education for seven roles in 47 jobs. Conclusion: Various programs for continuing education have to be developed and need to focused on the jobs needed for home healthcare nurse specialist and the most frequent disease. For this purpose, every home healthcare organization has to select their unique area and develop their own educational program. Furthemore, home healthcare nurses association has to build an education operating system that incorporates all program aspects.

• 보건의료산업학회지
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• 제10권2호
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• pp.83-97
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• 2016

Objectives : This study analyzed the factors that determine the use and type of medical examination services (MES) to develop a model explaining the use behavior of MES which could consequently contribute to policy implications for medical examinations. Methods : Based on Anderson's healthcare utilization model, the MES utilization model was developed by including the perceived needs for MES. The data were collected from an online survey of a population aged 20-39 years and from a telephone survey of a population aged 40 years or older, respectively. Chi-Square tests and hierarchical logistic regression analyses were done with SAS version 9.3. Results : Generally, as health status became lower, the use of MES increased. However, patients with two or more chronic diseases were less likely to use private MES compared to patients with one chronic disease. The perceived needs for MES were only related to the use of service and not to the choice of the MES type. Conclusions : There were different results for the significant determinants between the use of the MES and the choice of the MES type. The healthcare industry needs to aware of consumer needs to provide MES based on empirical findings.

• 한국노년학
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• 제37권2호
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• pp.281-291
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• 2017

본 연구의 목적은 한국의 65세 이상 노인의 의료요구 미충족 경험률을 알아보고, 고용형태와 의료요구 미충족 경험률 및 경제적 이유로 인한 의료요구 미충족 경험률의 관련성을 분석하는 것이다. 연구방법은 2013년 한국의료패널자료를 이용하여 65세 이상인구 5,528명을 대상으로 고용형태에 따른 의료요구 미충족 경험률과 경제적 이유로 인한 의료요구 미충족 경험률의 관련성을 알아보기 위해 로지스틱 회귀분석을 실시하였다. 연구결과, 65세 이상 노인의 의료요구 미충족 경험률은 18.9%로 유렵연합국 노인인구집단보다 의료요구 미충족 경험률이 2-3배 높았다. 그리고, 의료요구 미충족을 경험한 노인 중 의료요구 미충족을 경험한 이유가 경제적 이유라고 응답한 노인은 42.8%였으므로 경제적 이유로 인한 의료요구 미충족 경험률은 8.1%이다. 임시직으로 경제활동을 하는 노인은 은퇴로 경제활동을 하지 않는 노인보다 의료요구 미충족 경험률이 높았고(ORs=1.75), 일용직으로 경제활동을 하는 노인은 경제적 이유로 인한 의료요구 미충족 경험률이 높았다(ORs=1.92). 경제활동 상태에 따른 의료요구 미충족 경험률의 차이는 '질병과 손상'을 가진 노인을 제외하고는 종사상의 지위에 따른 차이가 크지 않았다. 의료요구 미충족 경험 이유가 높은 의료비 부담이라고 응답한 경우에도 경제활동 상태에 따른 의료요구 미충족 경험률의 차이는 '질병과 손상'을 가진 노인을 제외하고는 종사상 지위에 따른 차이가 크지 않았다. 다만, 경제활동자 중에서는 '일용직' 노인의 경제적 이유로 의료요구 미충족 경험률이 가장 높았다. 또한, 소득이 적을수록 의료요구 미충족을 경험할 가능성이 높았다. 결론적으로 한국 노인의 의료요구 미충족을 해결하기 위해서는 노후소득보장제도의 개선뿐만 아니라 평균수명 증가에 따른 경제활동에 참여하는 노인의 일자리 형태 및 임금수준에 대한 개선방안이 필요할 것으로 보이며, 더불어 의료비를 해결할 수 있는 건강보험의 보장성이 강화되어야 할 것으로 보인다.

• 지역사회간호학회지
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• 제33권4호
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• pp.385-395
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• 2022

Purpose: To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose. Methods: This qualitative study included 15 marriage-based immigrant women. Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis. Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language. Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.

• 한국산학기술학회논문지
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• 제19권5호
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• pp.190-198
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• 2018

본 연구의 목적은 결혼이주여성이 필요로 하는 영유아 건강관리의 세부 내용과 그 요구를 확인하여 교육프로그램 개발을 위한 기초자료를 마련하는 것이다. 연구대상은 B시 1개 다문화가정지원센터의 결혼이주여성 30명과 B시 전체 구군 보건소의 영유아 건강관리 업무 담당자 25명으로 하였으며, 2016년 12월부터 2017년 1월까지 일반적 특성, 영유아 건강관리교육 현황, 영유아 건강관리 교육 중요도 및 실행도, 교육요구도를 설문조사하였다. 자료분석은 SPSS 20.0을 사용하여 빈도분석, 교차분석, t-test, ${\chi}^2-test$하였다. 연구결과는 조사대상 결혼이주여성의 56.7%가 영유아 건강관리 교육을 받아 본 적이 없다고 하였고, 결혼이주여성의 영유아 건강관리 교육 중요도 및 실행도에서는 유의한 차이가 없었다. 결혼이주여성의 영유아 건강관리 교육 요구도 분석 중 Borich 분석에서는 '안전수칙/사고', '기저귀/대소변 훈련', '성장발달'을 상위 25%로 응답하였고, Locus for Focus에서는 HH영역으로 '안전수칙/사고', '목욕', '아기마사지', '기저귀/대소변 훈련', '이유식'을 응답하였다. 결혼이주여성과 영유아 건강관리 업무 담당자의 교육 중요도 비교에서는 영유아 건강관리 전 영역에서 영유아 건강관리 업무 담당자의 교육 중요도가 더 높았다. 본 연구결과를 토대로 정보 접금이 차단된 결혼이주여성을 포함하도록 조사대상을 확대한 조사와 이에 따른 영유아 건강관리 교육 프로그램 개발 및 실행을 제안한다.

• International journal of advanced smart convergence
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• 제9권2호
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• pp.164-172
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• 2020

The interest and importance of the convergence services for healthcare expand more and more as the average life expectancy increases. Convergence of ICT and healthcare technology unfold efficient and quick health services. Recently, healthcare services provide to clients with apps over web. On-demand wireless data broadcast supports any number of clients to access their desired data items dynamically by responding the needs for data items from the clients. In this paper, we propose an on-demand system to broadcast FHIR bundles for efficient healthcare services. We use time-parameterized replacing policy for renewing the bundle items on the wireless broadcast channel. The policy lets the on-demand broadcasting dynamic by controlling the time duration for the bundles to reside over the wireless channel. With simulation studies using an implemented testbed, we evaluate the performances of the proposed system in access time and tuning time. For evaluation, we compare the time-parameterized replacing policy of the proposed system with regular-number replacing policy. The proposed time-parameterized replacing policy shows shorter access time than the regular-number replacing policy because the policy responds more actively and dynamically to the change of the needs of the clients for FHIR bundles.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권4호
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• pp.41-48
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• 2010

Since 1970s' many hospitals have been built due to the economic growth and change of social policy in Korea. But, we had no sufficient data and design guidelines of planning and designing to get good design solutions. From the first paper on the healthcare architecture issued in 1974, many researches have been performed. Researches could be one of the efforts to solve the problems and satisfy the needs of those periods. Researches could reflect the characteristics of healthcare architecture of those periods. So in this paper 267 papers issued between 1974-2009 were analyzed to get the characteristics patterns of research periodically. This paper aims to provide a basic data for studying of history of healthcare architecture in Korea.