• Health Policy and Management
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• v.18 no.2
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• pp.67-85
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• 2008

This study evaluated the specialization status of Korean hospitals by applying index measures that were developed to determine how hospitals are specialized. In addition, multivariate regression analysis was applied to assess how the measures responded to the internal and external factors of hospitals. National Health Insurance claims for 2004 were used to calculate the information theory index, internal Herfindahl index, number of distinct diagnosis-related groups (DRGs) treated, and percent of the five most common DRGs. Data from the Ministry of Health and Welfare and Korean Hospital Association were used to determine the size, ownership, teaching status, organization type, and location of the hospitals. The four indexes analyzed showed that there were significant differences in the specialization status of providers, depending on the provider size, organization type, and location. Hospitals that were smaller and located in metropolitan areas tended to provide specialized services; this is considered to constitute a competitive strategy for hospitals. It is expected that specialized hospitals will increase given the current market structure. Therefore, policy makers will need an index for measuring how hospital services are specialized. Information from such an index could provide a picture of how hospital services are mixed and change over time.

• Korea Journal of Hospital Management
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• v.15 no.2
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• pp.15-26
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• 2010

Stroke is a high-risk disease. The future of the medical environment is that the proportion of elderly population is increasing, the average life expectancy is being increased, while the fatal rate of stroke will be low. These situation will due to the financial burden on medical insurance. The most important factor that affects on the medical costs of stroke patients is the length of stay. In this study the mean length of hospital for stroke stay was 21.81days(37.97days for intracerebral hemorrhage, 18.89 days for cerebral infarction). The payment per case of stroke was 6.86 million won(12.6 million won for intracerebral hemorrhage, 5.72 million won for cerebral infarction). The payment per case of intracerebral hemorrhage was 2.2 times more than that of cerebral infarction. The payment in the day of hospitalization was the highest and until the second day medical costs was high. After the third day medical costs tended to decline, after that seemed to show an almost constant level. The length of hospital stay was found to be the most important determinant of inpatient charges for stroke. Accordingly rational management of the length of stay will be beneficial to health care consumers, providers, states.

• Korean Journal of Health Education and Promotion
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• v.33 no.3
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• pp.25-35
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• 2016

Objectives: The purpose of this study is to determine the fatigue, self-esteem, and depression of pregnant women with gestational diabetes mellitus (G-DM), and to reveal associated factors of depression. Methods: As a descriptive correlation study, data was collected from 119 pregnant women with G-DM. Data was analysed using t-test, ANOVA, and stepwise multiple regression. Results: Fatigue, self-esteem, and depression averaged $2.09{\pm}.62$ (range of scale 1~4), $2.63{\pm}.32$ (range of scale 1~6), and $0.45{\pm}.25$ (range of scale 0~3), respectively. The depression varied with a statistical significance according to the age (p=.008), employment (p=.014), child (p=.034), and physical and psychological adjustment of pregnancy (p<.001). We also identified fatigue as the most influencing factor and the physical and psychological adjustment of pregnancy as the second most influencing factor, self-esteem as the third, age as the fourth, and child as the influencing factor on the G-DM women's depression. Conclusions: This research provided a valuable opportunity to recognize G-DM as a personal, and societal problem, which calls for relational support as well as personal support. The healthcare providers need to recognize the emotional aspects of the women with G-DM, and make various efforts to promote the physical and psychological health of the G-DM patients.

• The Journal of Korean Academic Society of Nursing Education
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• v.16 no.2
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• pp.222-228
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• 2010

Purpose: This study was done to examine the effects and retention of the American Heart Association (AHA)'s basic cardiac life support (BLS) training on knowledge and skills of nursing college students. Method: The study was a one group pretest-posttest experimental design. The sample included 41 junior nursing students from D college who participated in an AHA BLS course for healthcare providers in K hospital from January 18 to June 7, 2010. The instruction was based on ‘BLS knowledge and skills'. The data were analyzed with paired t-test using the SPSS/PC 12.0 win. Result: First, knowledge (t=-7.648, p=.000) and skills (t=-12.988, p=.000) were significantly increased immediately after BLS training. Second, knowledge (t=4.098, p=.000) and skills (t=50.350, p=.000) of BLS after 4 months was significantly decreased compared to right after BLS training. Conclusion: Knowledge and skills were decreased 4 months after BLS training. Therefore, retraining in BLS is required within 4 months. To maintain the knowledge and skills of BLS, appropriate renewal time and retraining programs are needed.

• International Journal of Internet, Broadcasting and Communication
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• v.10 no.3
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• pp.1-10
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• 2018

Wearable Technology is going to be the biggest buzzword and the next generation of digital revolution in the near future. Wearables have changed the focus of the healthcare industry to prevention programs in order to encourage individuals to be more active and to take the responsibility of their own health. Although, the intention of consumers to use wellness wearables has been growing rapidly, the number of individuals who refuses continued use of such devices increases day-by-day. Diffusion and innovation of new technology could be more efficiently gained by consumer's adoption. So, it is extremely important for providers and designers to understand the impact of positive and negative factors on consumers' intention to use wellness wearables. Moreover, a unified framework is required for better understanding of individuals' behavioral intention for using wellness wearables. Thus, the goal of this study is to identify the potential factors that influence consumers' willingness to use wellness wearables as well as proposing a unified framework based on Unified Theory of Acceptance and Use of Technology 2 (UTAUT2) and Value-based Adoption Model (VAM) with two extra factors, perceived trust and perceived health increase. The findings of this article improves the theoretical understanding of the engaged factors in the proposed research model of the study.

• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.627-638
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• 2001

Caring is an essential element of nursing. In a family with a patient. a critical situation may happen not only for the patient but also for the members of the family. Therefore, a caring service from the healthcare providers can also be requested for the family members. The movie 'Mabin's Room' deals with family problems. In this study, the assessment, problem, diagnosis and planning for the family nursing situation for family problems were made focusing on the role of characters in the movie 'Mabin's Room'. Regarding family nursing intervention, the framework of the story 'Mabin's Room' was reorganized to solve the problems based on the role of community health nurse. In this scenario approach method, the situation in the movie is used without change but the scenario related to the roles (or communication) of community health nurse for solving the family problems is added. It is a problem solving oriented method by reorganizing the scenario in a movie story situation. The reorganized scenario in this study is just an example of scenario approach method. Community Health Nurses can cultivate their creativity by solving various problems in the community by adopting or modifying this simple scenario in practice.

• Asian Pacific Journal of Cancer Prevention
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• v.17 no.6
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• pp.2983-2988
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• 2016

Recognizing cancer patients' preferences to obtain health information can help improve and reform the methods of communicating and providing proper services and consequently lead to effective patient education. The present cross-sectional study to prioritize the preferences of cancer patients regarding the acquisition of health informationwas conducted on cancer patients referred to hospitals affiliated to Semnan University of Medical Sciences in 2015. An anonymous self-administered questionnaire was developed. In the field of side effects of medications, 50 (46.7%) reported knowing about weight change, in the area of achieving relative health, 62(57.9%) announced awareness about diet, and 45 (42.1%) reported physical complications as a first regarding information needs. In the area of obtaining information, 50 (46.7%) tended to take their information through means outside of the hospital setting. These results can help with design of clinical information systems, as they inform the most relevant and useful coverage designed for cancer patients. Providing useful information through healthcare providers, the media and clinical information systems can act as a major source of social support for cancer patients.

• The Journal of Korean Society for School & Community Health Education
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• v.18 no.2
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• pp.43-53
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• 2017

Objectives: The purpose of this study is to examine the relationship between sexually explicit video viewing and social support through the mass media and the sex openness of adolescents. Methods: This study used as the main data of 'Study on Measures against Sexualization of Juveniles through Mass Media in the Smart Age' conducted by 'National Youth Policy Institute' in 2014 nationwide. 3,176 of the 4,356 adolescents in Korea were selected as the final study subjects after excluding the 1,180 missing adjectives. Results: As a result, sex openness of male students was higher than that of female students. The higher the grade, the higher the sex openness, and the higher the stimulus, the higher the sex openness. The higher the imitation sharing, the higher the sex openness. The higher the human rights violation, the lower sex openness. Finally, the higher the social support, the higher the sex openness. Conclusions: In conclusion, strengthening the management of realistic media providers and emotional education rather than the unconditional regulation of mass media is expected to help prevent adverse effects on the sex openness of adolescents.

• Journal of Korean Academy of Nursing
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• v.51 no.5
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• pp.573-584
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• 2021

Purpose: This study aimed to develop an untact visit service based on an application that can be utilized in the pediatric intensive care unit (PICU) during COVID-19. Methods: This study adopted the double diamond process of service design comprising the discovery, defining, and development stages. Results: We developed an untact visit service based on an application that considered the child's status, schedule, photo, and video messages, and so on. Moreover, we derived a service flow regarding the required roles and the type of flow shown between each stakeholder. Conclusion: Considering the ongoing pandemic, the untact visit service is designed to increase rapport and participation of parents, share the child's information in real-time, and provide one-stop service without increasing healthcare providers' work. It will be a useful visit service that can be applied and evaluated in various hospital settings and the PICU.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.22 no.2
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• pp.107-121
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• 2019

The diagnosis and management of gastro-esophageal reflux (GER) and GER disease (GERD) in infants and children remains a challenge. Published guidelines and position papers, along with Embase, MEDLINE, and the Cochrane Database were reviewed and summarized with the intent to propose a practical approach and management of GER and GERD for healthcare providers and to standardize and improve the quality of care for infants and children. For this purpose, 2 algorithms were developed, 1 for infants <12 months of age and the other for older children. None of the signs and symptoms of GER and GERD are specific and there is no gold standard diagnostic test or tool. Nutritional management is recommended as a first-line approach in infants, while in children, a therapeutic trial with antacid medication is advised for early management. The practical recommendations from this review are intended to optimize the management of GER in infants and older children and reduce the number of investigations and inappropriate use of medication.