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Improvement Plan of the Korean Electronic Medical Record (우리나라 전자의무기록의 개선방안)

  • Choi, Chan-Ho
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.11-21
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    • 2014
  • The rapid development and distribution of information communication industry facilitates the changes of hospital administration, introducing EMR(Electronic Medical Record) instead of paper-based medical record in the medical field. The developed countries such as U.S. have established EMR system after in the middle of 1970s because the primary advantages of EMR is to store and handle vast amounts of records efficiently and increase the quality of health care. Most of health organizations in Korea also apply medical record system to their administration. As the result, they have accomplished a scientific administration system through the use of medical record to handle a variety of patient's information including patient's confidentiality and privacy such as family history, social status, income level, and so on. However, access to and the misuse of EMR causes illegal infringement of patient's information and finally it becomes a very serious medical issue. Potential leakage and misuse of records may seriously infringe patient's privacy rights. In this respect, the related agencies in the public and private sector have been making efforts to prevent patient's records leakages. Especially, the revision bill of Medical Law in 2002 establishes the ways on the security and standards of electronic records. However, it does not provide the proper guidelines which is applied to the rapid changes of the medical environment. One of the most priorities in the hospital administration is the production and maintenance of an accurate medical records fulfilled by medical recorders. Therefore, it is very important for health care providers to hire ethical-based medical recorders. But, unfortunately most of hospitals overlook the importance of their roles. All parts including government, physician and patient must have more concerns on the problems related to EMR. Therefore, this study aims to propose the proper ways to resolve the problems coming from EMR.

Comparison of Service Usage of Outpatients at Korean Medical Clinics by Regions and Gender (한방의료기관을 이용하는 외래환자의 지역 및 남녀별 치료질병의 우선순위 비교)

  • Lee, Woo-Chun;Choi, Sung-Yong;Lee, Sundong
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.41-55
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    • 2014
  • This research has academic significance in that it uses the data from "Research on Usage of Korean Medicine Service and Medicine" to analyze the differences in usage of Korean medicine service by regions and genders on a national scale. The items analyzed were the sociodemographic characteristics, preferences of forms of Korean medicine service by gender and province. The results showed that there were statistically significant differences by marital status, education, occupation, and income (p<.01). Men used service for back pains (23.0%), muscle injuries (20.7%), back sprain (16.5%), ankle sprain (11.2%), and arthritis (10.5%). Women used service for back pains (26.5%), arthritis (18.7%), muscle injuries (12.9%), back sprain (12.1%), and indigestion problems (10.1%). There were statistically significant differences among men and women (p<.01). In the comparison analysis by cities, back pain was the biggest reason (p<.01), but there were differences from city to city; In Gwangju, back sprains (24.4%) and ankle sprains (16.1%) were first and second reasons, while In Ulsan, back sprains were the first reason (29.8%). By province level, back pains were the biggest reason for men, but there were differences by provinces (p<.05); In Chungbuk and Jeonnam, muscle injuries were first (23.7% and 23.9%, respectively). In conclusion, there were differences by cities and provinces in usage of Korean medical service, as well as by gender.

Effects of Frequent Eating-out and Breakfast Skipping on Body Mass Index and Nutrients Intake of Working Male Adults: Analysis of 2001 Korea National Health and Nutrition Survey Data (직업 남성의 잦은 외식과 아침결식이 체질량지수 및 영양소 섭취에 미치는 영향 - 2001년 국민건강영양조사자료 분석)

  • Lee, Joung-Won
    • Korean Journal of Community Nutrition
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    • v.14 no.6
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    • pp.789-797
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    • 2009
  • In order to investigate the effects of frequent eating-out and breakfast skipping of working men on body mass index and nutrients intake status, working male adults aged 20 or over were selected (n = 1883) from the data of 2001 Korea national health and nutrition survey. The subjects were divided into 4 groups according to the eating-out frequency(high: once or more daily, low: less than once daily) and breakfast eating or not. Four groups were high eating-out with breakfast eating (n = 609), high eating-out with breakfast skipping (n = 192), low eating-out with breakfast eating (n = 877), and low eating-out with breakfast skipping (n = 205). High eating-out group showed higher body mass index (BMI) than low eating-out group, but the difference of BMI was disappeared when adjusted with age, residence region and family income. However high eating-out group in case of breakfast eating, compared with the low eating-out, showed higher intakes or densities of energy, fat, fat-energy% and higher ratio of energy-fat overintake, and also showed higher mean nutritional adequacy ratio and lower ratio of nutrients intake deficiency. Calcium, iron, vitamin A and C intakes were not affected by eating-out frequency, but were lowered by breakfast skipping. Breakfast skipping also decreased intake frequency of unprocessed cereals and increased those of ramyon and carbonated and alcoholic beverages. From the results frequent eating-out with breakfast eating caused increased intakes of energy and fat, but did not cause BMI increase. Breakfast skipping, but not eating-out, had negative influences on mineral and vitamin intakes. Accordingly good eating-out as well as breakfast eating should be exceedingly emphasized at nutrition education for the working males.

A Study on the Practices of Clothing Reuses and Clothing Attitudes by the Green Store Users (녹색가게 이용자의 의복 재사용 실태와 의복 태도에 관한 연구)

  • 김인숙;석혜정
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.8
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    • pp.1088-1099
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    • 2004
  • This study looked into the features of the consumers who positively reuse the clothing through their actual exchanges at second-hand clothing stores. The findings indicate that it shows the features of the consumers who perform the environmental activities by treating the clothing to be actually left unused, in an environmentally-friendly way, and that it may present the programs that will be able to create more consumers on the basis of its findings. The study used the questionnaire method, and the subjects were selected among those who have the experience of buying the second-hand clothing. The findings are as follows. 1. The major users of Green stores were found to be many among the females in their forties by the age, with 2 million Won or more by the income, of the graduates of high school or higher by the educational background, or of the housekeepers with children by the job. 2. The practices for the Green store utilization showed the highest ratios in one or two times of uses a month, one to four pieces of purchases a month, female clothing by the article, or trousers by the purchasing item. 3. As for the level of satisfaction after the clothing purchase at green stores, 70 percent of the respondents were satisfied, and the high ratios were seen with "the price was very low" or "since it seemed to support the environmental issues" by the reason for the satisfaction. 4. The findings on the clothing attitudes by the green store users showed fashion and social status symbol (factor 1), feminine modesty (factor 2), convenience (factor 3), alignment (factor 4), and economy (factor 5).

Determinants of Household Debt using a Hierarchical Aging-Period-Cohort Model: Baby-boomers with Middle-Aged & Older Adults (위계적 APC모델을 활용한 가계부채결정원인 분석: 베이비부머세대 포함 중·장년·노년층을 중심으로)

  • Kim, Jeungkun
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.396-405
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    • 2017
  • Main purpose of this study is to analyze determinants of household debt among middle and old individuals aged between 32 and 76 that include Korean baby-boomers(born between 1955 and 1963), using a HAPC (Hierarchical Age-Period-Cohort) model and Korean Welfare Panel Study 2006-2016. This study includes 86,056 individuals. Research findings indicate that aging and period effects have statistically significant relationships with household debt levels, however, cohort effects including a baby-boomer generation do not. While household debt increases by 3,530,000 Korean won as age increases by one year, the rate of increase in household debt reduces as individual ages. In addition, employment and health status at the individual level have significant effects on household debt levels. The unemployed are more likely than the employed to have high household debt levels while unhealthy people tend than healthy people to have high household debt levels.

Influencing factors on oral health behavior and dental clinic use in industrial workers by Andersen model (앤더슨 모형을 적용한 산업체 근로자 직업유형에 따른 구강보건행위와 치과이용에 영향을 미치는 요인)

  • Im, Ae-Jung;Heo, Yun-Min;Kim, Hyoung-Joo;Lim, Hee-Jung
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.2
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    • pp.235-243
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    • 2015
  • Objectives: The purpose of the study is to investigate the oral health and oral health beliefs in industrial workers and to analyze the influencing factors on dental health care utilization. Methods: The subjects were 280 adults from 16 to 64 years old in Seoul and Gyeonggi from June 20 to July 31, 2014, A self-reported questionnaire was completed after receiving informed consent. The independent variables consisted of predisposing, enabling, and need factors. The predisposing factors included gender, age, residence area, number of family. The enabling variables included monthly income, education, occupation, type of employment. The need factors included subjective oral health recognition and oral health belief model. These three variables had a direct and indirect influence on dental clinic use. The types of occupation were classified into desk duties, merchandizing and service duties technology and others by KSCO-6. Results: The relating factors to dental health care utilization were sex, oral health beliefs perceived benefits, perceived barriers, and self-efficacy. Female tended to have the higher oral health beliefs perceived benefits, perceived barriers(p<0.01), self-efficacy(p<0.05). Conclusions: Those who received frequent oral examination and health instruction tended to have a favorable impact on maintenance of oral health status and improvement in quality of life.

Analysis of dental unmet needs medical research trends and influence factors : using structural literature review (미충족 치과의료 연구 동향 및 영향요인 분석 : 체계적 문헌고찰을 이용하여세요)

  • Kim, Woo-Jong;Shin, Young-Jeon;Kim, So-Ye;Kim, Jan-Di
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.3
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    • pp.243-256
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    • 2020
  • Objectives: This study aimed to determine and facilitate provisions for the unmet dental needs of Koreans, stratified by time, influencing factors, and research trends, through a systematic review of related published studies since 2006. Methods: this review focused on previous studies published between January 2006 and November 2019 that analyzed influencing the factors underlying the unmet dental needs of koreans. We followed the guidelines set for each phase of research and selected the final 32 studies that met the selection criteria for the analysis. Results: The number of studies has rapidly increased since 2015 (22 studies, 68.7%). the were 68.9% in 2006, 25.9% in 2009, 41.3% in 2010- 2012, and 33.3% in 2013-2015 for adults and 27.9% in 2010, 24.6% in 2015, and 16.1% in 2017 for the rates of older adults. the rates of unmet dental needs related to economic factors, were 38.6% in 2006, 41.4% in 2007-2009, and 35.9% in 2013-2015 for adults and 50.5% in 2010 and 41.2% in 2015 for the older adults. There were common influencing factors for unmet dental needs. the rate of unmet dental needs was increased by with female gender, younger age, single marital status, low family income, low educational level, worsened subjective health condition, and the presence of chronic diseases. Conclusions: Standardized studies with more accurate definitions and assessment tools are required. however, our study emphasizes the need for a policy intervention that accounts for the characteristics of subjects to reduce unmet dental needs.

Factors Determining the Economic Preparation for Later Life of the Elderly with Industrial Injury: Based on Andersen Behavioral Model of Health Care Utilization (산재경험 고령자의 경제적 노후준비에 관한 연구: 앤더슨 모형을 중심으로)

  • Moon, Yong-pil;Won, Seo-jin
    • The Journal of the Korea Contents Association
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    • v.15 no.8
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    • pp.313-325
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    • 2015
  • This study aims to address factors affecting economic preparation of the elderly with industrial injury using Andersen model. In addition, it is also to explore differences in accordance with changes in the employment status between regular employees and non-regular employees. The authors analyze Panel Study of Worker's Compensation Insurance(PSWCI)'s 1st wave data in the logistic regression model. The authors found gender and education were related to economic preparation. In addition, earned income, national health insurance and the degree to which pain interferes with daily life and the lives caused by industrial accidents were associated with economic preparation. But national pension was not statistically significant to economic preparation. Based on the findings, the researchers addressed political implications to enhance financial security of injured workers.

Demand Analysis of Technology Development for Smart Village based on Community Activities (공동체 활동을 기반으로 한 스마트빌리지 기술개발 수요분석)

  • Park, So Yeon;Cho, Hyejin;Jung, Nam-Su
    • Journal of Korean Society of Rural Planning
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    • v.26 no.2
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    • pp.117-126
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    • 2020
  • In this study, demands of smart technology development were analyzed for rural village communities. Questionnaire items were derived by grasping the current status of information and communication technology. 49 villages in 8 regions were selected and surveys and statistical analysis were conducted. The main results of the study are as follows. First, 92% of community leaders use smartphones, search for information (38%), communicate with the Internet (36%) using smartphones, use KakaoTalk (31%), and Facebook (24%). Second, in the rural and urban exchange activities, promote support information service (51%) and promote method suggestion service (48.5%) showed that the demand for services in promote field was high. It is linked to the creation of economic opportunities. Third, in the income and production activities, demand for distribution services technology (39.3%) was high in the field of production and distribution, and cold chains that help maintain freshness until food, such as meat, fish, and vegetables are delivered to consumers when agricultural products are distributed. The constant temperature control system needs to be actively introduced. Fourth, autonomy activities showed the highest demand for air conditioning and control systems (34.2%) of community building, and the lowest demand for electronic voting (9.4%) and videoconferencing (9.4%) services. Lastly, in the general activity area of the community, the demand for technology of emergency services (37.1%) and health self-diagnosis service (35.4%), which are technologies in the welfare sector, ranked first and second respectively.

ROI(Return on Investment) Analysis of Open-field Cultivation of Lycium Chinese Miller (구기자 노지재배 투자 수익성 분석)

  • Park, Yong Bae
    • Journal of Korean Society of Forest Science
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    • v.101 no.1
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    • pp.46-52
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    • 2012
  • The purpose of this study is to give ROI informations about management status and investment returns to someone who will newly cultivate lycium chinese miller or expand area of its cultivation. In this study, IRR, B/C Ratio and NPV is used for ROI analysis. We basically surveyed fifty two among Lycium Chinese Miller cultivation farmhouses in chief producing districts Chungnam Chungyang, Jeonnam Jindo in Korea from May until September in 2009. Hence, this study surveyed these farmers about production cost, management cost, input labors and materials, land price and etc. by working process to calculate production and operation cost. As the result of farm survey, average selling price of Lycium Chinese Miller is 15,000 won per kg at locals for five years. However, when 3% discount rate is applied, the result of the analysis is B/C Ratios 0.89, which shows unprofitable. Therefore, it is a possible baseline that price of Lycium Chinese Miller is at least 16,800 won per kg with 3.00% IRR and B/C Ratio is 1.00. It could be profitable with about 21.75% income ratio when price of Lycium Chinese Miller is 16,800 won per kg.