• Journal of the Korean Society of School Health
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• v.36 no.2
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• pp.62-70
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• 2023

Purpose: The purpose of the study is to identify workload measurement indicators for school nurses in order to provide high-quality health care and deploy school nurses effectively. Methods: A second Delphi survey was conducted on 21 experts with more than 5 years of school nurses experience. To develop indicators related to the workload of school nurses, the importance and measurability of a total of 21 workload indicators were investigated, including school nurses characteristics, school characteristics, health needs of students, and socioeconomic determinants. Results: As a result of the Delphi survey, it was found that 6 indicators were suitable in terms of importance and 8 indicators in terms of measurability. The important indicators the panel agreed on include the size of the city where the school is located, the total number of students, the number of classes, the percentage of students with chronic illness, the percentage of students visiting the health office per day, and the percentage of wound care in the health office per day. Conclusion: The percentage of students with chronic illness and the percentage of wound care per day need to be reflected in school nurse workload indicators and follow-up studies are required to shed more light on the socioeconomic determinants of schools.

• The Korean Journal of Health Service Management
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• v.11 no.1
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• pp.117-130
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• 2017

Objectives : In this study, 3,107 patients were used to evaluate the impact based on raw data of 2014 and the health status and medical expenses income quintile was collected and data was analyzed. Methods : Analysis method was the average comparison, ANOVA, subjected to a multiple logistic regression analysis, the statistical test was the t-test and the scheffe post verification. Results : Gender(p<.000), age(p<.000), marital status(p<.000) educational status (p<.000), easement(p<.000), medication(p<.000), subjective health status(p<.005) were analyzed. First quintile identified that the highest amount was spent in the Chungcheong region, the 2nd quintile showed that the highest output was in the Gyeongsang region. The 3rd and 4th quintiles indicated that the highest expenditure was in the Seoul metropolitan region. The 5th quintile showed that the Chungcheong was the highest once again and the Jeolla region was the lowest in terms of expediture. Conclusions : Future medical research on income will require the government's Big Data collection to create the primary basis for policy making in order to improve the efficiency, effectiveness and equity of medicine spending.

• The Korean Journal of Health Service Management
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• v.6 no.4
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• pp.143-152
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• 2012

This study analyzes Korea health panel data (2008) (beta version 1.2) of Korea Institute for Health and Social Affairs, and National Health Insurance Corporation to figure out determinants of healthcare expenditure. In result of Multiple Logistic Analysis, in-patents felt burden on the medical expenditure were 70.0%. As to the patients' payment of medical expenditure, patients over 65 years old had 4.765 times higher than those under 14 years, disabled patients 2.778 than non-disabled patients, chronic patients 1.632 times than non-chronic patients, patients belonging to 12 million won ~ 46 million won and under 12 million won in family income had 1.680 times and 2.168 times respectively than patients with over 46 million won, patients in professional recuperation facility 1.546 times than patients in hospital, patients in private medical institutions 1.700 times than patients in national and public medical institutions, patients using upper grade rooms 1.701 times than patients in non-upper grade rooms. As a health care safety net mechanism to protect people from medical expenditure burden, there is the patients' payment ceiling in the National Health Insurance System. Thus, in order to facilitate the patient's payment ceiling, it is required that the level of ceiling is to be specified according to the income level, and self-payment items is to be included.

• Proceedings of the Korean Environmental Health Society Conference
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• 2005.11a
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• pp.126-129
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• 2005

본 연구는 서울지역 초등학교 학생 4, 5, 6학년 남 ${\cdot}$ 녀 초등학생들을 대상으로 봄철 대기오염농도와 일별 자각증상 과의 관련성에 대한 패널연구를 수행하였다. 로지회귀분석방법 중 일반화 추정 방정식(generalized estimating equations:GEE)모델을 이용하여 통계분석을 실시한 결과로는 서울지역 초등학교 학생들은 호흡기 증상보다는 피부가려움이나 눈의 따가움 등의 자극증상에 호흡성먼지(PM10)와 아황산가스 그리고 이산화질소 등의 대기오염물질 농도와 관련성이 있는 것으로 추정되었다.

• Journal of the Korean Home Economics Association
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• v.38 no.10
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• pp.143-156
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• 2000

The purpose of this study were to compare the job satisfaction of married salaried women with that of self-employed, and to identify the determinants of job satisfaction of both of them. The sample consisted of 176 salaried women and 123 self-employed from data of 1998 Korea Household Panel Study, and analyzed into Frequencies, Percentile, t-test, $\varkappa$$^2$-test, and Multiple Regression. The findings showed that self-employed had larger proportion of home-based worker, worked more hours, and had more earnings than the salaried, and that the job satisfaction of salaried worker were higher than that of self-employed. The determinants of job satisfaction of total working women were educational level, perception of present economic status, health status, number of eamers, weekly working hours, and their income. In case of salaried worker, educational level, health status, number of earners, weekly working hours, and their income had effect on their job satisfaction, while the factors contributing job satisfaction of self-employed were health status, region, weekly working hours, and income.

• KDI Journal of Economic Policy
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• v.42 no.3
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• pp.53-85
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• 2020

We examine how certain occupational physical requirements affect labor transitions of disabled workers by exploiting a unique feature of South Korean Disability Insurance (DI), where award rules are based solely on an applicant's medical condition, independent of his previous occupations. We estimate the labor market response to a health shock by constructing a physical intensity measure from O^⁎NET and applying it to longitudinal South Korean household panel data. Our results suggest that health shocks initially lead to a 14 to 20 percent drop in employment and that this effect is greater for workers who previously held physically demanding occupations. Those who remain part of the labor market exhibit higher occupational mobility toward less physically demanding jobs. These findings imply that the magnitudes of income risks associated with health shocks vary depending on occupational and skill characteristics.

• Journal of Home Health Care Nursing
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• v.8 no.2
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• pp.159-170
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• 2001

Client(patient) satisfaction has been used for a variety of purposes in different settings, yet, those receiving home care services have been the focus of few satisfaction studies. Satisfaction is considered an indicator of quality of care and is also being used to assess the performance of home care providers and home health care delivery at multiple levels. The aim of this study was to develop the tool for evaluating client satisfaction in several aspects with home care service while maintaining or achieving acceptable reliability and validity. Firstly, Client Satisfaction Instrument made preliminary of 43 items composed basic 6 criteria and 7 indicators, based on a review of literature, quality improvement and client satisfaction findings in home care. Secondly, there were consisted in two expert panel groups who were made in professionals of research and practice in home care field. The tool was modified to 6 criteria and 7 indicators, 25 items after reviewing by two expert panel groups. The content validity index of the tool was above 0.8 and the results of internal consistency was more than 0.8 in all items. Finally. The Client Satisfaction Instrument in Home Care Service was made up 6 criteria such as client satisfaction of nurses's instruction of home care educational need. knowledge/technique/attitude of homecare nurses's performance. interpersonal relationship and emotional support of nurse. easiness of homecare accessibility, continuity of homecare service. overall efficacy of homecare use, 7 indicators. and 25 items. The results of evaluating client satisfaction will be able to contribute in quality improvement and service marketing in home care.

• Journal of Korean society of Dental Hygiene
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• v.20 no.6
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• pp.809-817
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• 2020

Objectives: This study aimed to analyze the relationship between socioeconomic factors and the unmet dental care needs of the living alone and living with family elderly groups to confirm the differences in their influence. Methods: Data from the Korea Health Panel Study of 2016 were used to analyze a total of 4,987 individuals: 4,008 in living with family group and 979 in living alone group. Chi-square test and multiple logistic regression analyses were performed using SPSS Version 22 (p<0.05). Results: We observed that 16.5% and 28.3% of the participants from the living with family and living alone groups had unmet dental care needs, respectively, indicating that the living alone group had more unmet dental care needs. Income level, residential area, and healthcare security were significant factors related to the living with family group. In contrast, medical aid for healthcare security was a significant factor related to the living alone group (p<0.05). Conclusions: The results confirmed that socioeconomic factors that affect unmet dental care vary according to the living situation. Therefore, the government should identify the number of elderly individuals living alone, which is increasing annually. These individuals are vulnerable in almost all aspects, and the government should establish and implement appropriate oral healthcare policies to support them.

• Korean Journal of Clinical Pharmacy
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• v.32 no.3
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• pp.260-269
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• 2022

Background: Comprehensive medication management is essential to achieve safe and optimal drug use for the elderly in long-term care facilities (LTCF). This study aimed to develop eligibility criteria for "Comprehensive medication management program in LTCF" using the RAND/UCLA Appropriateness Method (RAM). Furthermore, we attempted to estimate the number of beneficiaries who met the criteria by analyzing the National Health Insurance claims data. Methods: Twelve criteria were selected initially. We composed a panel of 14 experts with expertise in long-term care. We conducted two survey rounds to reach a consensus. Rating for appropriateness and decision regarding agreement were applied per RAM. We analyzed the National Health Insurance data to estimate the number of LTCF residents who met each eligibility criterion. Results: Of the 11 items agreed upon, ten items were determined to be appropriate. In 2018, 83.6% of 165,994 residents of LTCF met one or more eligibility criteria. The largest number of subjects met the "New residents of LTCF" criterion, followed by "Take high-alert drugs" and "Chronic excessive polypharmacy." Since the items evaluated as most appropriate by the expert panel and those with a large number of subjects were similar, we confirmed the external validity of our criteria. Conclusion: It is worth noting that this is the first attempt to establish the eligibility criteria for medication management in LTCF. Further preliminary research is needed to identify the selected subjects' drug-related problems and revise the criteria according to the results.

• The Korean Journal of Health Service Management
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• v.6 no.1
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• pp.77-86
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• 2012

Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.