• Title/Summary/Keyword: Local Health Center

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A Study on the Odor Management of Traditional Markets in the Old and New Towns

  • KOO, Yeon-Kyo;YOUN, Ji-Min;JO, Jae-Yeon;KWON, Woo-Taeg
    • Journal of Wellbeing Management and Applied Psychology
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    • v.5 no.4
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    • pp.39-50
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    • 2022
  • Purpose: Odor generated in traditional markets causes discomfort, hindering the pleasant life of residents, and complaints of odors are steadily increasing every year. Odor is defined as a smell that stimulates a person's sense of smell by stimulating hydrogen sulfide, mercaptans, amines, and other irritating gaseous substances. Research design, data and methodology: It is not easy to grasp and manage the current status of the odor analysis of living odors such as traditional markets. Seongnam City has an advanced new town of Bundang and Pangyo, while old cities such as Sujeong-gu are relatively underdeveloped. Results: As a result, the gap between the old city center and the new city center widens, so it is urgent to develop a balanced development. Based on this, the market of Seongnam-si is divided into the old city center and the new city center, and the odor complaint in the traditional market is analyzed to find a solution. A survey was conducted to understand the current status of odor management in the Seongnam-si market and the odor felt by users. Moran Market, Seongnam Jungang Market, and Kumho Market and Dolphin Market, located in the new city center, were selected as targets. The items of the survey consisted of the frequency and cause of the odor, the current status of market management, matters that need improvement, and efforts to resolve the odor. Conclusions: Therefore, this study aims to help citizens feel better about odor environment in places where odor standards are exceeded or complaints occur frequently, and to help local governments and market merchants establish more efficient and useful development plans.

Regional Inequalities in Healthcare Indices in Korea: Geo-economic Review and Action Plan (우리나라 보건지표의 지역 격차: 지경학적 고찰과 대응방안)

  • Kim, Chun-Bae;Chung, Moo-Kwon;Kong, In Deok
    • Health Policy and Management
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    • v.28 no.3
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    • pp.240-250
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    • 2018
  • By the end of 2017, in a world of 7.6 billion people, there were inequalities in healthcare indices both within and between nations, and this gap continues to increase. Therefore, this study aims to understand the current status of regional inequalities in healthcare indices and to find an action plan to tackle regional health inequality through a geo-economic review in Korea. Since 2008, there was great inequality in life expectancy and healthy life expectancy by region in not only metropolitan cities but also districts in Korea. While the community health statistics from 2008-2017 show a continuous increase of inequality during the last 10 years in most healthcare indices related to noncommunicable diseases (except for some, like smoking), the inequality has doubled in 254 districts. Furthermore, health inequality intensified as the gap between urban (metropolitan cities) and rural regions (counties) for rates of obesity (self-reported), sufficient walking practices, and healthy lifestyle practices increased from twofold to fivefold. However, regionalism and uneven development are natural consequences of the spatial perspective caused by state-lead developmentalism as Korea has fixed the accumulation strategy as its model for growth with the background of export-led industrialization in the 1960s and heavy and chemical industrialization in the 1970s, although the Constitution of the Republic of Korea recognizes the legal value of balanced development within the regions by specifying "the balanced development of the state" or "ensuring the balanced development of all regions." In addition, the danger of a 30% decline or extinction of local government nationwide is expected by 2040 as we face not only a decline in general and ageing populations but also the era of the demographic cliff. Thus, the government should continuously operate the "Special Committee on Regional Balanced Development" with a government-wide effort until 2030 to prevent disparities in the health conditions of local residents, which is the responsibility of the nation in terms of strengthening governance. To address the regional inequalities of rural and urban regions, it is necessary to re-adjust the basic subsidy and cost-sharing rates with local governments of current national subsidies based mainly on population scale, financial independence of local government, or distribution of healthcare resources and healthcare indices (showing high inequalities) overall.

Status and Issues on Disaster Preparation Programs in Public Health Center (보건소의 재난관련 대비-대응 사업의 실태와 과제)

  • Cho, Yoo Hyang;Chung, YoungHae;Chie, Nagahiro
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.63-73
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    • 2018
  • Objectives: The purpose of this study was to review the disaster preparation and response programs and the status of disaster preparation in public health center. Methods: In depth interview was performed in September 2017 using 5 open questions to the persons who are in charge of disaster response services in 5 public health centers of different levels in Korea. The questions included general characteristics of public health center, disaster programs and future issues. The research hired a quality method. Results: In general, the persons in charge recognized the cooperative agency of local government in disaster management. There were no disaster preparation programs developed by the public health centers. Most of the preparation were passive activities such as emergency support, crisis management on communicable disease and quarantine, participation in biological disaster response training, and education etc. The persons in charge emphasized necessity of disaster preparation programs. Conclusions: Disaster preparation and responsiveness is an evolving issue in public health centers in Korea. Medical support system and communicable disease management system are being set up in the national level. A comprehensive system covering health management, nutritional support, mental health, environment management of shelter, and volunteers supports on public health center level needs to be developed along with a easy-to-follow manual.

A Study for the Enhancement of Accessibility to Community Home Nursing Care Services - The Home Nursing Care Program of Seoul Nurse Association - (지역사회에서의 가정간호 접근성 제고 방안 - '서울시간호사회' 가정간호사업 분석을 토대로 -)

  • Hwang, Na-Mi;Park, Sung-Ae;Kim, Yun-Ok;Moon, Young-Im;Park, Jeong-Sook;Ryu, Ho-Sihn;Rhee, Kae-Sook
    • Journal of Home Health Care Nursing
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    • v.10 no.1
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    • pp.5-14
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    • 2003
  • Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

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The comparison of effect in oral health education frequency for elementary school students from a part of community child center (일부 지역아동센터 구강건강증진 프로그램 운영 횟수에 따른 효과 비교 연구)

  • Kim, Hee-Kyoung;Bae, Soo-Myoung;Shin, Sun-Jung;Ryu, Da-Young;Son, Jung-Hue;Eom, Mi-Ran;Shin, Bo-Mi;Lee, Min-Sun;Kim, Eun-Ju;Choi, Yong-Keum
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.5
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    • pp.759-771
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    • 2011
  • Objectives : The aim of study is the comparison of effect in oral health education frequency and contents for elementary school students from a part of community child center to run and suggest a practical and effective oral health promotion program for local community child center. Methods : The program has been running for 4 trials in G district in Seoul and 2 trials has been conducted in S city in Gyung gi province. The comparison was done in independent samples test of awareness, knowledge and behavior of children of community child center in both G district and S City and paired t-test was conducted before and after oral health promotion program to find out those same 3 items. Results : As a result, after the comparison of plaque control score of Oral health promotion program frequency, significantly better result was show in 4 trial program with 55.3 score(p<0.05), No significant result of plaque control score was shown in 2 trail program(p>0.05). Conclusions : As a result of the Oral Health Promotion program which has been conducted in 2 different session type, knowledge, awareness and behaviour has been changed, however, There were no significant difference between Oral health education frequency of those two different program. Also with the result of Plaque control score of those two programs were not satisfying level. Therefore, in conclusion, the management and operation of the Oral Health Promotion program is needed and it must be based on health promotion which it would change the behavior and attitude of the children.

A Study on the Actual Conditions of Scoliosis in Fifth and Sixth Grade School Children (초등학교 5, 6학년을 대상으로 한 척추측만증 실태조사)

  • Lee, Sook-Bee;Kim, Jong-Bee
    • Journal of the Korean Society of School Health
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    • v.12 no.1
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    • pp.143-148
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    • 1999
  • The focus of this study is to introduce the relationship between the Forward Bending Test and scoliosis. Our research screening process was conducted on elementary fifth and sixth grade school children. X-ray analysis on students who tested positive on the Forward Bending Test showed a strong positive relationship between the two. Thus, it is desirable that local schools participate actively in taking the Forward Bending Test for early detection of scoliosis among school children. In addition, schools should educate their students technigues that prevent scoliosis and the progress of it by teaching technigues how to sit up as well as muscle enhancing exercises around the spine and pelvic area.

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A Comparative Study of Healthy City Project Evaluation in U.K. and Korea: Focusing on Liverpool City and Wonju City (영국과 한국의 건강도시 사업 평가방법 비교 연구: 리버풀과 원주시를 중심으로)

  • Kang, Shin Hee;Nam, Eun Woo;Moon, Ji Young
    • Korean Journal of Health Education and Promotion
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    • v.30 no.2
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    • pp.93-103
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    • 2013
  • Objectives: This study was to compare two healthy cities, Liverpool in England and Wonju in Korea, which evaluated healthy city projects and to reorient evaluation strategy which fits into Korean Healthy cities. Methods: Comparatives analysis was used by reviewing documents, healthy city plan and evaluation report, of two cities. Results: Healthy city projects in two cities, fifteen programs were identical items among twenty-seven but there were differences in seven items for Liverpool and five items for Wonju. In Liverpool evaluation was done by a stakeholder group called Liverpool Local Involvement Network(LINK), while in Wonju by Yonsei Healthy City Research Center. The evaluation tool was two types; quantitative and qualitative analysis. Liverpool mostly used qualitative and added quantitative, vice versa in Wonju. Conclusions: Evaluation plan for Healthy city projects need to be made in the first phase of the projects, instead of in the end. Moreover, it is important to include stakeholder in conducting qualitative analysis for unquantifiable evidence of effectiveness, as well as quantitative analysis.

Awareness and Opinions of Inhabitants on Vivax Malaria in Two Endemic Areas, Gyeonggi-do, Korea

  • Bahk, Young Yil;Cho, Shin-Hyeong;Na, Byoung-Kuk;Hong, Sung Jong;Lee, Sung-Keun;Kim, Tong-Soo
    • Parasites, Hosts and Diseases
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    • v.59 no.5
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    • pp.513-518
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    • 2021
  • The incidence of vivax malaria in Korea was reduced to a low plateau. For successful elimination of vivax malaria, socio-behavioral changes in the communities are essential. This study aimed to figure out awareness of the inhabitants on the vivax malaria endemicity. The 407 participants including vivax malaria patients and uninfected inhabitants in Gimpo- and Paju-si, Gyeonggi-do, known as high-risk areas in Korea. We used a community-based study design and non-probability sampling method using primary data. Except for the perception about the public health facilities' capability to cope with anti-malaria programs, the 2 groups of participants shared the same level of awareness about public promotional and educational measures and opinions for malaria elimination from the community. Thus, our future goals for malaria prevention and elimination are to develop more active and well-organized community-based education and evaluation programs collaborating with the community healthcare authorities and local governments.

Feasibility to Expand Complex Wards for Efficient Hospital Management and Quality Improvement

  • CHOI, Eun-Mee;JUNG, Yong-Sik;KWON, Lee-Seung;KO, Sang-Kyun;LEE, Jae-Young;KIM, Myeong-Jong
    • The Journal of Industrial Distribution & Business
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    • v.11 no.12
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    • pp.7-15
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    • 2020
  • Purpose: This study aims to explore the feasibility of expanding complex wards to provide efficient hospital management and high-quality medical services to local residents of Gangneung Medical Center (GMC). Research Design, Data and Methodology: There are four research designs to achieve the research objectives. We analyzed Big Data for 3 months on Social Network Services (SNS). A questionnaire survey conducted on 219 patients visiting the GMC. Surveys of 20 employees of the GMC applied. The feasibility to expand the GMC ward measured through Focus Group Interview by 12 internal and external experts. Data analysis methods derived from various surveys applied with data mining technique, frequency analysis, and Importance-Performance Analysis methods, and IBM SPSS statistical package program applied for data processing. Results: In the result of the big data analysis, the GMC's recognition on SNS is high. 95.9% of the residents and 100.0% of the employees required the need for the complex ward extension. In the analysis of expert opinion, in the future functions of GMC, specialized care (△3.3) and public medicine (△1.4) increased significantly. Conclusion: GMC's complex ward extension is an urgent and indispensable project to provide efficient hospital management and service quality.

Research on Actual Condition of Emergency Patients in Farming and Fishing Villages - In southwest coast district center - (농어촌지역 응급환자 실태조사 - 서남해안 지역을 중심으로 -)

  • Choi, Gil-Soon;Kwon, Hay-Rran
    • The Korean Journal of Emergency Medical Services
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    • v.10 no.1
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    • pp.13-21
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    • 2006
  • Purpose: This study aims to examine characteristics and actual conditions of patients using emergency room at farming and fishing villages, solve overcrowding of emergency room at the tertiary hospital and activate local emergency clinics. Methods: It examines department of diagnosis and treatment, vehicles used, sex, age, residential area, visit hour, length of stay, presence or absence of trauma, measures after first aid and degree of severity based on medical records of 6,740 patients using emergency room at farming and fishing villages from Jan. 1 to Dec. 31, 2005. Conclusion : 1. Sex distribution of patients of emergency room was male 54.9% and female 45.1% and age distribution between over 40 and below 50 was most as 15.9%. 2. Transport means to emergency room were 91.4 of private car and others (public transport and going on foot), 7.5 of 119, 129 and police car and 1.0% of ambulance. 3. According to distribution of residential areas of emergency patients, 38.9% were Eup area, 42.1% Myeon area, 11.4% distant area and 7.5% adjacent area. 4. According to distribution of emergency patients by department of diagnosis and treatment, internal medicine was most as 35.8% and 55% of patients visited emergency room from 3:31 p.m. to 11:30 p.m.. 5. According to total hours of diagnosis and treatment of subjects, 51.2% were within 30min. and cases of non-trauma disease were 68.2%. 6. According to degree of emergency of emergency patients, non-emergency cases were 65.3%, urgent cases 27.7% and emergency cases 7.0% and 74.2% of patients returned home after first aid and 20.6% of them hospitalized. In conclusion, characteristics and diversification of patients should be examined and efforts by government and local medical institutions which must organize emergency system and facility and personnel levels suitable to regional conditions are needed in order to prevent overcrowding of emergency center of the tertiary hospital and activate local emergency center.

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