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Effectiveness of Interventions to Increase Screening for Gastric and Colorectal Cancer in Korea

  • Hong, Nam Soo;Kam, Sin
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.21
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    • pp.9147-9151
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    • 2014
  • Public health centers in Korea play an important role at the community level in encouraging residents to participate in cancer screening, usually by sending reminders in the mail and by making phone calls. However, there have not been any studies on the effectiveness of these interventions by public health centers in Korea. The purpose of this study was to evaluate this question. The study was limited to male subjects aged 50-59 years living in one district of Daegu, Korea. A total of 923 subjects were selected for the study among the target population for gastric and colorectal cancer screening as part of the National Cancer Screening Program in 2012. The subjects were randomly assigned to one of four groups: control, postal intervention, telephone intervention, and telephone and postal intervention. Three months after the interventions, the results were confirmed by the National Health Insurance Corporation. Logistic regression analyses were performed to find differences in participation rates in cancer screening for each group. Men who received telephone and postal intervention were most likely (40.5%) to undergo gastric cancer screening, in comparison to the men who received telephone intervention only (31.7%), postal intervention only (22.2%) and those in the control group (17.9%). Also, men who received telephone and postal intervention were most likely (27.8%) to participate in colorectal cancer screening, followed by the men who received telephone intervention only (24.3%), postal intervention only (16.5%), and men in the control group (13.5%). Combined telephone and postal intervention and telephone only intervention as well produced significantly increased rates of participation in cancer screening in comparison to the control group. There was no significant difference, however, between the postal intervention only and control groups for either colorectal or gastric cancer screening.

Analysis of Relative Importance of Key Performance Indicators for Center for Child-Care Foodservice Management through Analytic Hierarchy Process (AHP) (계층적 분석법(AHP)을 이용한 어린이급식관리지원센터 핵심성과지표(KPI)의 상대적 중요도 분석)

  • Jeong, Yun-Hui;Chae, In-Sook;Yang, Il-Sun;Kim, Hye-Young;Lee, Hae-Young
    • Korean Journal of Community Nutrition
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    • v.18 no.2
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    • pp.154-164
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    • 2013
  • The objectives of this study were to assign reasonability to importance of weight selection issue in key performance indicator for performance evaluation of Centers for Child-care Foodservice Management (CCFSM) developed by using Balanced Scorecard (BSC), to draw key performance indicator (KPI) by perspective and to analyze differences in recognition on importance. From September 25 to October 9, 2012, we conducted a questionnaire-based study via e-mail, targeting chiefs and team leaders of nationwide 21 CCFSMs (43 persons), officials of local governments where CCFSM was established (21 persons), officials of Korea Food and Drug Administration (2 persons) and foodservice management experts (27 persons) in order to estimate the relative importance on 4 perspectives and 14 KPIs and analyzed its results by using 61 collected data. The results showed that relative importance of perspectives was estimated in order of importance as follows: business performance (0.3519), customer (0.3393), resource (0.1557), learning and growth (0.1531). Relative importance of KPIs was in order of importance as follows: Evaluation of sanitary management level in child-care foodservice facilities (0.1327), Level of customer recognition and behavior improvement (0.1153), performances of round visiting inspection on foodservice, sanitary, safety management, and foodservice consulting (0.0913). Our results showed that the recognition differences exist on the relative importance of perspectives and KPIs between officials of CCFSM, KFDA, local government and foodservice management experts. These observations will form the basis for developing evaluation systems, and it is considered that performance indicators developed on this basis will suggest direction of operation which CCFSM will have to perform.

Moderating Effect of the Resilience in the Relationship between Job Stress and Quality of Life of Employees with Mentally Disabled (취업정신장애인의 직무스트레스와 삶의 질과의 관계에서 회복탄력성의 조절효과)

  • Choi, Hee-Chul
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.431-439
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    • 2017
  • This study was conducted for the purpose of providing help to preparation of preventive intervention plans on job stress and the quality of life by investigating how resilience affects the relationship between job stress and the quality of life of the employed mentally disabled. As for the methods, this study collected materials by combining mail survey and visiting survey through a self-administered method targeting 113 mentally disabled who have been cared at community psychiatric rehabilitation centers in Seoul and Gyeonggi, and been employed for more than 3 months after the researcher of this study gave explanation to and asked for consent to the staffs of the centers. Study results show that job stress perceived by the employed-disabled exerts a significant influence on the quality of life, and resilience have a significant mediating effect between job stress and the quality of life. Through the above results, this study showed a possibility to apply resilience of the employed mentally disabled as an internal countermeasure, suggesting a comprehensive intervention plan for lowering job stress and improving the quality of life.

Status and Operational Activation of Life-Cycle Physical Activity Therapy Program - Focused on the Community Health Center Programs in Hoseo Region - (생애주기별 신체활동 치유 프로그램의 현황과 활성화 방안 연구 - 호서지역 보건소 프로그램 중심으로 -)

  • Lee, Wang-Lok;Park, Sang-Kyun;Kim, Dae-Hoon;Oh, Yoon-Ji;Kim, Young-Sam;Kim, Dae-Sik
    • Journal of Korean Society of Rural Planning
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    • v.27 no.2
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    • pp.35-42
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    • 2021
  • This study was to analyze the Life-Cycle Physical Activity Therapy Programs (PATPs) in Hoseo Region and to suggest the Activation of the program. The subjects were the 81 PATPs performed in 36 of the Community Health Centers in the region. The basic data was collected by Official Documents, the Homepage of the Centers, Telephone Interview, and e-mail with the person in charge of the programs. All the data were classified to the administrative districts (Rural, Urban-Rural Intergration and Urban Region), the Life Cycles (Children, Youth, Adult and Old Adult) and the Health-related Fitness Variables (Strength/Muscle endurance, Flexibility and Aerobics). The ACSM's (American College Sports Medicine) Guidelines for Exercise Testing and Prescription were used to evaluate the PATPs. In the results, the number of the PATPs was too low compared to the population. Also, the PATPs were not considered to the Life-Cycle proportion of the population. The management of the PATPs was principally inadequate. The frequency and duration of the PATPs were deficient in order to improve the Health-related Fitness. In conclusion, the number of the PATPs should be increased proportionally compared to the population, operated and developed on the Specificity of the Life-Cycle Population in the administrative districts. Further, the PATPs should be managed on the scientific knowledge of physical activity therapy.

The Differences and Activation of Physical Activity Therapy Program in Urban-Rural Region Before and After COVID-19 - Focused on Gimcheon, Jeongeup, and Pyeongtaek - (코로나19 전후 도농지역 신체활동 치유 프로그램의 차이와 활성화 방안 연구 - 김천, 정읍, 평택 중심으로 -)

  • Park, Sang-Kyun;Tomita, Sigeru;Oh, Yoon-Ji;Kim, Dae-Sik;Lee, Wang-Lok
    • Journal of Korean Society of Rural Planning
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    • v.27 no.4
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    • pp.25-32
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    • 2021
  • This study was to analyze the Physical Activity Therapy Programs (PATPs) in U rban-rural region before and after COVID-19 in order to suggest a way of activating program. The subjects were the 43 PATPs performed in 4 Community Health Centers of Gimcheon, Jeongeup, and Pyeongtaek. The basic data was collected by official documents, expenditure budget, the homepage of the centers, national information disclosure portal, telephone interview, and e-mail with the person in charge of the programs. All the data were classified to the administrative districts, the health-related fitness variables, and the life cycles. The American College Sports Medicine Guidelines were used to evaluate the PATPs. As a results, the number of the PATPs was too small compared to the population of the regions. Also, the PATPs were not considered to the characteristics of participants such as Life-Cycle and regional facilities so on. The organization and management of the PATPs were principally deficient in improving health-related fitness variables. In 2020 as the period of COVID-19 pandemic, the number of programs and participants with face-to-face PATPs was significantlry decreased compared to 2019, while that was increased with non-face-to-face PATPs. In conclusion, PATPs should be increased and operated in accordance with scientific exercise prescription guidelines. Also, the programs should be considered with the proportion and characteristics of Life-Cycle population. Further, the various with non-face-to-face PATPs should be developed and screened with based on scientific data for post-corona virus pandemic. Further, non-face-to-face PATPs programs should include a kind of practical way to promote the individual physical activity.

A Study on Factors Affecting Social Welfare Centers and Facilities' Resource Mobilization (사회복지시설의 민간자원 동원에 영향을 주는 요인 연구: 후원을 중심으로)

  • Kim, Mee-Sook;Kim, Eun-Jeong
    • Korean Journal of Social Welfare
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    • v.57 no.2
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    • pp.5-40
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    • 2005
  • Social welfare centers and residential care facilities where provide the socially disadvantaged with proper social services, face financial difficulties. This is because not only of the lack of governmental support, but also of social welfare centers and residential care facilities' lack of skills in developing abundant resources from the private sector. In this context, this study tried to find factors affecting resource mobilization of the social welfare facilities to devise policies in resource development. Mail survey was conducted with the structured questionnaire. Employees in charge of community resource development were asked to answer the questionnaire. The study population were welfare centers and residential care facilities. A total of 293 community welfare centers and 632 residential care facilities responded to the survey. The response rate was about 62%. The dependent variables of the study were the amount of resource mobilization in the year 2001 which was measured as the number of donors, the total amount of donation, and estimated amount of gift-in-kind. Three types models were constructed per each welfare institution. Independent variables were selected based on the previous research findings: community environment factor, structural factor, and resource development factor. Multiple regression was utilized to analyze the data. The resource development factor turned out to be significant variable in various models. In the models of donors, the amount of donation, and the amount of gift-in-kind (except for the welfare center model), at least one out of six variables of the resource development factors was significant welfare center. Welfare centers which establish the resource development department or hire employees to take care of resource development, utilize computer softwares to file donors, and utilize donor management programs, have more donors and/or donations than their counterparts. In addition, residential care facilities located in urban area have more donors and donations, and among residential facilities those for the disables, those with longer history and more employees, receive more donations than their counterparts. As for the gift-in-kind model, the welfare centers located in high income area and residential care facilities for the elderly, children and mentally retarded receive less gift-in-kind than their counterparts Based on the above findings, this study suggested that to mobilize resources the welfare centers as well residential care facilities need to have community resource development department or resource development staffs, adopt computer software to systematically organize donors, and utilize donor mobilizing and maintaining programs.

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A Study on Public Health Doctors' Participation in District Public Health Program of Health Sub-centers in Korea (보건지소 공중보건의사의 지역보건사업 참여 실태)

  • Lee, Jae-Chun;Park, Yong-Moon;Ahn, Song-Vogue;Lee, Hae-Young;Hwang, Jin-Won
    • Journal of agricultural medicine and community health
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    • v.28 no.1
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    • pp.53-66
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    • 2003
  • Objectives: To investigate the state of medical care around health sub-centers, public health doctors' participation and opinion in the process of district public health programs. Methods: The study included 1,036 public health doctors who worked at health sub-center all over the country. The data were collected for Feb, 2002 using self-administered questionnaire by mail. Results: One or two doctors were working at health sub-center and 33.5% of health sub-centers was located in the region of the separation of prescription and dispensing. There were another medical facilities in 45.9% of the administrative district(eup or myon) where health sub-centers were located. The count of medical utilization went down to 14.8${\pm}$14.8 per a day in Nov, 2001 from 18.0${\pm}$15.6 in May, 2000, and the decline was much more in the region of the separation of prescription and dispensing. Among public health programs in health sub-centers, public health doctors participated mostly in preliminary medical examination for vaccination and least in health education. They participated in implementation rather than planning or evaluation of health program. Over a half of public health doctors were found to be positive that health programs implemented in their health sub-centers would promote the level of health in community people and they were willing to participate in district public health program if community people were in need. Conclusions: Recently health sub-centers are required to turn into health promotion facilities rather than medical practice facilities. Health program in health sub-centers will be advanced in both quality and quantity by turning the role of public health doctors who have provided medical services mainly into managing health program. Persistent education about managing health program and the policy to motivate participation in health program should be provided for public health doctors.

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An Investigation on the Physical Therapists' Cognizance of Orthopedic Manual Therapy in Public Health Centers (정형물리치료에 대한 전국 보건소 물리치료사들의 인식 조사)

  • Park, Hung-Ki;Ju, Mu-Yeol;Shin, Sang-Cheol
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.8 no.1
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    • pp.15-24
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    • 2002
  • This article was researched that the question for cognition, requirement, plan of activation of the orthopaedic physical therapist in physical therapy room of public health center. We analysed with SPSS/10.0 stastistics programs returned 123 questionnaire. These results were followed. 1. Ratio of physical therapist in the physical therapy room of public health center was that mail were 47.2% and female were 52.8%. 2. The physical therapy room of public health center was made an introduction in 1980 and has since been opened. in 100 places. 3. 100 physical therapist (81.3%) were aware the impotance of orthopaedic physical therapy. 4. The members of orthopaedic physical therapy academy were 17 people(13.8%) including an associate member. 5. The physical therapist takened a course of orthopaedic education was 37 people (30.1%). 6. The physical therapist wanted that to take part in orthopaedic education were 60 people(48.8%). 7. The physical therapist were required the orthopaedic physical therapist in physical therapy room of public health center were 87 people(70.7%).

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Determinants of Utilization & Satisfaction for the Exploit of Community Centers in Rural Area (농촌지역 마을회관 이용 활용도와 만족도에 관한 결정요인 분석)

  • Lee, Byoung-Hoon;Kim, Dong-Weon;Park, Hye-Jin;Yun, Yeong-Seok
    • Journal of Korean Society of Rural Planning
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    • v.18 no.4
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    • pp.27-34
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    • 2012
  • The purpose of this study is to analyze the community center users' the determinants of utilization & satisfaction for the exploit and to draw out the implication as to what are the influencing factors. The ordered logit model approach was used to examine the determinants. For the use of community center, we surveyed by mail subjecting on rural residents for one month, June 2012, analyzed 625 valid questionnaires. The findings are as follows. First, 'Facility-Satisfaction', 'Education', 'Exploit-Frequency' and 'Age' are the most important factors which affect users' satisfaction. Second, 'A meeting hall function', 'Cultural & Educational function', 'Social & Organizational function', and 'functional criticality function' influence the attributes of users' utilization. Therefore, it is needed to establish the various functions of community center and to prepare the vitalization plan in futuristic viewpoint reflecting the change of rural area. In addition, since there is no clear entity to supervise community center administratively, policy support system to community center should be equipped. Along with these, it is needed to develop managing and operation model for customized community center.

Application of Citation Analysis Results to National Scientific and Technical Information Policy: Based on a Case Study of Electrical and Electronics Engineering Field (국가 과학기술정보 정책에 대한 인용분석 연구결과의 적용 - 전기$\cdot$전자공학 분야의 연구를 바탕으로 -)

  • Rieh Hae-young
    • Journal of the Korean Society for Library and Information Science
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    • v.28
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    • pp.109-133
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    • 1995
  • This study assessed citation analysis results in light of their usefulness for national scientific and technical information (STI) policy formulation and review in Korea. using electrical and electronics engineering field as a case. After brief summary of citation analysis results was presented. current Korean STI policy was reviewed. which aims at establishing national STI sharing system by constructing many STI databases and information networks. Citation analysis results were discussed in light of their significance for Korean databases and information network construction and for use of informal networks such as E-Mail and invisible colleges. The problem of access to current information was also reviewed. Some recommendations were made to policy makers. which include creation of a centralized national STI center: development of guidelines for effective utilization of STI networks and STI; and. standardization of information processing technology and support for the automation of information centers and libraries. Based on the literature review. the best possible way of presenting recommendations to policy makers was examined. It was concluded that citation analysis could be a useful methodology for STI policy formulation and review when reliability and validity of the study is assured and the samples well represent the population of scientists and engineers. Finally recommendations for further research were offered.

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