• 대한예방한의학회지
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• 제6권1호
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• pp.1-14
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• 2002

The proportion and role of public sector in health care industry is very small in Korea. Asymmetric distribution of health care resources is one of the major health care concerns. This issue is so important that it raises a question of accessibility, availability, continuity of care and equity of rural area people's health care utilization. To solve these problems and to satisfy the basic demand of oriental medical service in rural areas, the oriental public health doctors were placed in rural health centers since 1998. The main objectives of this study are twofold: to measure the cognition and attitude of health center directors on the strategies for utilizing oriental public health doctors and to provide basic data for improving the health manpower management program. Data have been collected by way of the self-administrative questionnaires. Developing the questionnaire, the literature review on the previous studies and delphi method were carried out. The response rate was 38.7%. The results of this study are summarized as follows; 1. community people respond positively on the oriental medical service activity in health center. 2. In regard to workloads of oriental public health doctor, 'appropriate' was 81.1% and 'burdensome' was 18.2%, respectively. 3. The 94.0% of respondents thought that the oriental medical service will be continued. 4. To activate oriental medical service in health center, the sufficient budget and provision of aid workers is a necessity. 5. The 75.5% of health center directors respond positively on the allocation of oriental public health doctor to health sub-centers. 6. Health center directors agreed that oriental public health doctor should perform the clinical service as well as prevention and health promotion activity. These results recommend that oriental medical service in health center should be continued gradually, and oriental public health doctors working at health center perform their work efficiently. Undoubtedly, their activity should be more focused on health promotion and disease prevention than daily patient care. For achieving this objective, more support of governmental policy is essential for utilizing oriental public health doctor and better health of the rural area community people.

• 한국노년학
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• 제39권3호
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• pp.429-449
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• 2019

본 논문의 목적은 제2차 세계대전 이후부터 신 노동당 정부까지 영국의 노인을 위한 개인적 사회 서비스 정책의 복지 다원주의의 역동성을 밝히고, 그것의 정책적 함의를 논하는 것이다. 이를 위해 1945년부터 2010년까지 보수당, 노동당, 신 노동당 정부 및 의회 보고서, 의회 회의록, 전당대회 원고, 법률, 국립기록보존관의 비밀 해제 문서, 각종 연구 기관의 보고서를 내용분석 한 결과, 노인을 위한 개인적 사회 서비스 정책의 복지 다원주의의 역동성에서 국가는 NHS에서와 달리, 해당 시기 내내 민간 영역의 보조 역할에만 머문 것으로 밝혀졌다. 이러한 구조에서 민간 영역의 역할이 국가의 역할 보다 지나치게 강화되었을 때 영국 노인들이 겪었던 부작용은 문재인 정부의 노인을 위한 커뮤니티케어 복지 다원주의 구조 형성에 유의미한 정책적 함의를 제공해주고 있다.

• 대한정형외과학회지
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• 제52권1호
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• pp.73-82
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• 2017

목적: 화학요법만으로 치료한 소아 척추 결핵 환아들에서의 후만의 경시적 변화를 분석하였다. 대상 및 방법: 2세부터 15세 사이의 101명을 대상으로 하여 후향적으로 단순 방사선 영상과 소수에게서 자기공명영상을 이용하여 치료 시작 시와 치료 종결 시의 잔존 성장판에 의한 후만 변형의 변화를 살폈다. 결과: 영상상 초진 시 추간판의 완전 파괴로 판정한 예들은 경추의 경우 40명 중 2명(5.0%), 흉추 내에서는 30명 중 8예(26.7%), 그리고 요천추에서는 31명 중 6명(19.4%)이었다. 나머지 예들에서는 성장판이 완전하게 또는 부분적으로 잔존하는 것으로 판정하였다. 101명 중 후만 변형이 변치 않고 유지된 경우는 20명(19.8%), 후만각 감소 예는 14명(13.9%), 그리고 후만각의 증가 예는 67명(66.3%)에서 관찰되었다. 결론: 반수 이상의 환아에서 치료 시작 시점에서 이미 병이 심히 진행되었던 것을 알 수 있었다. 후만 변형의 진행 여부는 일차적으로 치료 시작 시점에서 예측 가능하나 그 정확도가 떨어지므로 후만 변형의 변화의 보다 정확한 증거를 확인할 수 있는 투약 종료 시점에서 실시할 것을 권한다. 진행형과 자연 교정군에서는 성장 종료 시까지의 추적 관찰이 필요하다.

• Tuberculosis and Respiratory Diseases
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• 제69권5호
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• pp.368-374
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• 2010

Background: Rhinolaryngoscopy and sputum examination are popular tests for the evaluation of chronic cough. Little is known about the relationship between symptoms and rhinolaryngoscopic findings or sputum eosinophilia in chronic cough patients. Methods: One hundred patients, who had chronic cough with normal chest radiography and who also had undergone both rhinolaryngoscopy and induced sputum analysis, were reviewed retrospectively. Eleven associated symptoms of chronic cough were asked; postnasal drip (PND) and laryngopharyngeal reflux (LPR) were examined by rhinolaryngoscopy. Induced sputum analysis was performed for evaluation of sputum eosinophilia. Cross tabulation analyses with chi-square tests were used to evaluate the relationship between symptoms and objective findings. Results: The most frequent symptom was sputum (70%). The prevalence of PND and LPR on rhinolaryngoscopy were 56% (56/100) and 25.6% (22/86), respectively. Sputum eosinophilia was observed in 23 (23.7%) of 97 patients. The dyspnea (p=0.001), sputum (p=0.003), nasal obstruction (p=0.023), and postnasal drip sense (p=0.025) were related with PND on rhinolaryngoscopy. LPR on rhinolaryngoscopy was not related with any symptoms. Dyspnea (p=0.003), wheezing (p=0.005), nasal obstruction (p=0.013), and belching (p=0.018) were related with sputum eosinophilia. Conclusion: Any symptoms might not be related with LPR on laryngoscopy. Some symptoms might be related with PND on rhinoscopy or with sputum eosinophilia.

• 재활복지공학회논문지
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• 제10권3호
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• pp.177-184
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• 2016

본 논문은 전동휠체어를 사용하는 장애인을 관리하고 보조하는 간병인을 대상으로 전동휠체어의 만족도에 대한 것이다. 전동휠체어 만족에 대한 설문은 일상생활에서 가장 많이 사용하는 항목들을 전문가 의견과 간병인들의 의견을 통해 안정성, 조작성, 만족도 항목의 사용성 공통 항목들을 선택하였다. 또한 간병인의 일반적 특성, 간병 경력, 간병시간, 간병의 어려움과 전동휠체어 무게의 문제점을 개선하기 위해 접이식 전동휠체어 개발에 대한 의견도 조사하였다. 대상자는 전동휠체어를 사용하는 장애인을 보조하는 간병인 50명이었다. 연령대는 평균 54.54세이었고, 간병 경험은 80.98개월이었고, 하루 간병 평균시간은 9.80시간이었다. 전동휠체어 사용에 대한 만족도는 안전성, 조작성, 항목에서는 대부분 만족하였으나, 무게와 세척에 대한 만족도 항목에서 만족도가 떨어지는 것을 알 수 있었다. 전동휠체어의 가장 큰 문제점은 무게가 무겁고 조작하기 힘들고, 간병인들을 옮기기가 힘들다는 의견이 가장 많았으며. 접이식 전동휠체어에 대한 선호도는 높은 것으로 조사되었다. 간병인들은 전동휠체어 사용만족도 조사에서 무게가 가볍고, 보관 및 세척이 편리한 전동휠체어 개발의 필요성을 강조하였다. 따라서 이를 관리하고 보조하는 간병인들의 특성을 반영한 접이식 전동휠체어 개발이 필요하다.

• 한국컴퓨터정보학회논문지
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• 제28권12호
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• pp.155-166
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• 2023

이 연구는 치매안심센터 인지재활 프로그램의 현황 및 실태분석을 통한 활성화 방안과 다차원적 치료레크리에이션 프로그램에 대한 개발방향과 내용을 도출하고자 D시의 치매안심센타 인지재활 치료프로그램 참여 노인 각 50명씩(5개구)을 선정하였고, 9명을 전문가 집단 의견수렴 대상으로 선정하였다. 수집된 자료는 SPSS ver. 18.0 통계 프로그램을 이용하여 기술통계와 구성요소별 중요도 및 우선순위는 계층구조분석을 시행함으로써, 첫째, 현재 제공되고 있는 인지재활 지원 프로그램은 이용자의 요구와는 달리 지원프로그램이 충분하지 않아 경험이 상당히 낮게 나타났으며, 이에 대한 개선점으로는 돌봄이나 보호시설 확대와 이용자의 요구를 충족할 다양한 프로그램 개발이 중요하다고 나타났고, 둘째, 치료레크리에이션 구성요소별 중요도와 우선순위는 대분류(6개) 운동요법, 중분류(16개) 운동요법의 행동중심 접근법, 소분류(47개) 힘뇌체조, 실버건강체조가 가장 높게 나타났다. 이는 치료레크리에이션 프로그램 개발시 각 영역의 우선순위를 고려한 다차원적 프로그램 계획이 이루어져야 함을 보여주는 결과라 할 수 있다.

• Journal of Preventive Medicine and Public Health
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• 제24권3호
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• pp.339-355
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• 1991

The concept of workers' participation in occupational health was introduced to Korea recently in relation to primary health care in occupational health. But there is confusion and debate about workers' participation concept. The purpose of this study was to review the concepts of workers' participation and to conduct evaluation the workers' participation status in occupational health and safety, 394 workers and 54 employers (5.6%) in north area of Kyunggi-Do, were selected and interviewed with a questionnaire by a trained interviewer from August to September 1990. In general, the concept of workers' participation is based on industrial domocratisation and Declaration of Human Rights which had been powerful ideologies in labor movement. Contrary to workers' participation, community participation is rooted in the Health Rights. So, it is necessary to consider concept of workers' participation to improve participation. The results of survey were as follows. 1. Most of companies (71.75) carried out occupational health education to workers in study area. 2. The Occupational Safety and Health Committee (OSHC) were set up in 24.1% among the study companies, and 72.7% of workers among respondents thought that OSHC was helpful to workers health. 3. The workers signed his name to personal health report in 43.1% and the rate of participation in occupational environment examination was 54.9%. 4. The workers prefer the OSHC (39.3%), owner (35.1%) and union (25.8%) as a occupation health organisation, but owners prefer OSHC (54.5%), manager (43.2%) and union (2.3%). 5. Among the factors of the general characteristics, the existence of labor union was a major determinant of workers' attitude and level of workers' participation. As we have seen, most levels of workers' participation are low in occupational health. The variable of existence of labor union among the factors was a ma determinant of workers attitude and level of workers' participation. Therefore, in order to promote workers health, it is necessary to ponder long deeply on occupational health care system under the viewpoint of workers' participation.

• 보건행정학회지
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• 제31권3호
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• pp.335-343
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• 2021

Background: The purpose of this study was to extract the major areas of interest in health insurance research in Korea, and infer policy agendas related to health insurance by analyzing research keywords. Methods: For this study, 2,590 articles were selected from among 7,459 academic papers related to health insurance published between January 1987 and December 2018, which were looked up using the Research Information Sharing Service (RISS). Keyword extraction and keyword network analysis were performed using the KrKwic, KrTitle, and UCINET software. Results: First, the number of studies in the area of health insurance continued to increase in all government terms, and it was not until after the 2000s that the subjects of health insurance researches were diversified. Second, degree centrality showed that 'medical expenditure' and 'medical utilization' were consistently high-ranking keywords regardless of the government in power. Aging and long-term care insurance-related keywords were ranked higher in the Lee Myung-bak government, Park Geun-hye government, and Moon Jae-in government. Third, betweenness centrality showed the same high ranking in key topics such as medical expenditure and medical utilization, while the ranking of key keywords differed depending on the interests and characteristics of each government policy. Conclusion: We confirm that health insurance as a research topic has been the main theme in Korean health care research fields. Research keywords extracted from articles also corresponded to the main health policies promoted during each government period. Efforts to systematically investigate policy megatrends are needed to plan adaptive future policies.

• 한국의료질향상학회지
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• 제20권1호
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• pp.60-73
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• 2014

Objectives: This study aims at decreasing spatial dose rate through work improvement whilst spatial dose rate is the cause of increasing personal exposure dose which occurs in the process of handling radioisotope. Methods: From February 2013 until July 2013, divided into "before" and "after" the improvement, spatial dose rate in laboratory of nuclear medicine was measured in gamma image room, PET/CT-1 image room, and PET/CT-2 image room as its locations. The measurement time was 08:00, 12:00 and 17:00, and SPSS 21.0 USA was opted for its statistical analysis. Result: The spatial dose rate at distribution worktable, injection table, the entrance to the distribution room, and radioisotope storage box, which had showed high spatial dose rate, decreased by more than 43.7% a monthly average. The distribution worktable, that had showed the highest spatial dose rate in PET/CT-1 image room, dropped the rate to 42.3% as of July. The injection table and distribution worktable in the PET/CT-2 image room also showed the decline of spatial dose rate to 89% and 64.4%, respectively. Conclusion: By improving distribution process and introducing proper radiation shielding material, we were able to drop the spatial dose rate substantially at distribution worktable, injection table, and nuclide storage box. However, taking into account of steadily increasing amount of radioisotope used, strengthening radiation related regulations, and safe utilization of radioisotope, the process of system improvement needs to be maintained through continuous monitoring.

• 대한영양사협회학술지
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• 제28권1호
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• pp.30-44
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• 2022

This study analyzed results of the rounding guidance by applying the nutrition management check list at of the Center for Children's Foodservice Management (CCFM). Totally, 271 foodservices for children (65 institutional foodservices, 53 small scale foodservices, 153 family child care homes) were examined to identify the necessity of implementing a nutrition management strategy, and subsequently creating a priority list for nutrition management improvement measures. Of the 13 items examined in the nutrition management check list for children's foodservices from the Ministry of Food and Drug Safety, 8 performed well, with an overall performance rate of 90% or more. Improvement plans were required for items (all belonging to the menu area) such as 'Post menu on noticeboard at children's foodservice' (62.0%), 'Use the menu planned by dietician' (64.9%), 'Use menu suitable for recipients in children's foodservice' (76.8%), and 'Provide menu to parents' (79.0%)'. In the analysis of service size, the performance rate for 'Use menu suitable for recipients in children's foodservice' revealed a substantially lower result (P<0.01) for institutional foodservices (64.6%), as compared to small scale foodservices (71.7%) and family child care homes (83.7%). Since other check list items, did not show much differences by the service size, we ascertained it pointless to establish separate strategies based on different foodservice sizes.