• Title/Summary/Keyword: National health plan

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A Study on the Operating Status of Community-based Home Health Care Centers (일개 지역사회 중심 가정간호사업소의 운영실태 및 운영방안)

  • Lee, Eun-Hee;Park, Sung-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.2
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    • pp.180-188
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    • 2011
  • Purpose: This study was done to evaluate the operating status of community-based home health center for revitalization of the centers. Method: In this study performance data including organization plan and service utilization plan were evaluated according process theory. Target of evaluation was the community-based home health care center. Results: The vulnerable part of the organization was the information system and financial resources. The home health center introduced PDA (Personal Digital Assistants) in 2005, however home health care nurses did not make full use of it. This service received full support from Seoul city and local government and there were no other sources of income. The vulnerable part of service utilization was service expansion and standardization due to vulnerability of organizational aspects. Conclusions: The home health care center provides high quality services to underprivileged people. In the future, these services should be provided with equity for continuous health care for this population.

Relationship between oral health status and socioeconomic status of elderly in Korea -based on 2010~2011 Korea National Health and Nutrition Examination survey data- (2010~2011년 국민건강영양조사를 활용한 한국 노인의 치아보유상태에 따른 사회경제적 수준 분석)

  • Choi, Yong-Keum;Han, Sun-Young;Kim, Cheoul-Sin
    • The Journal of the Korean dental association
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    • v.51 no.5
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    • pp.265-273
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    • 2013
  • The insurance payment plan for dental implants in Korea has been criticized because the payment priority has not been properly established, and the benefits are concentrated among middle-class citizens. In the current study, the relationship between the oral health condition and socioeconomic status of the elderly was analyzed using data from the Korea National Health and Nutrition Examination Survey (KNHANES). This study aims to determine the reason underlying the criticism of the insurance payment plan. The subjects were >65-year-old individuals in the 2010 and 2011 database of KNHANES. Data from 2,812 subjects were analyzed. The socioeconomic status was determined based on edentulousness, molar tooth loss, and presence of 28 teeth. According to the analysis, the average income was 1,560,000 won for edentulous elderly, 1,811,000 won for elderly who had lost molar teeth, and 1,896,000 won for elderly with 28 teeth (p<0.05). In addition, elderly with a low education level demonstrated a poor oral health condition (p<0.001). In conclusion, the insurance plan currently under examination is not properly designed for economically impoverished elderly because the plan only covers 50% of the costs and is limited to implantation of molar teeth only. This plan will not provide practical benefits to elderly with a poor socioeconomic status; therefore, the insurance payment plan needs to be improved so that the appropriate beneficiaries can be targeted.

Achievement of Health Promotion Fund and Projects in Korea (국민건강증진기금사업 10년 성과)

  • Lee, Kyu-Sik
    • Proceedings of The Korean Society of Health Promotion Conference
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    • 2005.09a
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    • pp.153-195
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    • 2005
  • There has been 10 years since The Health Promotion Act was legislated. The government began to establish a health promotion fund on the basis of Health Promotion Act in 1995, and to manage and operate the fund from 1998. It is evaluated that health promotion program have had various outcomes in many aspects. First, there has been growing awareness of the impotance of health promotion through the establishment of Health Plan 2010 and the effort to actualize the Plan. Second, the importance of securing health equity and identifying health determinants have been recognized during the planning process of Health Plan 2010. Third, the health promotion program have mainly focused on improving healthy life style of the population. As a result, desirable health behavior change of the population could be expected from the result of 2005 National Health and Nutrition Survey. Fourth, public health centers began to play a crucial role in implementing health promotion programs, and began to build infrastructure for health promotion programs. Fifth, the outcomes of health promotion programs by public health centers and private health organizations have been increasing. Finally, training for health promotion personnel and their participation in the program could be the foundation for the higher level of outcome achievement from the health promotion programs. Important challenges for future health promotion would be identification of the determinants and risk factors of health in Korea, establishment of local health promotion plan, building infrastructure for health promotion, creation of specific action model by public health center, development of diverse health promotion programs and health promotion program for the elderly, conducting research for evidence concerning major factors reducing the need for health care through prevention disease activities, and establishment of evaluation and feed back system for health promotion programs.

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The Preparedness Plan for Influenza Pandemic (신종 인플루엔자 대유행에 대한 우리나라의 대응방안)

  • Lee, Duk-Hyoung;Park, Ki-Dong
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.4
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    • pp.386-390
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    • 2005
  • Influenza A viruses periodicall y cause worldwide epidemics, or pandemics, with high rates of illness and death. A pandemic can occur at any time, with the potential to cause serious illness, death and social and economic disruption throughout the world. Historic evidence suggests that pandemics occurred three to four times per century. In the last century there were three influenza pandemics. The circumstances still exist for a new influenza virus with pandemic potential to emerge an d spread. The unpredictability of the timing of the next pandemic is underlined by the occurrence of several large outbreaks of highly pathogenic avian influenza since the early 1980s. In 1999, the World Health Organization published the Influenza pandemic plan. The role of WHO and guidelines for national and regional planning. And in 2005, WHO revised the global influenza preparedness plan for new national measures before and during pandemics. This document outlines briefly the Korean Centers for Disease Control's plan for responding to an influenza pandemic. According to the new pandemic phases of WHO, we set up the 4 national levels of preparedness and made guidelines for preventing and control the epidemics in each phase. And also we described the future plans to antiviral stockpiles and pandemic vaccine development.

Operation Status and Improvement Plan of Continuing Hospitalization Judgement System in Mental Health Review Board (정신보건심판위원회 계속입원치료 심사제도 운영현황 및 개선방안)

  • Park, Sun Joo;Nam, Yoon Young;Hwang, Tae Yeon;Joe, Keun Ho;Yong, Jun Jin;Kim, Eun Jin;Kim, Chul Eung
    • Health Policy and Management
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    • v.27 no.4
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    • pp.347-358
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    • 2017
  • Background: The recent revision of South Korea's Mental Health Law emphasizes the role of the Mental Health Review Board. For this study, we examined the current status of continuing hospitalization judgement in Mental Health Review Board at the national level and aimed to determine the directions of improvement. Methods: Using a qualitative case study as the research method, we interviewed 30 Mental Health Review Board members and analyzed the results. Results: Each municipality had very different continuing hospitalization judgement methods. In our systematic review, which consisted of document inspection, we identified reliability problems due to limitations in Mental Health Review Board's operating systems, discharge orders, etc. Additionally, continuing hospitalization judgement needs to improve the objectivity, fairness, and effectiveness of their screening examinations. Conclusion: Based on the results of this study, we suggest policy proposals to improve these systems, such as standardizing examination processes, strengthening on-site inspections, increasing the independence and neutrality of judgment in Mental Health Review Board, building community mental health infrastructures, and establishing integrated management systems.

Relationship between DEA Efficiency and Management Performance of National University Hospitals (국립대학교병원의 DEA 효율성과 경영성과 간의 관계)

  • Ha, Oh-Hyun;Jeong, Woo-Sik;Jung, Yong-Mo
    • The Korean Journal of Health Service Management
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    • v.9 no.1
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    • pp.17-29
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    • 2015
  • This study, an examination of the plan for effective resource management for national university hospitals, was performed to determine the relationship between the effectiveness of patient output by considering input personnel using the DEA model and Management Performance, in which 4 years of data from 12 national university hospitals were analyzed. Among the components of the effectiveness, utilizing properly imput components from the application of VRS(Variable Returns to Scale), the Management Performance of national university hospitals was found to be affirmatively influenced by PTE(Pure Technical Efficiency). Regarding the Management Performance of national university hospitals in their attempts to establish a plan for effective human resource management, the management of patient numbers on the basis of calculation level with input is more recommendable than the controlling of personnel input using patient numbers. Thus, the establishment of a strategy plan for the proper allocation of administrative staff and sickbeds, considering the variation of patient numbers, is suggested.

Development of Teaching-Learning Lesson Plan for Health Education in Middle School (중학생의 보건교육을 위한 교수-학습 지도안 개발)

  • Park, Sang-Youn;Lee, Chun-Lae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.287-297
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    • 2005
  • Purpose: This study was to develop teaching-learning lesson plans to provide systematic health education materials to school health educators in middle schools. Method: The concepts of health promotion were redefined in the significance of health promotion in schools were emphasized, and the health problems of middle school students were identified through the literature review of previous studies. The preceding studies on the curriculum development of health education were examined and analyzed. Result: The contents of health education were provided by the learning level of middle school students. The selected contents were composed of total 9 units. The units were again divided into 34 subunits, each of which includes individual learning purposes. How to execute a program utilizing various teaching media and learning materials and how to assess the learning results of health education were presented as well. Conclusion: This study was aimed at developing a teaching-learning lesson plan for health education virtually available on the school scene, required are the follow-up case studies applying the lesson plan: how effectively the activities for promoting the health of middle school students are changed and how appropriate this health education is for promoting the health of middle school students.

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A Study to activate Compulsory Education for Manufacturing Industrial Safety and Health (focusing on Small-scale business) (제조업 산업안전보건 법정교육 활성화에 관한 연구 (영세사업장 중심으로))

  • Kim, Dong-Chul;Kim, Byung-Suk
    • Journal of the Korea Safety Management & Science
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    • v.18 no.2
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    • pp.1-8
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    • 2016
  • This study organizes not only the middle-long term developing plan of safety health education to put emphasis on a manufacturing industry, but also the developing plan of activating the domestic safety health education. On the basis of this study, current safety health education can be developed. To achieve a goal of implementing domestic safety health education, this study is carried out more deeply as follows.

Factors Influencing Health Promoting Behaviors of EMT-P Students using Pender's Model (Pender 모형을 활용한 응급구조학과 학생의 건강증진행위에 영향을 미치는 요인)

  • Choi, Eun-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.11 no.2
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    • pp.5-17
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    • 2007
  • Purpose: The purpose of this study was to supply basic data for a health promoting program and to elevate the level of it by examining whether EMT-P Students' health promoting behaviors were related to health percetion, health concept, health status, self-esteem, perceived benefits of action, perceived barriers of action, perceived self-efficacy, activity-related affect, social support, preference, prior related behavior, and a plan for action. Method: Subjects were 116 EMT-P Students in K city. Data collection method was a structured questionnaire. Data was analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and stepwise multiple regression. Result: The most powerful predictor was prjor related behavior(28.8%). Altogether prjor related behavior, health status, perceived barriers of action, a plan for action were proven to account for 44.6% of health promoting behaviors of EMT-P Students. Conclusion: It suggested that prjor related behavior, health status, perceived barriers of action, a plan for action should be considered when developing a EMT-P Students' health promoting program.

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