• Title/Summary/Keyword: Nursing cost

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A Study for Investigating of Predictors of Compliance for Preventive Health Behavior. -centered on early detection of cervical cancer- (예방적 건강행위 이행의 예측인자 발견을 위한 연구-자궁암 조기발견을 중심으로-)

  • 이종경
    • Journal of Korean Academy of Nursing
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    • v.12 no.1
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    • pp.25-38
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    • 1982
  • As technological civilization and medical science has developed, standards of living have imp-roved and human life expectancy has been extended. But the incidence and mortality rate of cancer have been gradually increasing due to the pollution of the environment. Even though cancer is still a great threat to human beings, the etiology and appropriate cure forcancerhavenotyetbeendiscovered. The early detection and treatment of cancer is urgently needed. This study concentrates on the health behavior of woman regarding the papanicolau smear for early detection of cervical cancer. It was done in order to provide a direction for scientific health education materials by investigating predictors of preventive health behavior. The subjects for this study were made up of 54 woman, who comply with preventive health practices(compliant) who attended the Cervical Cancer Center of Y University Hospital in order to have tests for early detection of cervical cancer and 54 woman who did not comply with preventive health practices (noncompliant) selected from 100 housewives of I apartment, Kang Nam Ku, Seoul. The study method used, was a questionnaire for the compliance group and an interview for the noncompliance group. The period for data collection was from October 13th to October 24th. 1981. Analysis of the data was done using percentages, T-test, Pearson Correlation and Stepwise Multiple Regression. The results of study were as follows: 1. The hypotheses tested were based on the health belief model; 1) The first hypothesis,“The compliant may have more knowledge of the cervical cancer than the noncompliant”was rejected(T=-1.86, p>.05) 2) The second hypothesis,“The compliant may have a higher severity of cervical cancer than the noncompliant”was accepted (T=5.41, p<.001) 3) The third hypothesis, “The compliant may have a higher susceptability to cervical cancer than the noncompliant”was accepted(T=3.51, p<.01). 4) The fourth hypothesis,“The compliant may have more beneHt than cost'from the cervical cancer tests than the noncompliant" was accepted(T=7.46, p<.001). 5) The fifth hypothesis,“The compliant may have more health concern than the noncompliant”. was accepted(T=3.39, p<.01). These results show that severity, susceptability, benefit(over cost) and health concern influence the preventive health behavior in this Study. 2. In the correlation among variables, it was found that the knowledge of cervical cancer and the benefit(over cost) of preventive health behavior were negatively correlated(r=-2.75, p<.01), Severity of cervical cancer and benefit (over cost) of preventive health behavior were positively correlated(r=.280, p<.01), severity and susceptability of cervical cancer were positively correlated(r= .238, p<.01), benefit(over cost) and health concern were positively correlated(r= .299, p<.01). The benefit(over cost) may be raised by increasing the severity and health concern. Therefore the compliance rate of woman may be raised through health education by increasing the benefit(over cost) of the individual. 3. The Stepwise Multiple Regression between health behavior and predictors. 1) The factor“Benefit(over cost)”could account for preventive health behavior in 34.4% of the sample(F=55.6204 P<.01). 2) When the factor“Severity”is added to this, it accounts for 44.3% of preventive health behavior(F=41.679, p<.01). 3) When the factor“Susceptability”is also included, it accounts for 46.7% of preventive health behavior(F=30.373, p<.01). 4) When the factor “Health concern”is included, it accounts for 48.1% of preventive health behavior(F=23859, p<.05). This means that other factors appear to influence preventive health behavior, since the combination of variables explains only 48.1% of the Preventive health behavior. Therefore further study to investigate the predictors of preventive health behavior is necessary.

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Utilization of and Satisfaction with Smart Bedside Station System as a Patient-centered Healthcare System (일 병원의 환자중심 지능형 병상 지원(Smart Bedside Station) 시스템의 이용현황 및 사용 만족도)

  • Cho, Moon Suk;Park, Yeon-Hwan
    • Journal of muscle and joint health
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    • v.24 no.2
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    • pp.89-100
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    • 2017
  • Purpose: The aim of this study was to examine the utilization of and satisfaction with the smart bedside station (SBS) system among users in a hospital. Methods: A cross-sectional descriptive design was used. The participants were 190 patients, 186 family caregivers, and 154 nurses in a hospital. Results: Around 78.1% of patients or family caregivers used the SBS system at least once during their hospital stay. The commonly used items on the SBS system menu were "lab findings", "hospital cost", "today's medication", and the "alarm message". Satisfaction with the SBS system of patients and family caregivers were significantly higher than those of nurses (F=39.88, p<.001). Conclusion: A patient-centered SBS system was a useful system that could increase patient satisfaction and comfort. More specific and technical service contents reflecting the current healthcare system should be added.

Prototype Design of Medicine Information System to check medicinal misusing (약물 남용 방지를 위한 의약품 정보 시스템의 프로토타입 설계)

  • Kim, Ha-Gang;Oh, Su-Hee;Kim, Nam-Ho;Cha, Byung-Rae
    • Journal of Advanced Navigation Technology
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    • v.13 no.3
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    • pp.448-458
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    • 2009
  • Recently, the Korean Pharmaceutical Association has a public service advertisements for medicinal misusing prevention and environment protection by medicinal substances. And the cost and procedure complexity was increased by specialization of dispensary and medical practice. To overcome this situation, we felt the need of a medicine information system. Ubiquitous and convergence technology have become trends in the IT field. In this research, we designed prototype of medicine information system for management and prevention of medicinal misusing using IT technologies.

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A Financial Projection of Health Insurance Expenditures Reflecting Changes in Demographic Structure (인구구조의 변화를 반영한 건강보험 진료비 추계)

  • Lee, ChangSoo;Kwon, HyukSung;Chae, JungMi
    • Journal of Korean Public Health Nursing
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    • v.31 no.1
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    • pp.5-18
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    • 2017
  • Purpose: This study was conducted to suggest a method for financial projection of health insurance expenditures that reflects future changes in demographic structure. Methods: Using data associated with the number of patients and health insurance cost per patient, generalized linear models (GLM) were fitted with demographic explanatory variables. Models were constructed separately for individual medical departments, types of medical service, and types of public health insurance. Goodness-of-fit of most of the applied GLM models was quite satisfactory. By combining estimates of frequency and severity from the constructed models and results of the population projection, total annual health insurance expenditures were projected through year 2060. Results: Expenditures for medical departments associated with diseases that are more frequent in elderly peoples are expected to increase steeply, leading to considerable increases in overall health insurance expenditures. The suggested method can contribute to improvement of the accuracy of financial projection. Conclusion: The overall demands for medical service, medical personnel, and relevant facilities in the future are expected to increase as the proportion of elderly people increases. Application of a more reasonable estimation method reflecting changes in demographic structure will help develop health policies relevant to above mentioned resources.

Determining Factors for the Use of Oriental Healthcare Services for Survey Subjects with Chronic Illnesses : 2005 National Health and Nutrition Examination Survey (만성질환자의 한방의료서비스 이용 결정요인 : 2005년도 국민건강영양조사)

  • Lee, Hyun-Joo;Yoo, Weon-Seob;Chung, Su-Kyoung
    • Journal of Society of Preventive Korean Medicine
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    • v.15 no.3
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    • pp.115-125
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    • 2011
  • Objectives : The aim of this study is to investigate the relevant factors which determine the use of oriental healthcare services among subjects with chronic illnesses. Method : This study utilized the data from the Korean National Health and Nutrition Examination Survey in 2005. Out of all the participants of the survey, 11,665 individuals who are older than 19 years old and have one or more chronic diseases were included in this study. Results : The factors that affect utilization of oriental healthcare services were significantly associated with gender, educational level, job, personal income, the number of chronic illnesses, experiences of nontreatment or delayed treatment and admission experiences for the last one year(p<.001). Although some of these factors need further studies, the determining factors for the use of oriental healthcare services are the presence of chronic illness and the number of chronic disease. That is, the chronically ill are more likely to seek oriental healthcare services. And the more chronic diseases the clients have the higher probability of seeking oriental healthcare services was found. Conclusions : The results suggest that the national integrated care services should be established for diverse development of policy regarding the quality of care of chronic illness and cost-effectiveness.

Comparison of Forced Air Warming and Radiant Heating on Body Temperature and Shivering of Post-operative Patients (수술 후 가온방법에 따른 체온과 전율의 변화)

  • Choi, Kyoung-Hee
    • Korean Journal of Adult Nursing
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    • v.20 no.1
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    • pp.135-148
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    • 2008
  • Purpose: This study compared the effects of forced air warming and radiant heating on body temperature and shivering of patients with postoperative hypothermia. Methods: The quasi-experimental study was conducted with two experimental groups who had surgery under general anesthesia; 20 patients of group 1 experimented with the Bair Hugger as a forced air warming and 20 patients of group 2 experimented with the Radiant heater. The study was performed from July 3 to August 31, 2006 in a recovery room of an university hospital in a city. The effects of the experiment were measured by postoperative body temperature and chilling score at arrival and after every 10 minutes. The data were analyzed by t-test or ${\chi}^2$-test, repeated measures ANCOVA using SPSS/WIN 12.0. Results: The mean body temperature showed differences between the Bair Hugger group and Radiant Heater group at 40 minutes(F=-2.579, p=.034), 50minutes(F=-2.752, p=.027), and 60 minutes(F=-2.470, p=.047) after arrival to the recovery room. So, hypothesis 1 was partially accepted. The mean score of shivering showed differences between the Bair Hugger group and the Radiant Heater group, but it had no significant meaning. Hypothesis 2 was not accepted. Conclusion: We need more study to explore the effects and side effects of heating modalities to select a more effective heat treatment. The efficiency of heat modalities with regards to cost benefit, time consumption, and patients' discomfort such as burns should be considered.

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Development and Management of Database for School Health Improvement (학교보건 증진을 위한 데이터베이스의 개발 및 관리)

  • Choung Hye Myoung
    • Journal of Korean Public Health Nursing
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    • v.18 no.1
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    • pp.154-166
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    • 2004
  • The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

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Health Care Status of First Generation Korean Immigrants in New Zealand. (뉴질랜드 이민 일세대 한국인의 건강관리 실태에 관한 연구)

  • 이은숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.1
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    • pp.183-195
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    • 1999
  • The purpose of this study is to describe the health care status of Korean Immigrants in New Zealand. The sample consisted of 155 Koreans who were randomly selected from the Korean Immigrants telephone book in Auckland, N.Z. They had health problems that required health management both physically (50.3%) and psychologically(70.3%). During the previous year, the average rate of medical contact with a general practitioner was 1$\pm$1.29 times. Korean immigrants who had health problems first attempted to resolve the problem through self medication rather than utilize health care services. They would only visit a general practitioner if they had severe subjective symptoms or no relief from self medication. Even if they think they need to visit the health care service, 41.9% of the subjects did not go back for follow-up care. Generally, the person who demonstrated positive health care behaviors was male, a college level graduate or higher, lived in N.Z. longer than 2 years, had a high score on health status by self assessment, and he placed few demands on health care services. Barriers to a healthy lifestyle are communication difficulties in expressing subjective symptoms, understanding the physician's treatment and medication plans, difficulty in accessing the appointment system and the high cost of service.

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Needs of Home Exercise for Arthritic Patients (관절염 환자의 가정운동에 대한 요구도 조사)

  • Kil, Suk-Yong;Kim, Myung-Ja
    • Journal of muscle and joint health
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    • v.4 no.1
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    • pp.61-73
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    • 1997
  • This study deals with needs assessment for home exercise of 233 arthritis patients, who visited 2 university hospitals in Seoul from May 27. to June. 15. 1996. Data was collected through the interview with them. As a result, we came to the following points. 1. Seventy five percent of all interviewees expressed strong will to home exercise, if they know how to do. 2. With no partners for life. the needs for home exercise were higher than those who have (P=0.016). 3. Christians(87.1%) and Catholics(86.4%) had more the need for home exercise those who have Buddhist(70.9%) and atheist (60%) (P=0.002). 4. In the direct ratio to level of education. the need for home exercise was high (P=0.027). 5. In the inverse ratio to age. the need for home exercise was high(t=6.20. P=0.0000). 6. Patients with arthritis for relatively short period of time had more than those who had long period of the disease need for home exercise(t=3.36, P=0.0013). 7. Those who have long distance from hospital had more needs for home exercise than those who line in short distance (t=3.15 P=0.002) 8. When average cost of hospital visit for each time is much. then need for home exercise was high(t=4.20, P=0.0001).

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Web-Based Behavioral Tracking Management System for Elderly Care Automation

  • Seokjin Kim;June Hong Park;Dongmahn Seo
    • Journal of Information Processing Systems
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    • v.19 no.3
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    • pp.385-393
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    • 2023
  • Since the proportion of elderly citizens is increasing every year, the social interest is increasing for the health and the safety of the elderly. The nursing home is continually being created to care for more elderly people. However, the quality of service is not enough due to the lack of elderly caregivers. Elderly care and management services are being studied to replace the shortage of caregivers. Existing research for the implementation of an automatic care system has a high initial system cost. Furthermore, it lacks the ability to store and manage large amounts of data. In this paper, we propose a system that manages a large amount of data continuously generated through CCTV and provides a streaming service with a high level of quality-of-service (QoS) to users with collected video. Through the proposed system, it is possible to record and manage the behavioral information of the elderly occurring in the nursing home together with the video. In addition, according to the user's request, it has built a service that streams the video and behavioral information according to the date and time in real-time.