• Title/Summary/Keyword: Primary care issues

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The Effect of Korean Adults' Perception of Parent-Child Relation on Self-Efficacy, Child Rearing Practices, Elderly Parent Care Practices, and Happiness (중년 성인 원가족의 부모자녀관계가 자기효능감, 자녀양육과 노부모부양 및 행복에 미치는 영향)

  • Young-Shin Park;Ja-Young Ahn;In-Soon Nam;Hyo-Sook Yu;Yeoung-Nam Lee;Yeon-Sil Cha
    • Korean Journal of Culture and Social Issue
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    • v.24 no.2
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    • pp.153-192
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    • 2018
  • The main purpose of this research is to investigate the effect of Korean adults' perception of parent-child relation on their self-efficacy, child rearing practices, elderly parent care practices, and happiness. In this study the parent-child relation is a relationship between the adults' parents and the adults. The participants in the study were adults (2,632; male=1,275, female=1,357) with children in primary, secondary, and/or university, with an average age of 45.44-years-old (male=46.96-years-old, female=44.10-years-old). The results showed a direct influence of the adults' perception of parent-child relation on their self-efficacy and their child rearing practices, and an indirect influence on their happiness. This indicates that a more positive adult's perception of parent-child relation leads to higher self-efficacy and greater devotion to their child rearing practices. And furthermore, an elevated self-efficacy enhanced their happiness. Gender differences were found for the influence of adults' perception of parent-child relation on elderly parent care practices. For Korean male adults, a more positive perception of parent-child relation lead to a more active participation in elderly parent care practices. However, for Korean female adults no direct influence was found. Based on these results, a discussion of the influence of adults' perception of parent-child relation on the adults' psychological characteristics and family-members relationships is provided.

An Analysis of Character Education and Evaluation Components for Selecting Creative Convergent Talents (창의융합인재 선발을 위한 인성교육 및 인성평가 요소 분석)

  • Chon, Kyong Hee;Kim, Eunha
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.197-204
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    • 2017
  • This study aimed to examine character evaluation criteria and components for selecting creative convergent talents in college admissions. In this study, pre-college students' perceptions were surveyed on various issues related to character education and evaluation implemented in K-12 school system. It was found that the character education programs intended to enhance students' care for others, interpersonal skills, and honesty were most actively operated within the secondary educational systems. The results of the study also indicated that the programs for fostering interpersonal skills, care for others, and sincerity were perceived as the most effective programs. Based on the results of the study, we discussed ways to improve the quality of character education programs operated in school curriculum and to improve the credibility of character evaluation in the college admission process.

Management of breastfeeding (모유수유모(母乳授乳母)의 관리(管理)에 관한 고찰)

  • Kim, Ro-Sa;Kim, Jin-Hwan;Cho, Jung-Hoon;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.8 no.1
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    • pp.48-63
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    • 2010
  • Purpose : Mothers and primary encounter and Korean traditional Gynecology clinician's perspective on breastfeeding, the importance and general knowledge, familiar with the breastfeeding-related issues to help resolve the maternal education and treatment. treatment options for a specific note down the need for Maternity and think that the existing studies and articles about breast diseases with reference to the view of the contemplated. Method : Maternity and breast disease with reference to research and review papers. Results : The first, from the past to encourage nursing mothers to eat a lot of nursing was given recently is changing the perception of adequate calories. and second, the posture of breastfeeding in prevention of mother's fatigue and pain and the baby's milk intake should be considered effective. The third, breast feeding is heavier than normal because of the surrounding muscle tissue in the breast to support the training may be helpful to. At last is emotional stability, and adequate nutritional intake and their milk is not enough awareness and interest in and education about breast-feeding mothers to breastfeed will help you look. Conclusion : Prenatal care program in order to facilitate breastfeeding and breast-feeding from the breast managed Postpartum Care Program consists of a map for the breast-related discomfort in advance to lead to prevention and to increase women's satisfaction seems to be.

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Issues Facing the National Health Insurance System in Korea and Their Solutions (우리나라 공공의료의 쟁점과 해결책)

  • Lee, Eun Hye
    • Korean Medical Education Review
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    • v.24 no.1
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    • pp.10-17
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    • 2022
  • South Korea is not a wasteland of publicly funded health care-instead, it has a good medical social security system known as the national health insurance (NHI). The NHI of Korea has three unique features; (1) low premiums, low insurance fees, and low coverage; (2) obligatory designation of medical institutions; (3) and allowance of non-benefit services. These features have made hospitals and doctors interested in profit-seeking. However, the commercialization of medical institutions has taken place in both private- and public-established sectors. A basic problem of commercialization is the co-existence of the obligatory designation of medical institutions and non-benefit services. The problem became worse in the Kim Dae-Jung government because it officially permitted non-benefit services. Since 2000, the Korean government has consistently pursued benefit extension policies, but the coverage rates of the NHI have stagnated. In addition, premiums and current medical expenses have markedly increased because policy-makers have emphasized accessibility to the NHI, while ignoring important principles of medical social security such as a needs-based approach and patient-referral system. In order to resolve the commercialization problem, the obligatory designation of medical institutions to the NHI should be changed to a contract system, and non-benefit services should be prohibited at NHI institutions. We must re-establish the patient-referral system via a needs-based approach. We also need to build a primary healthcare system and public health policies. We should make a long-term plan for healthcare reform.

A Study on the Space Configuration according to the Operation of Residential Welfare Facilities for the Aged (노인주거복지시설의 운영에 따른 공간구성에 관한 연구)

  • Choi, Yun-Jin
    • Journal of Industrial Convergence
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    • v.17 no.1
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    • pp.7-16
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    • 2019
  • Korea, which became an aging society in 2000, has made transition to an aged society more quickly than expected since late 2017 after 17 years. Despite this trend, the awareness towards elderly housing facilities has not yet been raised across in society. The primary reason is that use of elderly housing facilities has not been promoted due to lack of understanding about the construction and management of the facilities. The housing of the elderly should be considered in terms of not only residential space but also the issues of medical care and continuous care. Therefore, the trend of elderly housing is pursuing the Continuing Care Retirement Community. Thus, this study analyzed the policies of existing elderly housing facilities and existing elderly housing through comparison with policies and housing of foreign countries. Based on the results, the the government intends to present characteristics and direction of suitable housing design of senior citizens' housing facilities through maintenance of UNIT, securing convergence through changes in the use of facilities, and realising the cost of operation, and studying social welfare measures to cope with the increasing number of elderly residents.

The Effect of the Degree of Competition of the Hospital Market Regions on Clinic's Rate of Antibiotics Prescription (병원시장지역 내 경쟁 정도가 의원급 의료기관의 항생제 처방률에 미치는 영향)

  • Jo, Changik;Lim, Jae-Young;Lee, Soo Yeon
    • KDI Journal of Economic Policy
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    • v.30 no.2
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    • pp.129-155
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    • 2008
  • The rate of antibiotics prescription for an acute airway infection significantly varies depending upon the diagnosis type, specialty, and the location of the hospital along with many other related factors. The objective of this study is to empirically investigate the possible relationship between the antibiotics prescription rates for an acute airway infection and the degree of competition in the hospital market regions of mainly the providers of primary medical care services such as clinics, internal medicines, pediatrics and otorhinolaryngology department. Using the data from Health Insurance Review and Assessment Service (HIRA) regarding the hospitals' antibiotics prescription rates for the acute airway infection and controlling for selected variables of demand and supply sectors, this study tries to figure out that the degree of competition in the hospital market, regardless of what type of competition indexes we employed, has a statistically significant effect on the variations of antibiotics prescription rate of the clinics in local areas. This result implies that as an economic consideration itself, the change in the degree of competition in the hospital market can play a crucial role influencing the treatment behaviors of the medical doctors. More specifically, this study reveals that as the degree of competition increases the antibiotics prescription rate goes up. This result means that if the market becomes more competitive in a specific region so that it might cause a reduction in doctor's income, doctors with rational decision-making process, recognize that the benefit created from inducing patients' seemingly unnecessary demand for medical care (income effect) would be higher than the costs associated with sustaining their targeted income (substitution effect). It is because that the doctors are more likely to prescribe antibiotics which create relatively higher margins than other medical care services in order to sustain their targeted income when the hospital market competition becomes tighter. Even though this study empirically confirms that antibiotics prescription can be affected by the economic incentives, it still raises following issues as limitations of the study: first issue is about the representativeness of the hospital regions segregated for this study, which might be weak in explaining whether these regions are mutually exclusive in reality. Patients actually consider the quality of services, transportation cost, time costs, and any other related factors choosing the doctors or hospitals, and in that sense, this study rules out 'border-crossing' in using the medical care services. Second issue arises in capturing the data of antibiotics prescription rate. Since we use the average rate for each medical institution, we cannot figure out the average rate for each patient so that we are not able to control for the variation of patients' medical conditions. It is because of the unavailability of data regarding each patient's medical condition from HIRA. Thirdly, since this study mainly analyzes the medical institutions providing primary care such as clinics, internal medicines, pediatrics, and otorhinolaryngology department, it is skeptical of whether those institutions can represent the hospital market in respective regions and truly reflect the degree of competition. It needs to extend the study areas and disease types as well as any micro data for future studies.

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Implementation and Effect of a Professional Development Program for Preservice Early Childhood Teachers through Career Portfolio (커리어 포트폴리오를 활용한 예비유아교사 전문성 강화 프로그램 적용 및 효과)

  • Yoo, Soo Kyung
    • Korean Journal of Childcare and Education
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    • v.7 no.4
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    • pp.223-252
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    • 2011
  • The purpose of this study was to examine the effect of a professional development program developed to provide an opportunity for early childhood teachers to build a firm educational belief as teachers, to have an insight into their own abilities, to keeping on reflecting on themselves and to make a prolonged effort for self-development in pursuit of an ideal life as early childhood teachers by making portfolio. And it's additionally meant to give some suggestions on the efficient implementation of the program in the future. The subjects in this study were 26 early childhood education majors. The program was provided during an eight-week period of time, and both of the collected quantitative and qualitative data showed that the program produced positive effects. The findings of the study indicate that the professional development program for preservice early childhood teachers that used career portfolio could be one of good ways to facilitate the professional development of preservice early childhood teachers and to overcome a lot of problems with education of early childhood teachers, which is lately one of primary social issues.

The Health and Occupation Research Network: An Evolving Surveillance System

  • Carder, Melanie;Hussey, Louise;Money, Annemarie;Gittins, Matthew;McNamee, Roseanne;Stocks, Susan Jill;Sen, Dil;Agius, Raymond M.
    • Safety and Health at Work
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    • v.8 no.3
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    • pp.231-236
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    • 2017
  • Vital to the prevention of work-related ill-health (WRIH) is the availability of good quality data regarding WRIH burden and risks. Physician-based surveillance systems such as The Health and Occupation Research (THOR) network in the UK are often established in response to limitations of statutory, compensation-based systems for addressing certain epidemiological aspects of disease surveillance. However, to fulfil their purpose, THOR and others need to have methodologic rigor in capturing and ascertaining cases. This article describes how data collected by THOR and analogous systems can inform WRIH incidence, trends, and other determinants. An overview of the different strands of THOR research is provided, including methodologic advancements facilitated by increased data quantity/quality over time and the value of the research outputs for informing Government and other policy makers. In doing so, the utility of data collected by systems such as THOR to address a wide range of research questions, both in relation to WRIH and to wider issues of public and social health, is demonstrated.

Nursing students' Experiences on Home Visiting Nursing Service in Public Health Center (간호학생들의 보건소 방문간호 실습 경험)

  • Oh, Jin-Joo
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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    • pp.299-311
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    • 2003
  • Purpose: This is a phenomenological study to describe the experiences of nursing students on home visiting nursing service as a community nursing practice. Method: Individual interviews were conducted on subjective experiences of 17 nursing students. Data were analyzed through Colaizzi's method in which meaningful statements were extracted and these were clustered into 6 themes. Result: The nursing students started practice with anxiety and expectation at the same time. They were frightened at the clients' inferior environment and their level of loneliness. They also felt pity and experienced complicated feelings for the clients. However, the home visiting practice was a chance for them to discard prejudice on the clients. Positive experiences on visiting nursing practice reported by the nursing students included lively interactions between nurses and the clients, and variable provision of primary nursing care. However, facts such as much limited visiting time, non-professional and limited scope of practice were reported as negative experiences. They felt both worthiness of the home visit service and restricted self-capability at the same time through the practice. They also felt sorry for the clients because the home visit services were carried out during limited time period. Regardless of this, the home visit experience provided them an opportunity of self-growth. This self-growth includes increased awareness of issues for elderly, building of self-identity as a nursing student, self-reflection, and realization of the value of family. Conclusion: This study may provide data for better understanding of nursing students experiences of home visiting nursing services. However, more study on the barriers of their community health practice is needed in the future. Moreover, it is needed to establish desirable practice environment through the collaborative relationships between the university and staffs in the public health center.

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A Study on Community Perceptions of Common Cancers, Determinants of Community Behaviour and Program Implementation in New Delhi, India

  • Seth, Tulika;Kotwal, Atul;Thakur, Rakesh Kumar;Ganguly, K.K.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.6
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    • pp.2781-2789
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    • 2012
  • Assessment of perceptions of the community, the determinants and development of their behavior regarding common malignancies, helps in establishing evidence-based activities for prevention and early diagnosis of cancer. However information on this important aspect is lacking in our country. Qualitative methods were here used to obtain information through in depth interviews and Focus Group Discussions (FGDs) with all categories of identified stakeholders. Most were unaware of the activities of the cancer control program. Even the providers were not fully conversant. All respondents mentioned lack of diagnostic and treatment facilities in government, primary and secondary level facilities. Perceptions of different categories of stakeholders regarding why many community members did not attend screening camps and other services reflect the determinants of community behavior, acting independently as well as in combination. The cancer control program was thought to be restricted only to some private facilities and overcrowded government tertiary care facilities where the visits were time consuming. Almost all the facilities were considered curative oriented. Issues of supervision, monitoring and feedback were inadequately addressed by providers who were inadequately trained in many program activities. The program lacked effective planning, coordination and appropriate implementation at the grass roots level in Delhi. Social mobilization was grossly inadequate, as most of the community members were unaware of the existence of the program. Misconceptions about the risk factors, signs and symptoms, diagnosis, and treatment were common amongst community members as well as many of the providers. Thus the national cancer control program in our country needs further community participation and social mobilization. Accessibility, availability, acceptability and affordability of various preventive, curative and rehabilitative activities, as well as intersectoral coordination, training, supervision and monitoring of program activities, all need to be addressed to ensure the success of this important public health program.