• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.721-732
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• 1996

생활수준과 교육수준이 매우 낮은 저개발국가에서의 임신분만 환경을 알아보고 건강관련 행위 실천(산전진찰, 시설분만, 제대기구소독)과 지식과 태도와의 관계를 알아보기 위하여 네팔 돌카 마을에서 지난 1년간(1994년 4월 13일$\sim$1995년 4월 12일)출산한 경험이 있는 산모를 대상으로 일반적 특성, 임신과 분만에 관련된 지식, 태도, 산전진찰률, 분만환경 등을 조사하였다. 이 지역의 임신과 분만에 관련된 지식수준은 낮은 편으로 대상자의 87.5%가 보건교육을 받은 경험이 없었다. 대상자의 29.6%는 임신시 흡연이 태아에 해가 없다고 하였으며, 42.8%는 임신시 음주와 약의 복용이 태아에 해가 없다고 답하였고, 17.1%가 제대절단시 소독하지 않은 기구를 사용해도 유해하지 않다고 응답하였는데, 교육을 받은 적이 없는 경우, 보건교육을 받은 경험이 없는 경우, 그리고 보건기관까지의 거리가 멀 수록 올바르지 못한 지식을 가지고 있었다. 응답자의 56.6%가 산전진찰이 필요없다는 태도를 보였고, 42.8%가 질출혈시 병원을 방문할 필요가 없다는 태도를 보였는데, 교육을 받은 적이 없는 경우, 보건 교육을 받은 경험이 없는 경우, 그리고 보건기관까지의 거리가 멀수록 바람직하지 못한 태도를 가지고 있었다. 또한 82.9%가 분만과정 자체가 불결한 것이라고 여기고 있었다. 한번이라도 산전진찰을 받은 경험이 있는 산전진찰 경험률은 28.3%였는데 교육을 받은 적이 없는 경우, 보건교육을 받은 경험이 없는 경우에 산전진찰 미경험률이 높았다. 시설분만율은 5.3%로 매우 저조하였고, 시설 외 분만인 경우 82.6%가 제대절단기구를 소독하지 않고 사용하고 있었는데 교육을 받은 적이 없는 경우, 보건교육을 받은 경험이 없는 경우, 그리고 보건기관까지의 거리가 멀수록 소독을 하지 않고 사용하고 있었다. 지식과 태도와의 관계에 있어서는 지식이 많은 군이 산전진찰의 필요성을 더 느끼며 질출혈시 병원방문의 필요성을 더 느끼고 있어, 임신과 분만에 관련하여 더 바람직한 태도를 가지고 있었다. 태도와 실천과의 관계에 있어서는 바람직한 태도를 가진 산모군이 산전진찰 경험률이 높았으며, 시설분만이 많아 실천율이 높았다. 다변량 분석에서도 지식이 태도에 양(陽)의 영향을 미치는 변수였으며, 태도는 실천에 영향을 미치는 유의한 양(陽)의 변수여서 실천을 위해서는 긍정적인 태도가 선행되어야 하고, 그러기 위하여는 먼저 올바른 지식을 가지고 있어야 함을 알 수 있었다. 이상의 연구결과로 볼 때, 저개발국가에서의 분만환경은 매우 열악한 편으로 모자의 건강수준 향상을 위해서는 예방적 기능으로서 보건교육 활동이 더욱 중요 성을 가지게 된다. 효율적 보건교육활동을 위해서는 보건교육을 보다 긴요하게 요하는 인구군이 어떤 계층이냐 하는 대상파악에 특별히 유념하여야 하는데 주로 교육수준이 낮고 생활이 어려운 인구층, 그리고 보건기관으로부터 멀리 떨어져 있는 사람들에게 중점적으로 교육을 시도하여야 하겠는데 이들 나라는 대부분의 국민이 교육수준이 낮고 생활수준이 낮은 편으로 보건교육시 단순한 지식의 전달에 그칠 것이 아니라 동기 유발을 가져와 행위변화를 할 수 있도록 보다 세밀한 연구노력이 필요하다. 또한 순회진료와 보건교육을 하는 의료캠프가 활성화되어야 하겠다. 향후 저개발국에 의료단을 파견하여 그 지 역의 보건문제 해결에 도움을 주기 위하여는 이와 같은 연구가 계속 진행되어 실천에 영향을 주는 요인들을 밝혀 지역보건의료 프로그램에 적극 활용해야 할 것으로 생각된다.

• 한국주거학회논문집
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• 제15권1호
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• pp.163-174
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• 2004

The purpose of this study was 1) to analyze the attitudes about Senior Congregate Housing(SCH) among 4 urban areas, 2) to propose the various model for SCH which should be provided to satisfy the demand. Same opinions among 4 urban areas were ; 1) Whom were willing to move into SCH for later life, most of them were in early 50s. Most of the respondents desired to be serviced community alarm system, preferred one-room style, size of 11∼15 Pyung, and preferred living at suburban area. The multi-family type was preferred when not being healthy and be singled, but if healthy, preferred the type of single detached house. And they preferred the home ownership, highly valued of heating control system, health care and leisure programs. Thus for the future SCH, it should be designed all facilities were equipped with sports facilities, sauna and leisure programs. The findings indicated that the high rates of supporting with professional management for 24 hours by turn. But different opinions among 4 urban areas were; 2) Willingness live in SCH for later life had little difference in level of income, education, property. Especially, residents of Seoul Metropolitan area and Busan did not want to open their own common facilities to the public.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.147-151
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• 1976

A study was conducted during the period of August 13 to August 18, 1974 to obtain information on knowledge and attitude of the rural area housewife toward health care and antibiotics using. Interviewed 242 housewives dwelling in Soodong and Hwado Myun, Yangju Gun, Kyunggi Do, a typical rural area in Korea and the following results are obtained: 1. Of 242 housewives interviewed, 20.2% were illiteracy, 68.2% was graduated from primary school, 9.1% from middle school and 2.5% from high school. 2. Of those interviewed, 8.7% were Christian, 5.0% Bueldist, 2.9% Confucianism, and 83.4% of those were no religious preference. 3. Utility rate according with the kind of mass media in home was 85.1% of respondants possessed radio, 16.1% of magazine, 12.8% of newspaper, and 4.1% of television. 4. In the case of patients occure in a family, 13.0% out of 242 respondants had chosen physician's clinics for inicial medical care place, 58.4% drug stores, 0.9% herb medicine and 27.7% of those had chosen folk medicine at home. 5. Antibiotics effective complaints listed by the respondants were skin diseases with 43.8%, suppurated wound 30.0%, URI like symptoms 18.2%, diarrhea 14.5%, low back pain 12.9%, fever 6.2%, loss of appetite 3.3%, all kind of diseases 2.5%, urethral discharge 2.1% and tuberculosis 0.8% respectively. 6. Only 14.7% of respondants had obtained antibiotics for medical care from physician's clinics and 85.3% of the respondants had obtained antibioties from drug store (70.7%), village shop (10.4%), and salesmen in street market without any physician's prescription. 7. Eighty-nine percent of the respondants were understanding on patient care activity as the local health subcenter but only 11.0% of those on M.C.H., 29.0% of those on family planning, 21% on vaccination, and only 6.6% on tuberculosis control activity. 8. Utility rate of the local health subcenter was 71.9% out of the patients indicated medical care of medical facilities.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.480-488
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• 2016

본 연구는 요양시설에 입소하여 생활하고 있는 노인들을 대상으로 ADL과 IADL을 측정하고 그에 관련된 요인을 검토하고자 실시하였다. 조사대상은 장기요양시설에 입소하여 장기요양급여를 받고 있는 노인 205명으로 하였으며, 조사는 2015년 6월 1일부터 7월 31일까지의 기간 동안에 면접조사를 통해 이루어 졌다. 연구결과, 전체 조사대상자의 ADL 수준은 $16.67{\pm}2.11$점(총득점 합계 범위: 6~18점)이었으며, IADL 수준은 $15.13{\pm}3.79$점(총득점 합계 범위: 7~21점)이었다. ADL에 관련된 요인으로는 배우자 유무, 외출 빈도, 주관적인 건강상태, 치아의 부자유 유무가 선정되었으며, IADL에 관련된 요인으로는 성별, 배우자 유무, 외출 빈도, 주관적인 건강상태, 신체의 부자유 유무, 건망증 유무가 선정되었다. 위와 같은 결과는 요양시설 입소 노인들의 신체적 기능은 인구사회학적 특성, 건강관련행위 및 건강상태 등 여러 요인들이 관련되어 있음을 시사한다.

• 한국콘텐츠학회논문지
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• 제17권6호
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• pp.339-350
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• 2017

본 연구는 2014년 12월 현재 노인장기요양기관이 국민건강보험에 신고한 임금자료 DB 즉, 공공데이터를 활용하여 요양보호사의 근로실태와 임금수준을 분석하였다. 2014년 말까지 요양보호사 자격증을 취득한 1,231.357명 중 본 연구는 확인이 가능한 1,221,085명을 대상으로 자료를 구축하였다. 이들 중 91.3%는 여성, 41.0%가 50~59세였다. 전체 자격취득자 중 요양보호사로 근무하는 인력은 약 14.8% 수준에 불과하였다. 취업 중인 요양보호사의 약 73.2%가 현 직장 근무연수가 3년 이내이며, 이들의 임금은 입소시설의 경우 월 129.2만원(처우개선비 포함 139.1만원), 재가기관의 경우 시간당 6,421원(처우개선비 포함 7,046원)이었다. 이와 같은 분석을 통해 본 연구는 요양보호사의 근로실태와 임금을 보다 구체적이며, 시계열적으로 파악하기 위해서는 입소시설과 재가기관을 구분한 분석뿐만 아니라, 처우개선비 효과에 대한 분석이 필요하다는 것을 제시하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제16권1호
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• pp.17-24
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• 2010

At the moment many welfare complexes are being constructed in Korea as the welfare demand of contemporary society increases. However, there are a few useful guidelines for the planning of the welfare complexes. So it is not easy for the local governments to work out the proper plan for the construction of welfare complexes for their own. This study has been started in order to provide basic informations for the planning of Korean welfare complexes. The result of this study can be summarized into two points. The first one is that 8 welfare services (elderly, women, children, nursery, adolescence, handicapped, health care, public support) are necessary in general welfare complexes in local governments. The second one is that 4 welfare zones are desirable for the planning of welfare complexes. For example, the 1st zone is consist of welfare services for the adolescence, women and children, the 2nd zone for the elderly, handicapped, the 3rd zone for the public support and the 4th zone for the health care.

• 대한지역사회영양학회지
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• 제11권2호
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• pp.229-239
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• 2006

This study was carried out to investigate foodservice management practices of 100 child care centers nationwide, and to provide background information for developing foodservice management policies at child care centers. Approximately 20% of the child care centers had a separate dining room; most of the centers were vulnerable to sanitation or safety problems. The percentage of the centers that planned menus was about 60% and 10% established standardized recipes. Fourteen percent of the centers kept records for distribution and menu evaluation and 33% kept sanitation management records. Since only 7% of the centers employed a dietitian, foodservice in most centers were not managed by professionals. The results of menu assessment revealed that 56.5% of the national/public child care centers received 19 points or higher out of 21 points, whereas 5.6% of the private child care centers received the same scores. Proper usage and storage of raw food, sanitary management of equipment and facilities, waste management/leftover food treatment, and basic facility of cooking zones were performed well by many centers. The overall scores of foodservice performance were only 31.2 out of 60 points, representing relatively poor safety management, food procurement management, and facilities and equipment management. These results indicate that the foodservice management of the child care centers are in a relatively poor state. Since nutrition management of the most centers was performed by non-professionals, it may not be possible to provide proper nutrition for health and normal growth of preschool children and to perform efficient nutrition education programs. The following suggestions are strongly recommended in order to improve foodservice performance at child care centers. First, foodservice administration should be performed by a dietitian, and second, efforts should be focused on strengthening nutrition and sanitation management.

• Journal of Preventive Medicine and Public Health
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• 제25권4호
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• pp.357-373
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• 1992

After medical insurance came into effect in Korea, health care system has undergone tremendous changes. Changing patterns of newly established clinics is one of them. To investigate changes and trends, a total of 10,184 clinics which were newly established from 1981 to 1990 were analysed. Data were obtained from the file of contracting medical facilities of the Federation of Medical Insurance Societies. The proportion of newly establishied clinics has increased gradually, so that they amount to 13% of the total medical facilities in Korea. Meanwhile, the number of newly established medium-size hospitals and general hospitals have decreased. The number of newly established clinics per 100,000 populations has increased in the all areas, but the rate of increase has decreased in the cities except in 6 major cities in 1990. The rate of increase in newly established clinics surpasses that of population increase. This study has identified the trend of young physicians' early driving into their solo medical practice than before. This indicates chance of the medical specialty training nowadays toughen due to the limited openings in residency programs. However, the sex ratio of physicians at newly established clinics has not changed. The decreasing tendency to open medical practice without beds and the increasing size of clinics are found in this study(The size has been measured in terms of medical manpower, of beds, and of medical equipment in this study). Two thirds of general practitioners have opened their clinics without beds, although such trend has been less in the case of specialists. All three indicators show increasing size, especially in the case of rural clinics. However, among them, the number of medical equipments has increased most significantly from 8.9 items in 1981 to 12.9 in 1990.

• 보건교육건강증진학회지
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• 제16권2호
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• pp.205-233
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• 1999

This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

• Journal of Preventive Medicine and Public Health
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• 제31권4호
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• pp.814-827
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• 1998

In this study we analyzed the insurance claims data to investigate the medical care utilization pattern of tuberculosis patients in private sector. We selected the claims of principal or secondary diagnosis with tuberculosis from claims database of National federation of Medical Insurance, from December 1995 to November 1996. Both spell-based analysis and person-based analysis were carried out. In spell-based analysis, type and location of treatment facilities, distribution of diagnoses, number of outpatient/inpatient treatments were analyzed. Additionally in person-based analysis, number of tuberculosis patients, demographic characteristics, number of treatments per person, frequency and pattern of change in source of care were analyzed. The results were as follows 1. The number of treatments with tuberculosis was 863,641 from 1 December 1995 to 30 November 1996. The number of patients was 313.964. 2. Most of tuberculosis patients in private sector were treated in general hospital (45.8%) and clinics(42.2%) 3. About 77.7% of tuberculosis patients who were treated more than two times did not change the source of care. 18,9% of tuberculosis patients changed source of care only once. Even when we limited tuberculosis patient to those who were treated more than five times and whose treatment period were longer than six months, 94.7% of patients did not change source of care at all, or changed treatment facility only once. 4. The probability of change in source of rare was higher in pulmonary tuberculosis, in twenties, and in rural area respectively than other tuberculosis. In conclusion, healer shopping of tuberculosis patients was not serious as expected. However special attention is needed to pulmonary tuberculosis in twenties and rural area.