• Journal of Preventive Medicine and Public Health
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• 제47권6호
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• pp.298-308
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• 2014

Objectives: To assess the current public participation in-local health policy and its implications through the analysis of policy networks in health center programs. Methods: We examined the decision-making process in sub-health center installations and the implementation process in metabolic syndrome management program cases in two districts ('gu's) of Seoul. Participants of the policy network were selected by the snowballing method and completed self-administered questionnaires. Actors, the interactions among actors, and the characteristics of the network were analyzed by Netminer. Results: The results showed that the public is not yet actively participating in the local public health policy processes of decision-making and implementation. In the decision-making process, most of the network actors were in the public sector, while the private sector was a minor actor and participated in only a limited number of issues after the major decisions were made. In the implementation process, the program was led by the health center, while other actors participated passively. Conclusions: Public participation in Korean public health policy is not yet well activated. Preliminary discussions with various stakeholders, including civil society, are needed before making important local public health policy decisions. In addition, efforts to include local institutions and residents in the implementation process with the public officials are necessary to improve the situation.

• 대한예방의학회:학술대회논문집
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• 대한예방의학회 2005년도 제57차 추계 학술대회 연제집
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• pp.31-44
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• 2005

In summary, air pollution issues in the United States are addressed by a core group of regulations supplemented by active Interventions as needed by public health agencies. The strategies employed by public health officials must be flexible and innovative to address the needs of the citizens, As you can see from the examples cited above, the collaboration of public health agencies can be critical in protecting communities from adverse exposures. In the US state and local governments have the primary responsibility for health and safety issues, including those associated with air pollution. The federal agencies have responsibilities when activities between states are involved and or the issues are of national significance. Significant challenges and opportunities remain to identify the relationship to air pollution and other environmental factors and the incidence of disease, and hence develop and implement Intervention strategies.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.239-251
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• 2017

연구는 일부 공무원들의 생활습관병에 대한 건강행동과 HBM을 구성하는 인자(생활습관병에 대한 취약성, 중대성, 건강행동의 유효성, 장벽, 가족력, 매스컴으로부터의 정보, 사회적 지원 네트워크)와의 관련성을 규명하고자 시도하였다. 조사대상은 D광역시에 소재하고 있는 정부 공공기관의 행정공무원 729명으로 하였으며, 자료 수집은 2016년 2월 1일부터 3월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 생활습관병에 대한 건강행동점수는 생활습관병에 대한 취약성, 건강행동의 유효성 및 매스컴으로부터의 정보와 유의한 양의 상관관계를 보인 반면, 생활습관병에 대한 건강행동의 장벽과는 유의한 음의 상관관계를 보였다. 또한, 공분산구조분석 결과, 생활습관병에 대한 건강행동에 영향을 미치는 요인으로는 생활습관병의 취약성 및 중대성이 가장 큰 요인이었으며, 다음으로 생활습관병의 가족력 및 매스컴으로부터의 정보, 건강행동의 유효성 및 장벽, 수단적 지원 및 정서적 지원의 순이었다. 위와 같은 연구결과는 HBM을 구성하는 각 인자(생활습관병의 취약성 및 중대성, 건강행동의 유효성 및 장벽, 생활습관병의 가족력 및 매스컴으로부터의 정보, 수단적 지원 및 정서적 지원)는 생활습관병에 대한 건강행동을 실천하는데 중요한 요인이 되고 있음을 시사한다. 따라서 앞으로 생활습관병에 대한 효과적인 예방 지도를 위해서는 대상자 개개인의 생활습관병에 대한 건강행동 실천에 관련된 요인을 정확히 파악하여 지속적으로 관리해 나가는 것이 중요하다고 생각된다.

• 보건의료산업학회지
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• 제13권1호
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• pp.1-13
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• 2019

Objectives: This study was designed to determine the relationship among emotional labor, perceived organizational support, and job attitude in public health centers. Results: First, emotional dissonance had no effect on perceived organizational support. However, emotional endeavor had a positive effect on perceived organizational support. Second, perceived organizational support had a significant effect on job attitude. Third, emotional labor had no effect on job satisfaction, but emotional labor had a positive effect on job commitment. Fourth, perceived organizational support had a full mediating effect on the relationship between emotional labor and job attitude. The implications of this study are as follows. Conclusions: Higher emotional labor leads to lower job satisfaction and job commitment in public officials, thereby affecting job attitude. Accordingly, various systematic methods, such as flexible working hours and personnel policy, need to be implemented to alleviate the negative effects of emotional labor.

• 보건행정학회지
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• 제22권4호
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• pp.703-710
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• 2012

Purpose : The aim of this study is to review the current status of healthcare provision and its human resources administrative management and propose a coordinated human resource management plan for the more efficient operations of healthcare organizations. Methods : We reviewed the literature and held discussions with officials from the United States Department of Health and Human Services to survey United States Public Health Service Commissioned Corps operations. In addition, we surveyed the literature to analyze the current structure and responsibilities of governing bodies involved in public healthcare in Korea. Results : In Korea, there are several administrative offices involved in public health: the Ministry of Health and Welfare, the Ministry of Defense, the Environment Ministry and others. Since these diverse agencies don't integrate their operations, it is difficult to grasp their management of both public healthcare services and their personnel. A potential model is the United States Public Health Service Commissioned Corps, a sub-group of the Department of Health and Human Services and an elite team of highly qualified, public health professionals, which coordinates and manages the overall work and personnel of diverse healthcare organizations. Conclusion : We suggest the establishment of a federal level, public health administrative department of human resource management to centralize and coordinate the existing, disparate healthcare administrative agencies.

• 대한한방내과학회지
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• 제27권4호
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• pp.827-835
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• 2006

Objectives : This study investigated the actual condition of an oriental medical office in a public health center. Methods : We classified patients who visited an oriental medical office in the public health center of Gyeyang-gu over a 1-year period, according to age, sex, disease, etc. The number of patients was 6529. Results : Analyzing these 6529 persons, 65.8% were female, and 79.6% were seniors aged over 65. By disease category motor systemic disease or circulatory disease affected 84% of the patients. By medication or treatment category. O-Juk-San (五積散) at 38.3% was the greatest proportion, and Pal-Mul-Tang (八物湯) the second greatest. As to medical fee, 80.2% of the patients were not charged for treatment. Conclusions : The extract of herbal medication should be more expanded in the medical insurance, and should be improved in quality. The oriental medical office in a public health center should focus more on health promotion and disease prevention than patient care. For accomplishing this goal, the institutional position and rights of oriental medical doctors as civil officials should be equal to those of western medical doctors.

• 농촌의학ㆍ지역보건
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• 제27권2호
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• pp.35-54
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• 2002

보건기관에 근무하는 치과위생사의 직무실태, 직무만족도, 그리고 향후 직무개선 방안을 알아보기 위하여 경상북도 보건소 및 보건지소에 근무하고 있는 치과위생사 전원(203명) 대상으로 2002년 4월에 설문조사를 실시하였다. 타부서에 비해 업무량이 많다고 응답한 대상자는 52.2%였고, 보수 수준에 대하여는 61.6%가 보통, 36.5%는 만족한다고 하였다. 대상자의 73.9%가 업무에 대해 긍지와 보람을 느낀다고 하였고, 32.0%가 전직의사가 있다고 응답하였는데, 전직의사 이유로는 승진기회의 부족이 가장 높았다. 대상 치과위생사의 47.3%가 직무교육에 참여한 경험이 있었고, 19.2%가 특수사업에 참여한 경험이 있었다. 치과위생사가 공무원계급에 6급직이 없는 이유에 대해서는 60.6%가 타직렬의 견제 때문이라고 응답하였다. 보건기관에서 타업무에 종사하는 치과위생사에 대해서는 53.7%가 구강업무에 종사하도록 해야 한다고 하였고, 치과의사가 배치되어 있지 않은 지역의 치과위생사에 대해서는 61.9%가 치과질료실을 구강보건실로 전환하여 구장질환 예방사업에 종사하도록 하여야 한다고 하였다. 보건기관의 유휴 치과장비에 대해서는 89.1%가 지역실정에 맞게 치면세마사업에 활용하야야 한다고 하였다. 보건기관 근무 치과위생사외 구강보건업무 담당시간은 전체 업무시간의 57.8%를 차지하였고, 투입시간 비율은 치과실내에서의 치과진료업무가 41.6%로 가장 많았다. 구강보건업무 중 가장 중요하게 다루어야 할 업무로는 구강보건실 내에서의 구강보건업무 학교구강보건사업, 수직적 구강보건사업 순이었다. 보건기관에서의 구강보건 업무를 수행하는데 문제점으로는 공중보건치과의사의 부족으로 치과위생사 고유 업무에 종사 하지 못함, 구강보건사업에 대한 관심부족, 예산 및 인력부족 순이었다. 개선방안으로는 보건복지부와 도에 치과위생사 배치, 인력 및 예산확보 등이었다. 이상의 결과, 보건기관 근무 치과위생사의 효율적인 활용방안이 강구되어야 하겠는데, 타업무에 종사하고 있는 치과위생사의 재배치를 통해 구강보건업무에 종사하도록 하여야 하겠고, 치과위생사의 업무를 치과진료실 내에서의 진료보조 업무에서 구강보건교육과 예방진료 등으로 전환하는 것이 필요하겠으며, 공중보건 치과의사 미배치지역에 대해서는 지역설정에 맞게 치과 진료실을 구강보건실로 전환하여 구강보건사업에 활용하도록 하여야 하겠다. 또한 치과위생사익 전문성 제고를 위하여 직무교육, 연구사업, 특수사업 등의 참여 기회를 확대 부여하도록 하여야 하겠고, 치과위생사에 대한 6급 승진 기회 부여와 시 도에 구강보건 담당부서 설치 및 치과위생사 배치도 고려되어야 할 것이다.

• 한국직업건강간호학회지
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• 제26권1호
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• pp.55-64
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• 2017

Purpose: This study was performed for the effective management of nursing organization as surveyed choice motives and job satisfaction about nurses who changed to public hospitals. Methods: This study is a descriptive study. This study surveyed 214 nurses who changed jobs to public hospital in six Gyeonggi-do hospitals from October 23 to November 20, 2015. The collected data were analyzed for descriptive statistics, t-test, one-way ANOVA, sheffe test, multiple linear regression analysis using the SPSS/WIN 21.0 program. Results: Most of the nurses chose public hospitals due to benefits correspond to public officials. They had worked in general hospitals located on provinces and changed jobs due to a heavy workload and low benefits. Of the participants 84.1% were satisfied with changing jobs to public hospitals and the advantages of public hospitals of their choice were job stability and good employee benefits(guaranteed maternity and paternity leave, etc). On the other hand there were complaints about low salaries compared to the workload after changing jobs to public hospitals. Conclusion: Hospitals need to enhance job stability and provide nurses with good employee benefits to reduce turnover rate.

• 환경영향평가
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• 제11권3호
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• pp.145-155
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• 2002

A substantial literatures on environmental risk perception have emerged since the late 1960s. Most these works focus on how people form risk perception, on what people believe, on difficulties in communicating information about health, safety, or environmental risks to non-experts. In this study, questionnaire surveys were conducted to sample from stakeholders(general public, environmental specialist, governmental official, non-government officials, journalist) during March and Aprils, 2000. Total number of responses was 1,803 including 773 persons of general public, 353 experts, 390 governmental officials, 111 journalists and 176 NGO members. Risk perception on 26 environmental issues were statistically analyzed to relate with the need to regulate each issues, interest and knowledge, experience of hazard, satisfaction in environmental situation, etc. This research aims to aid risk analysis and policy-making by providing a basis for understanding and anticipating group responses to environmental issues and improving the communication of risk information among general public, lay-people, technical experts, and decision-makers. This study concludes that those who are in charge of promoting and regulating health and safety of citizens should understand how people perceive about and respond to environmental risk. Without such understanding, well-intended environmental policies of governments would be ineffective.

• 한국보건간호학회지
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• 제10권1호
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• pp.80-94
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• 1996

This study was to investigated the complaints of physical and mental health problem of professors and officials in H University of Seoul and collected during the period from April 25 to May 31. 1995. The complaints of physical and mental health problem were measured by Cornell Medical Index. The results of this study are as follows: 1. Among the items of physical health problem. respondents showed the highest rate of complaints related to fatigability. and among the items of mental health problem. respondents showed the highest rate of complaints related to inadequacy. 2. Females showed significantly higher rates of complaints related to the musculoskeletal system(p<0.001), fatigability(p<.001). habits(p<.01), inadequacy(p<.05). and tension(p<.001) compared with those of males. Twenties showed significantly higher rates of complaints related to the digestive system(p<.01) compared with those of other age groups. Singles showed significantly higher rates of complaints related to the digestive system(p<.05). inadequacy(p<.01) and depression(p<.001) compared with those of marries. Officals showed significantly higher rates of complaints related to the cardiovascular system(p<.01). digestive system(p<.05), musculoskeletal system(p<.05), and tension(p<. 05) compared with those of professors. Resondents who have irregular eating habits showed significantly higher rates of complaints related to the digestive system(p<.01), musculoskeletal system(p<.05). habits(p<.05). and depression(p<.001) compared with those of respondents who have regular eating habits. Respondents who usually sleep below 6 hours a day showed significantly higher rates of complaints related to the cardiovascular system(p<.01). digestive system(p<.05). musculoskeletal system(p<.01). fatigability(p<.05). habits(p<.01). and tension(p<.05) compared with those of respondents who sleep above 6 hours.