• 농촌의학ㆍ지역보건
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• 제33권1호
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• pp.37-45
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• 2008

본 연구는 시설 신축 여부에 따른 환경요인이 고혈압 조절에 미치는 영향을 미치는 지 여부를 파악하기 위해 1994년부터 약 10여년 동안 시행되어 온 농촌의료서비스 개선사업에 의한 보건기관 신축 여부와 인구학적 개인 요인, 전문의 여부 등 의사 요인의 영향을 함께 고려하여 분석한 연구이다. 고혈압 조절에 영향을 미치는 요인에 관한 연구천성아, 나백주, 김철웅, 이무식 7는 주로 개인 특성에 대한 연구가 이미 수행되었지만 의사의 특성 요인 및 의료 조직 및 시설의 위치 등 환경 요인에 대한 분석은 미흡하였다.조사는 충청도 일부 지역 6개 시,군으로 농어촌의료서비스 개선사업 대상지역이다. 해당 지역의 6개 보건소 및 산하 59개 보건지소에 2005년 7월 1일부터 2006년 6월 30일까지 한번이라도 고혈압 진료를 위해 환자가 내원하거나 보건소 직원이 직접 방문하여 투약 혹은 상담을 한 내용이 기록된 자료 가운데 분석에 적합한 약 2만5천건의 고혈압 환자 진료 자료를 분석하였다.연구결과 전체적인 보건기관에 혈압수치 조절율은 53.9%이었으며 여성이 남성보다 혈압이 잘 조절되었으면 60대와 70대의 혈압 조절율이 유의하게 높았다(p<0.01). 또한 개선지역이 미개선 지역에 비해 혈압조절율이 유의하게 높았다(p<0.01). 전문의 기준으로 일반의에서 혈압조절율이 다변량 분석에서 유의하게 낮았다(p<0.01). 이 연구는 진료에 적합한 시설이 환자진료 과정에서 의료진의 만족도와 환자의 안정감을 향상시키고 이는 결국 환자관리의 순응도 등을 높이는데 기여하여 진료결과의 질적 향상에도 영향을 미칠 수 있음을 실증적으로 확인하였다. 이는 향후 농어촌의료서비스개선사업이 지역사회 건강결과 향상에 미치는 효과를 계량화 하는 기초 자료가 될 수 있을 것으로 판단한다.연구 기금본 연구는 한국개발연구원이 발주하고 한국보건사회연구원이 수행한 “농어촌의료서비스개선사업의 심층평가” 연구의 지원으로 수행하였습니다.감사의 말씀본 연구에 적극 협조해 주신 프로그램 개발업체 GST 이재익 사장과 민상익 연구원에게 깊은 감사를 드립니다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제14권2호
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• pp.35-42
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• 2008

Over the last 10 years several Provincial Medical Center has been carried out rapidly in the welfare facilities in Korea. Provincial Medical Center is for public and economic. So This study is an analysis of the areal composition between the Provincial Medical Center and General Hospital in Korea. The changes of Provincial Medical Center are caused by role in the environments. The Factor of economic is more important than for public in this situation. This paper analyzes architectural drawings for 4 Korean medical center which constructed in recent 10 years in aspects of the spacial composition, presents areal composition and pattern of spacial allocation for researching hospitals. According to the areal composition of Provincial Medical Center is important in healthcare facility environment.

• 농촌의학ㆍ지역보건
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• 제43권2호
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• pp.74-84
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• 2018

Objectives: The purpose of this study is to compare the perceptions of the rural healthcare service improvement project' performance and reorganization of public health centers between project staffs and local residents. Methods: Data collection from this study was performed in 141 project areas using structured questionnaires. Data analysis was used in SPSS 22.0 version. Results: The public health center staffs were more positive about the items for improving health facilities than the local residents. Residents in the Si area generally perceived performance as more positive than residents in the Gun area, while public health center staffs in the Gun area perceived performance as more positive than public health center staffs in the Si area. Local residents expressed negative opinions about the reduction in the number of branches of public health clinics and health medical clinics. Conclusions: In conclusion, careful improvement projects for rural health care and the establishment of health care systems will be necessary, reflecting the opinions of local residents, along with a variety of regional characteristics.

• 지역사회간호학회지
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• 제18권4호
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• pp.593-600
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• 2007

Purpose: This research was carried out to present an ideal cooperative model between the public and private health sectors for the management of community dementia patients. Method: In this study a public-private cooperative council was formed, basic data for dementia patients and their families were collected, and a dementia service program was carried out in cooperation between the two sectors. Results: The survey data shows the majority of the registered patients were undergoing a chronic diseases which would make the dementia health service inefficient. The cooperative public-private council adopted the reinforcement of medical service to the public enrolled dementia patients. The intensive medical service program showed effects on the health status of the dementia patients. Conclusion: The results of this study pointed out that change of the health insurance program supportive to the private sectors to be made; a referral system for the public health sector to the private sector should be established; and expanding the capacity of the visiting health program in the public health sector is needed.

• Journal of information and communication convergence engineering
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• 제2권3호
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• pp.167-171
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• 2004

The evolution of modern imaging modalities, followed by the rapid development of computer technology has introduced many new features in the communication networks used in medical facilities. Since it is very important to keep patient's record accurately, the ability to exchange medical data securely over the communication network is essential for any medical information. In this paper, therefore, we introduce some problems which occur from digitizing medical images such as MRI (Magnetic Resonance Imaging), CT (Computed Tomography), CR(Computed Radiography), etc., and then we propose a authentication mechanism for medical image verification using secret watermark images.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제29권2호
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• pp.17-26
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• 2023

Purpose: The purpose of this study is to identify policy implications for the construction of public health facilities in the field of international cooperation, by examining the case of establishing a health care delivery system using a public health center in a rural area of Paraguay. Methods: Firstly, to map the capacity of the 20 public health centers that were studied, we used the WHO Capacity Mapping tool to select and analyze relevant items. Secondly, to assess the utilization of public health centers, we conducted a direct visit survey and analyzed the results using the M-survey tool. Results: The floor plan of each public health center, the structure of the health center, the size of the population served by each health center, the number of monthly visitors, medical human resources, and the budget were classified by health center for comparative analysis. In addition, by utilizing the M-survey tool, we analyzed the general characteristics of the respondents, their perceptions of the purpose and accessibility of public health centers, their satisfaction with using public health centers, and the level of demand for public health centers to play a role in promoting community health. Implications: The results of this study suggest that access to public health facilities for residents in the research area was improved. By classifying public health centers into two types, these centers can perform the functions and roles of primary health facilities. A patient request and evacuation system was established in the research area. Finally, a network, such as a social prescribing program, is needed so that public health centers can function as a "setting" for community members to live together.

• 한국보건간호학회:학술대회논문집
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• 한국보건간호학회 1996년도 제21회 보건학종합학술대회
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• pp.101-102
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• 1996

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.367-370
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• 2005

Offer of medical treatment service for recovery or preservation of physical spiritual function of elderly people by sudden population graying developing is essential. Therefore, according to increase of elderly's medical treatment demand, medical treatment service request is augmented. Number of medical treatment service utilization wishes to grope medical treatment service support way for elderly residing cloth elevation laying stress on elderly's Aging in Place in increase trend in this research. If decide, is as following : First, national hospital and public health center were concentrated most on Seoul and kyonggi, and there were many hospitals to south of a river nine, Songpagu, Seochogu, and public health center was expose that is one by one to each nine. Second, in the case of Seoul, elderly population ratio was expose that comparatively high Yeongdeungpo, Chongno, Yongsan, west passage nine is few hospital number relatively in elderly's residential area. Third, need that establish elderly full text clinic on part of general hospital or university hospital equipment. Fourth, must do so that can use access as is easy little more in local community to all elderly who need medical treatment service of visit nursing, visit medical examination and treatment etc.. that consist in present public health center.

• International journal of advanced smart convergence
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• 제5권2호
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• pp.47-52
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• 2016

In this study there was the analysis of government incentives and resident support of public crematoriums, typically identified in Korea as a locally unwanted land use (LULUs), in the metropolitan area. The study looked at what government programs would be potential incentives for allowing the crematoriums to exist in metropolitan communities. Such programs were diverse, with projects focused on: enhancing resident welfare, increasing resident income, funeral facilities and management consignment, community oriented programs, education, funding, and others. Among them, it was found that residents were most in support of programs for enhancing resident welfare and increasing income among residents. In order to resolve the complexities of community support for LULUs and government incentives to shift public perception of cremation, three main policies are proposed. First, it would be necessary to compliment additional project support policies which provide medical services, resident prefered projects, and improvement of substandard housing. Second, it would be important to establish ordinances concretely identifying residential support projects based on community needs assessment. Lastly, it would be of the government's best interest to build policies for resident supported projects that reflect local conditions and the residents' demands for allowing non-preferred facilities to be built, and then to analyze the economic feasibility of these demands.

• Journal of Preventive Medicine and Public Health
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• 제21권1호
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• pp.10-20
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• 1988

각 의료기관에서 분만하는 산모와 신생아의 특성을 비교분석하고 의료기관별 산모와 신생아의 위험수준을 조사하여 특정 의료기관에서 관찰한 연구결과를 해석하는데 참고 자료를 제공하기 위하여 대구시내 3개 대학병원, 2개 종합병원,2개 개인의원, 1개 조산소, 그리고 1개 모자보건센터에서 1987년 4월 1일 부터 4월 30일 까지 1개월간(1개 대학병원은 2개월간) 분만한 산모 1,410명을 대상으로 산모의 연령, 교육수준, 의료비 지불방법, 산과력 및 특정의료기관을 선택한 이유를 면담 조사하고 병원기록지에서 신생아의 출생시 체중의 조사하였다. 대학병원과 종합병원을 이용한 산모의 평균 연령은 각각 27.5세, 26.7세로 조산소(25.4세)와 모자보건센터(26.1세)를 이용한 산모보다 많았고, 교육수준은 대학병원(평균 12.7년)과 종합병원(평균 12.2년) 산모가 조산소(평균 9.2년) 및 모자보건센터(평균 9.3년) 산모보다 월등히 높았다. 그리고 의료보험 대상자도 대학병원(78.1%)과 종합병원(82.9%) 산모가 개인의원(44.3%), 조산소(29.1%)나 모자보건센터(5.4%) 보다 많았다. 모자보건센터는 2번째 출산이 47.3%로 가장 많았으나 다른 의료기관은 모두 초산부가 $56.0{\sim}61.7%$로 제일 많았다. 산모의 산과력 비교에서는 대학병원 산모가 자연유산 경험율이 상대적으로 다른 의료기관 산모보다 높았고 사산 경험자도 소수였으나 조산소와 모자보건센터에서 분만한 산모는 사산 경험자가 1명도 없었다. 대학병원 산모의 경우 37주 이하의 조산아 출생율(11.4%)과 2,499gm이하의 저체중아 출생율($5.8{\sim}13.0%$)은 타 의료기관 보다 현저히 높았다. 이에 따라 제왕절개술에 의한 분만율은 의료기관간에 차이가 많았다. 결국 대구시내 대학병원과 종합병원에서 분만하는 산모들은 사회경제적으로 중, 상류층과 소득고하를 막론하고 고위험산모들이 많고 조산소와 모자보건센터는 저소득충의 산모 가운데 산과적으로 저위험군들이 많이 이용하고 있다. 따라서 특정 의료기관을 대상으로 조사한 자료를 해석하는데 많은 제한성이 있으며 전체 산모의 특성으로 일반화하는 것은 불가능한 것으로 생각된다.