• Health Policy and Management
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• v.27 no.4
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• pp.315-323
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• 2017

Background: This study was purposed to analyze the effect of spatial accessibility to the psychiatry department in general hospital on the outpatient visit of mental patients. Methods: Data was provided from the Statistics Korea and Statistical Geographic Information Service, National Health Insurance Service, Health Insurance Review and Assessment Service, and Korea Transport Institute in 2015. The study regions were 103 administrative regions such as Si and Gu. The 103 regions had at least one general hospitals with a psychiatry department. The number of outpatient visit of mental patients in regions was used as the dependent variable. Spatial accessibility to mental general hospital was used as the independent variable. Control variables included such as demographic, economic, and health medical factors. This study used network analysis and multi-variate regression analysis. Network analysis by ArcGIS ver. 10.0 (ESRI, Redlands, CA, USA) was used to evaluate the average travel time and travel distance in Korea. Multi-variate regression analysis was conducted by SAS ver. 9.4 (SAS Institute Inc., Cary, NC, USA). Results: Travel distance and time had significant effects on the number of outpatient visits in mental patients in general hospital. Average travel time and travel distance had negative effects on the number of visits. Variables such as (number of total population, percentage of aged population over 65, and number of mental general hospital) had significant effects on the number of visit in mental patients. Conclusion: Health policy makers will need to consider the spatial accessibility to the mental healthcare organization in conducting regional health planning.

• Research in Community and Public Health Nursing
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• v.5 no.2
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• pp.162-180
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• 1994

The control of the chronic degenerative diseases becomes a challenge in Korea as the aging of the population progresses. Accordingly, the importance of the control of the hypertension, one of the major chronic degenerative diseases, in the primary health care settings increases. However, such control activities are still minimal. This study gives brief description of how the rural residents who are currently registered for the control of the hypertension feel about the activities of the health centers, subcenters and the CHP posts, in relation to the control of the hypertension. We also describe the knowledge and practice of the registered hypertensive. In general, the knowledge, the acceptance and the satisfaction of the respondents about the hypertension control activities were not very high. Respondents being managed by the health center showed the highest knowledge, acceptance and satisfaction, and those being managed by the subcenters ranked lowest. The knowledge about the hypertension was not satisfactory. There were great variations among the items in terms of the proportion answered correctly. As many as 60% of the respondents take medication regularly but only 4.5% were practicing weight control regularly. Despite some limitations of the study, the results can be very useful for those planning hypertension control programs. The educational materials and the dietary protocols need to be developed in accordance with the regional social and food pattern, so that they can be utilized with minimal modification for each beneficiary. We also suggest to minimize the area a health personnel covers. In other word, running several small health posts at village level would be more effective than running a subcenter at the township level, in terms of the hypertension control.

• Journal of The Korea Institute of Healthcare Architecture
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• v.20 no.4
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• pp.57-65
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• 2014

Purpose : Mental health service desire has been diversified according to the increase of economic level and rapid social change. Mental Health and Welfare Center(MHWC) is a provider of mental health services in Japan. This is a basic stage study which will suggest the architectural planning guidelines for MHWC. Methods : Data were collected through literature research, field surveys, and expert interviews to 69 MHWC in Japan. 1) Research for the policy and legal aspects of mental health support system. 2) Research for structural aspects of MHWC: Characteristics of establishment, management, and regional factors. 3) Research for the physical environment aspects of MHWC: Classification and evaluation of MHWC's Type by locational characteristics in Japan. Results : The result of this study can be summarized into three points. The first one, Mental Health and Welfare Center's service has being expanded to suicide, depression and stress from chronic mental illness, to reflect social needs. The second one, The average population of area installed at Mental Health and Welfare Center was 2,307,570 person, and average area of the regions were $5,745m^2$. The third one, Mental Health and Welfare Center is divided into single-structure type and combine-structure type. And combine-structure type is divided into medical-combine type, welfare-combine type, and public-combine type.

• Asian Pacific Journal of Cancer Prevention
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• v.15 no.3
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• pp.1093-1098
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• 2014

Background: Cancer is a major public health problem both in our country and worldwide due to its disease burden, fatality and tendency for increased incidence. In Turkey, breast cancer ranks first with an incidence of 41.6% and cervical cancer is the tenth most common cancer with an incidence of 4.4%. Objectives and Design: This descriptive, cross-sectional study was conducted with 240 women aged from 15 to 65 years admitted to a gynecology-obstetrics outpatient clinic of a private hospital in Gaziantep. Study data were collected by the investigators through a 36-item questionnaire form which was generated using information gathered from similar surveys in the literature. Results: It was determined that 34.6% of women were high-school graduates, and 64.2% had a medium income level. The majority (79.2%) stated that they never performed BSE and 49.5% of them said that they did not know how to do it. Some 79.2% did not know what a Pap smear was and 73.3% had not experienced a smear test ever. Conclusions: In this study, we found that most of the women had insufficient knowledge of breast and cervical cancer, while knowledge and practices increased with the education level. Based on these findings, we suggest that there is a need for planning, implementation and assessment of health policies and healthcare services at the national and regional level and we believe that nurses working in the field of protective health services should develop educational programmes for women with a primary focus on cancer in order to increase awareness among the female population in Turkey.

• Journal of Environmental Impact Assessment
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• v.21 no.1
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• pp.41-51
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• 2012

To select 10 representatives for the ecotourism networks around the areas bordering national rivers in Korea, the spatial ranges for ecotourism have been established, the ecotourism potential analyzed, and the ecotourism resources information collected by the Regional Environmental Offices and the Korea National Park Service has undergone reviews, amendments, supplements, and verification processes through familiarization tour previews, and the following main results have been derived. First, the spatial ranges of the eco-tourism networks have been set as the watershed areas that include areas around the four major rivers and the rivers. Second, the areas with high potential value for ecotourism were selected through the analysis of ecotourism potential. Since EGIS was used for the analysis, it was inevitable that insufficient amount of localized information was reflected, and the use of the results as reference for the potential would be feasible. Third, it was possible, by reviewing, amending and complementing the results of ecological resource information collected by the Regional Environmental Offices and the Korea National Park Service, to select 50 representative ecological resources around the national rivers. The selected resources were considered for the adjacency, attractiveness of ecological resources, and uniqueness of the national rivers, and they were derived by screening expert advice, official opinion, and geographical analysis information. Fourth, 10 representative ecotourism networks based on watershed areas were selected, and suitable themes were given based on the resource characteristics. Fifth, the appropriateness for ecotourism has been confirmed, with the familiarization tour previews and survey results, preservation of the future ecotourism resources, and the establishment of the foundation as the basis. In the future, the remaining 9 ecotourism networks would also need to undergo a verification process such as familiarization tours. It is deemed that, through future ecotourism contests, if the programs that select locally-pioneered tourism programs resulting from the capacities of local entities and residents, then it would be more effective in discovering resources that are more localized and of higher regional value.

• Journal of Korean Academy of Nursing
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• v.53 no.4
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• pp.426-438
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• 2023

Purpose: Walking practice is a representative indicator of the level of physical activity of local residents. Although the world health organization addressed reduction in prevalence of insufficient physical activity as a global target, the rate of walking practice in Korea has not improved and there are large regional disparities. Therefore, this study aimed to explore the spatial variations of walking practice and its associated factors in Korea. Methods: A secondary analysis was conducted using Community Health Outcome and Health Determinants Database 1.3 from Korea Centers for Disease Control and Prevention. A total of 229 districts was included in the analysis. We compared the ordinary least squares (OLS) and the geographically weighted regression (GWR) to explore the associated factors of walking practice. MGWR 2.2.1 software was used to explore the spatial distribution of walking practice and modeling the GWR. Results: Walking practice had spatial variations across the country. The results showed that the GWR model had better accommodation of spatial autocorrelation than the OLS model. The GWR results indicated that different predictors of walking practice across regions of Korea. Conclusion: The findings of this study may provide insight to nursing researchers, health professionals, and policy makers in planning health programs to promote walking practices in their respective communities.

• Journal of Preventive Medicine and Public Health
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• v.41 no.2
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• pp.84-91
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• 2008

The World Health Organization (WHO) reported that cancer killed 7.6 million people in the world in 2005, and that 40% of all cancer deaths can be prevented. According to the WHO Global Action Plan Against Cancer (GAPAC), monitoring of cancer patients is the essential part of cancer control, and should be conducted through cancer registration. Originally, cancer registries were primarily concerned with the description of cancer patterns, trends of cancer occurrence, and etiology of cancer. In the last 20 years, cancer registries provided not only information on the incidence and characteristics of specific cancers, but also supplied the source of cancer control planning and evaluation and the care of individual cancer patients with survival. Cancer Incidence in Five Continents (CI5) presents incidence data from populations all over the world every five year. Volume IX in the series (data for 1998-2002) has recently (November 2007) been published online at International Agency for Research on Cancer (IARC). Nine data from Korea Central Cancer Registry (National data), Seoul, Busan, Daegu, Gwangju, Incheon, Daejeon, Usan, Jejudo regional cancer registries were included in that volume. In this paper, the editorial process, the characteristics of national data, and quality indices in CI5 IX are being described. In addition, cancer control activities related to cancer registration in some selected countries are also presented.

• Korea journal of population studies
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• v.8 no.1
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• pp.139-170
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• 1985

사망원인통계연보는 사망발생 당년에 신고된 사망 자료만 수록하고 있는데, 본 연구에서는 사망원인통계연보에 수록된 사망(당년신고, 또는 비지연신고)은 물론 수록되지 아니한 사망(지연신고)의 사인구조를 파악하고자 한다. 부차적으로, 사인구조를 평가하기 위해서 지연신고의 다양한 특성을 검토하고 있다. 1983년부터 1993년까지 신고된 모든 사망신고를 기초로, 지연신고와 당년신고라는 신고행태에 따라 사인별 사망구성비, 사망률, 사망률성비를 구하였다. 지연신고율이 지속적으로 감소하고 있지만, 지연신고율은 다른 집단보다 여성, 젊은층, 의사진단사망자, 병원사망자에게서 더 높다. 당년신고 사망자의 성별 사인구조와 비교해 볼 때, 지연신고 사망자의 주요 사인구조는 성별에 따라 달라지는데, 남성에게는 감염성질환, 순환기계질환, 호흡기계질환의 비중이 더 커지고, 여성에게는 감염성질환, 호흡기계질환 및 소화기계질환의 비중이 더 커진다. 1983~1993년 동안 신고된 모든 사망에 대한 주요 발견은 다음과 같다. 첫째, 순환기계질환, 악성 종양, 손상 및 중독이 남녀 모두에게 주요 3대 사인이다. 둘째, 만성 간질환, 각종 사고, 폐암, 자살은 남성에게 치명적인 사인으로서 남녀의 성별 사망력 차이를 넓혀주는 원인이다. 세째, 손상 및 중독, 특히 교통사고는 45세 이하의 젊은 층에게 중요한 사인이 되는데 반해, 순환기계질환, 악성 종양, 소화기계질환은 고령층에게 중요한 사인이 된다.

• Journal of the Korean Institute of Rural Architecture
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• v.12 no.1
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• pp.9-16
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• 2010

As the importance of health and school health grows, the purposes of this research are to investigate the differences between the characteristics and the utilization of the nurse's office of an elementary school in an urban area and the nurse's office of an elementary school in a rural area, and to provide the data for the planning of construction of a nurse's office convenient for students to use after grasping the regional characteristics. The methods of this research include the interview and the survey conducted to the heath teachers after visiting 20 nurse's offices in 13 eups and myeons, and examined and analyzed the differences between the characteristics and the utilization of the nurse's office of elementary schools in an urban area and the nurse's office of an elementary school. The nurse's offices of the elementary schools in Cheongwon, a rural area, are worse in access to health care institutions and in the connection to the placement than those of the elementary schools in urban areas, so most of eups and myeons were not allowed for easy access to medical service. Depending on the bad personal surroundings of each elementary student, mental stress and the lack of heal care of each student should be taken care of along with the educating of the parents and the children. Also because of the difficulties in access to the health care institutions, it is suggested that a lot of support and interest should be provided for the nurse's offices and that a lot of changes with functions should occur to the nurse's offices so that the nurse's office of an elementary school can play the role as a local health care institution. Besides, the health teachers also should be able to provide more professional medical services by taking in-service training courses.

• Journal of the Korean Society of Safety
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• v.34 no.6
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• pp.65-75
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• 2019

The purpose of this study was to investigate the effects of safety culture on the safety awareness and safety behaviors of manufacturing workers, and to suggest ways for manufacturing workers to understand the safety culture and improve safety awareness and safety behavior. In order to verify this, data were collected from 282 research subjects for 1 month from August 1 to 31, 2018, using the manufacturing workers in the Seoul and Gyeonggi area as a population. The results of the study are as follows. First, the safety culture (safety climate, safety procedures) has a positive effect on the safety awareness (recognition of importance, interest and participation inducement) of the manufacturing workers. Second, the safety culture (safety climate, safety procedures) has a positive effect on the safety behavior (safety planning, safety check) of manufacturing workers. Third, safety awareness (recognition of importance, interest and inducement of participation) has a positive influence on the safety behavior (safety planning, safety check) of manufacturing workers. Fourth, the safety awareness (recognition of importance, interest and inducement of participation) appears to have a partial mediating effect in relation to safety culture (safety climate, safety procedure) and safety behavior (safety planning, safety check) of manufacturing workers. The implication of this study is that although the industrial accidents have occurred in the manufacturing industry in recent years, the studies on the workers in the manufacturing industry are insufficient. However, this study is meaningful that it has suggested ways for manufacturing workers to understand the safety culture and improve the safety awareness and safety behavior by analyzing the effects of safety culture on safety awareness and safety behavior of manufacturing workers.