• 농촌의학ㆍ지역보건
• /
• 제27권2호
• /
• pp.107-126
• /
• 2002

이 연구일개 통합보건지소 관할 지역 주민들의 통합보건지소 설치 전후의 보건지소 이용 양상 및 관련 요인, 그리고 보건지소 이용 만족도에 대한 설문조사 결과와 통합 전후 보건지소의 진료 및 보건사업 실적을 비교, 분석함으로써 통합보건지소 운영이 해당 지역 주민들의 보건지소 이용에 미친 영향을 평가하여 향후 효율적인 통합보건지소 운영을 위한 기능 강화와 역할 방향을 제시하는데 기초자료를 제공하고자 수행되었다. 연구 대상지역은 통합 후 보건지소가 폐쇄되는 지역인 경주시 감포읍과 통합보건지소가 설치되는 지역인 양북면이었으며, 통합지역에 인접한 대조지역으로 선정하였다. 연구 대상지역 주민들 중 표본 추출된 일부 주민들을 대상으로 통합 전에 1차 조사(1996년 9월)를 실시하고, 보건지소가 통합된(1997년 11월)후 2000년 2월에 2차 조사를 실시하여 연구 분석 자료를 수집하였고, 통합 전후 각 보건지소의 진료 및 보건 사업 실적 등의 기존 자료를 참고하였다. 최종 연구 분석 대상자는 감포읍, 양북면, 양남면이 각각 156명, 147명, 146명이었으며, 보건지소 이용 경험률은 감포읍 지역에서는 통합 전 26.9%에서 통합 후 21.2%로 감소하였으나, 양북면 지역은 24.5%에서 29.3%로, 양남면 지역은 23.3%에서 35.6%로 증가하였다. 평균 이용횟수는 감포읍 지역에서는 2.6회에서 1.0회로 통계적으로 유의하게 감소하였으나, 양북면 지역과 대조 지역에서는 다소 증가하였다. 통합지역과 양남면에서 보건지소 이용 경험 여부와 이용 횟수의 변화에 모두 유의하게 관련된 요인은 만성질환 유무이었고, 통합지역 내 감포읍과 양북면으로 구분한 지역 변수는 통합보건지소 이용 경험에 유의한 관련 요인이었다. 만성질환 이환자들의 치료 의료기관으로는 병 의원이 가장 많았으며, 통합 지역 중 양북면에서는 통합 후 보건지소 이용이 증가하였다. 보건지소 이용 만족도는 전체적으로 통합 후 증가하였으나, 의료서비스의 유용성 점수는 다른 만족도 항목에 비하여 점수가 낮았고, 지리적 접근성 항목의 점수는 감포읍이 통합 후 유의하게 감소하였다. 통합보건지소의 일반 진료 실적은 통합지역 내 감포읍과 양북면 보건지소의 통합 전 일반 진료 실적의 총계보다 증가하였고, 예방접종 건수, 가정방문 건수, 방사선 촬영 건수, 보건교육 인원 및 상담 건수 등도 증가하였으나, 일부 만성병 관리 및 영유아 관리 인원은 감소하였다. 보건증 발급, 자동차 운전면허 적성검사, 그리고 임상병리 검사는 통합보건지소에서 새로 추가된 의료서비스였다. 양남면 보건지소에서는 일반진료 조제 건수와 보건교육 실시 인원 및 상담 건수는 증가 하였으나, 예방접종 건수, 학교보건사업실시 인원 등은 감소하였다. 이상의 결과를 정리하면 감포읍 주민들은 통합 후 보건지소 이용에 어느 정도 장애를 받고 있고, 통합보건지소 운영 성과는 기존 보건지소의 운영 성과에 비하여 크게 개선되었다고 할 수는 없으나, 통합보건지소에 대한 전반적인 만족도는 증가하였으며 새로 추가된 의료서비스는 주민들의 의료이용에 편의성을 제공하였다고 볼 수 있다. 향후 보건지소의 농어촌지역에서의 역할과 기능을 유지하고 통합보건지소 고유의 설립 취지를 살리며, 지역주민들에게 형평성 있는 일차보건의료가 제공될 수 있도록 보다 효율적인 운영 방안의 모색이 이루어져야 할 것이다.

• 농촌계획
• /
• 제26권2호
• /
• pp.39-49
• /
• 2020

This study was attempted to grasp the push-pull factors of urban to rural migrants in relation to services and infrastructure of rural welfare and culture. Online and offline survey were conducted for urban residents who were willing to return to the rural area and those who were already returning to the rural area. In the fields of health care, social welfare, and education, it was found that the satisfaction level of urban-to-rural migrants was relatively higher than those of latent urban-to-rural migrants. In the field of culture, leisure and sports, the level of satisfaction and concern were similar, so it was found that the expectations for the field were relatively high before returning rural area. As for the agreement degree to expand support, the demand for emergency medical facilities and dementia care program was the highest, and the demand for health care was found to be relatively high. The results of the survey on the top priority items indicate that latent urban-to-rural migrants require support of facility and space item and expansion of program item, and urban-to-rural migrants have high demand for expansion of program item in all field except healthcare field. The results of this study are expected to provide useful information for establishing the direction of the rural area development project in connection with the revitalization of policy of people return to rural area.

• 대한한의학회지
• /
• 제45권1호
• /
• pp.100-113
• /
• 2024

Objectives: Following the global COVID-19 pandemic, with the escalation of remote medical care formalization in Korea, there is a pressing need for objective data in the Korean medicine field to respond to remote treatment medical care policies. This study aims to investigate the perceptions and acceptance of remote treatments among Korean Medicine Doctors (KMDs). Methods: After expert reviews and pilot testing, the 31-question survey covered participant characteristics, experiences, forms, intentions, and perceptions related to Remote Treatments. The survey was electronically distributed to members of the Association of Korean Medicine, and 662 clinical KMDs provided valid responses. Results: Among respondents, 76.1% engaged in remote treatments, utilizing various platforms. Those with experience in Remote Treatments showed a significantly higher willingness to continue participating during the institutionalization process (p<0.001). 49.7% of respondents stated that traditional Korean medicine is competitive in remote treatments, with the main reasons being the ability for regular management after herbal medication(26.1%) and increased patient satisfaction due to sufficient counseling compared to Western medicine(25.2%). Respondents preferred Remote Treatment conditions with a treatment time of less than 10 minutes(47.6%) and equivalent fees to in-person visits(45.6%). Regarding suitable intervention tools during Remote Treatment, respondents favored non-covered herbal prescriptions(39.0%), covered herbal granules(24.6%), and non-covered herbal granules(23.0%). Conclusion: This study investigated the perceptions and acceptance of KMDs regarding remote treatments. These findings provide valuable insights for policymakers aiming to establish effective policies for Remote Treatments suitable for the Korean medicine healthcare environment.

• 한국콘텐츠학회논문지
• /
• 제14권6호
• /
• pp.174-185
• /
• 2014

기업이 제공하는 각 종 복리후생 서비스들이 근로자들의 조직몰입에 영향을 끼치는 과정에서 중요한 역할을 하는 생활만족의 매개효과를 살펴 본 연구이다. 노동패널 11차년도 자료를 이용하여 분석한 결과 휴가, 가족지원, 미래대비 서비스가 모두 생활만족에 유의미한 영향을 끼치는 것으로 나타났다. 그러나 실제 제공 수준이 낮은 의료관련 지원은 생활만족에도, 조직몰입에도 유의미한 영향을 끼치지 못했다. 반면 미래대비 서비스의 경우 조직몰입에 직접적인 영향은 유의미하지 않고, 생활만족을 통한 효과만이 유의미한 것으로 나타나, 생활만족이 완전매개 역할을 하고 있는 것이 확인되었다. 결국, 기업이 제공하는 다양한 복리후생 서비스들은 근로자들의 일상 생활에 영향을 끼치는 서비스들로 복리후생 서비스가 조직몰입에 영향을 끼치는 과정에서 생활만족을 고려하는 것이 필요함을 보여 주었다. 앞으로의 복리후생연구에서 생활만족과의 관계에 더 많은 관심을 기울일 필요가 있음을 제언하였다.

• 대한치위생과학회지
• /
• 제3권2호
• /
• pp.1-8
• /
• 2020

This study investigated the relationship between oral health knowledge, behavior and orthodontic satisfaction in orthodontic patients visiting dental hospitals and clinics and provided suggestions to improve orthodontic patients' satisfaction. This study anayzed structured self-administered questionnaires collected from 245 patients who visited 5 dental clinics in Gwangju Metropolitan City. Regarding oral health knowledge, the highest percentage of correct answers was for the item "Cavities heal themselves over time" (97.1%), and the lowest percentage of correct answers was for the item "Cavity bacteria move from tooth to tooth" (16.7%). Five fluoride items showed a lower percentage of correct answers than those for cavity and gingival diseases. Regarding the survey on oral health behavior, the highest score was found for the item "I brush my teeth with a certain method and order" (3.78 out of 5), and the lowest score was found for the item "I use an electric toothbrush" (1.34 out of 5). Regarding the survey on orthodontic satisfaction, the highest score was found for the item "I would recommend receiving medical treatment at the department of orthodontics" (4.23), and the lowest score was found for the item "Orthodontic cost is reasonable" (3.46). While oral health behavior had on orthodontic satisfaction, oral health knowledge had no effect on it. Oral health behaviors should be improved to enhance orthodontic satisfaction. To improve oral health behavior, it is necessary to develop and activate education programs for tooth brushing and oral care for orthodontic patients.

• 의료법학
• /
• 제11권2호
• /
• pp.275-307
• /
• 2010

In the presidential new-year address in January 2, 2009, the President declared that 17 kinds of new driving force of growth that could create high-added value be selected to step up job creation and an increase in national wealth. The Ministry of Strategy & Finance announced plans for the 17 kinds of new driving force of growth after the presidential address. Specifically, that ministry announced an ambitious plan to select health care service named 'Global Health Care' as one of the five service industries that could create high-added value in a move to provide jobs to approximately 7,000 people and produce pervasive economic effects coming up to a trillion and 10 billion won. To attain the goal, several action plans were mapped out to globalize domestic medical institutions, to rearrange the relevant law and system for the purposes of raising awareness of domestic medical institutions among foreign patients and improving their accessibility and post-satisfaction level, and to lure lots of foreign patients through financial assistance. At the same time, the government announced plans to lure severe patients such as those in want of surgery or organ transplant, cancer patients or patients with heart diseases to create high-added value on a long-term basis. Thus, the government announced that it planned to formulate such strategies and to enter an agreement with foreign governments to attract plenty of foreign patients. In fact, however, there are little full-scale evaluation of medical tourism though it's been a year since it was introduced, and there are few actual efforts to implement what the government announced, either. According to the results of the evaluation of medical tourism, domestic hospitals are said to undergo little significant changes after the introduction of medical tourism, which shows that they take a dim view of medical tourism instead of having expectations for that. The medical tourism industries in major Asian countries have been dynamized, and there are several factors of their success. First of all, they are successful in creating new market opportunities by incorporating related industries such as medicine, tourism and IT and in developing medical tourism products and differentiated marketing by taking advantage of their competitive edge. They have offered full-fledged assistance to this sector, and another reason is the improved international credibility of their medical service. If our country fails to pinpoint our problems in consideration of the cases of the Asian countries or to provide appropriate financial aid, our country is bound to lag behind them. Given this reality, how to assess medical tourism and what challenges this sector is confronted with are discussed.

• 여성건강간호학회지
• /
• 제30권1호
• /
• pp.79-89
• /
• 2024

Purpose: Nurses have been reported to be at an increased risk for miscarriage and preterm labor. However, there is limited knowledge regarding nurses' preconception health behaviors. Therefore, this study aimed to identify factors influencing these behaviors. Methods: One hundred sixty nurses, who were planning their first pregnancy within the upcoming year, participated in an online survey from August 11 to October 31, 2021. Data on preconception health behavior, perceived health status, pregnancy anxiety, nursing practice environment, and social support were analyzed using the t-test, Pearson correlation coefficients, and multiple regression analysis. Results: Age (p=.024), educational level (p=.010), marital status (p=.003), work experience (p=.003), satisfaction with the work department (p<.001), smoking status (p=. 039), and previous health problems related to pregnancy outcomes (p=.004) were significantly associated with nurses' preconception health behaviors. Furthermore, perceived health status (p<.001), pregnancy anxiety (p=.011), nursing practice environment (p=.003), and social support (p<.001) showed significant correlations with preconception health behaviors. Social support (β=. 28, p=.001), satisfaction with the work department (β=.23, p=.032), marital status (β=.22, p=.002), and perceived health status (β=.23, p=.002) were confirmed as factors associated with preconception health behaviors. These factors explained 40.9% of the variance in preconception health behaviors (F=6.64, p<.001). Conclusion: Clinical nurses' preconception health behaviors were influenced by social support, perceived health status, satisfaction with the work department, and marital status. Interventions to improve clinical nurses' preconception health behaviors should target social support and perceived health status. A preconception health behavior education program considering clinical nurses' marital status and satisfaction with the workplace can also be implemented.

• 대한한방소아과학회지
• /
• 제15권2호
• /
• pp.209-220
• /
• 2001

Objectives : The aim of this study was to investigate the attitude toward the oriental hospital among 100 pediatric outpatients. Methods : A questionnaire about the general characteristics of patients. the reason of choice or alteration was implemented. Results : 1. In distribution of sex & age, 60% was men and 40% women was between 2 and 6 years old. 2. In determinant factor for using Oriental medicine, 43.8% was tolerance increase of the western medicine and 33.0% was recommened by others. 3. In distribution of disease & therapeutic method, 62.5% was respiratory disease and 11.7% gastrointestinal disease, 64.3% was treated with oriental after Western medical therapy and 20.9% only Oriental medical care. 4. The changing causes for using Oriental after Western medicine, 35.9% was ineffective affect and 26.5% side effect. 5. The preference for using Oriental medicine, 41.6% was respiratory disease and 21.0% gastrointestinal disease. 6. The peculiarity of Oriental medicine compared with western medicine, 36% was effectiveness on the cronic disease and 14% for fundamental remedy. 7. The prodominance disease in Western medicine compared with Oriental medicine, 28% was operation, 18% common cold and 15% inflammatory disease 8. The questions about Oriental medicine, 22% was medical material's sanitation and place of origin, 18% harmness or not administered during long time. 9. The controversial point of Oriental medicine, 33.5% was expensive price and 27.7% difficulty of taking medicine. 10. In satisfaction degree of Oriental medicine, 69% was satisfied and 19% was very satisfied. Conclusions : Considering the above results, we have concluded that proper recognition about Oriental Pediatric medicine will be needed among patients.

• 한국치위생학회지
• /
• 제9권4호
• /
• pp.784-794
• /
• 2009

Objectives : This study was to prepare basic data about middle and high school students' school loss due to oral diseasea and to investigate the relevant factors. Methods : The survey is conducted for 575 middle school students in Busan and Gyeongnam. School loss was investigated based on the experiences of absences and leaving school early, which had happened from oral diseasea. The independent variables were oral health behaviors and sociopeconomic factors such as sex, age of their parents, educational level of their parents, family income. Factors related with school loss was analyzed by the multiple logistic regression method. Results : The experience ratio of leaving school early to the dental clinic or having difficulty in studying was higher in the case of high school student than in middle school student case. The parameters related with absence or leaving school early for oral disease were the education level, the distinction of sex, fear about medical examination and the standard of living. The reasons of absence or leaving early for visiting the dental clinic were related with education level, the distinction of sex, fear about medical examination, distrust of oral care and the satisfaction of oral health. The parameters having effect on school performance were education level, sex, fear about medical examination, distrust of oral care, cost burden, interests in oral health by the parents and school record. Conclusions : The oral health promotion should be developed to decrease school loss for students.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권2호
• /
• pp.501-506
• /
• 2015

Background: To evaluate the effectiveness of the National Train-the-Trainers Program for Hospice and Palliative Care Experts (TTHPC) sponsored by the National Cancer Center of Korea between 2009 and 2012. This program was developed to improve the teaching skills of those in the field of hospice and palliative care (HPC). Materials and Methods: Training was offered in eight 1-day sessions between 2009 and 2012. The effect of the program was measured using Kirkpatrick's model of educational outcomes. First, levels 1 and 2 were evaluated immediately after the 1-day program (n=120). In 2012, the level-3 evaluation test was administered to trainers who offered at least one HPC training (n=78) as well as to their trainees (n=537). Results: The level-1 evaluation addressed participant reactions to and satisfaction with the program. Participants (n=120) were generally satisfied with the content, the method, and the overall course (mean range: 3.94-4.46 on a five-point Likert scale). The level-2 evaluation (learning) showed that participants gained knowledge and confidence related to teaching HPC (4.24 vs. 4.00). The level-3 evaluation (behavioral), which assessed trainers' application of teaching skills to HPC, showed that trainees rated the teaching methods of trainers (mean range: 4.03-4.08) more positively than did trainers (p<0.05). Female trainers were more likely than were male trainers to plan sessions in consideration of their trainees' characteristics (4.11 vs. 3.58; p<0.05), and nurse trainers were more likely than physician trainers to use a variety of instructional methods (4.05 vs. 3.36; p<0.05) Conclusions: We conducted systematic evaluations based on Kirkpatrick's model to assess the effectiveness of our train-the-trainers program. Our educational program was practical, effective, and followed by our HPC experts, who needed guidance to learn and improve their clinical teaching skills.