• 한국인구학
• /
• 제4권1호
• /
• pp.23-35
• /
• 1981

Health policy is directed to equity in the provision of primary care for rural people before the year of 2, 000. This study aimed to define and identify the need for physician's care by using empirical data, and suggested an alternative of the primary care delivery system in rural areas to the government. 1. Twenty percent of the study population wanted to obtain any form of medical care services. : 9.3 percent of the population was in need for physician's care; 15 percent of the need was met by physicians, while 85 percent remained unmet at the time of survey in 1979. 2. For meeting all the need for physician's primary care, 2.9 annual physician visits per capita are demanded. An alternative, which was devised in some favourable way at reasonable cost in rural settings, was suggested. It was to deploy the physician extender such as community health practitioner in the infrastructure of the health care delivery system, whose supervision is provided by physician, based on experience of the KHDI health demonstration project. 3. One physician, two community health practitioners and two community health aides should be assigned in distant locations for meeting all the estimated need for physician's primary care for 10, 000 rural underserved residents.

• 생체재료학회지
• /
• 제22권4호
• /
• pp.303-310
• /
• 2018

Background: Photodynamic therapy (PDT) is photo-treatment of malignant or benign diseases using photosensitizing agents, light, and oxygen which generates cytotoxic reactive oxygens and induces tumour regressions. Several photodynamic treatments have been extensively studied and the photosensitizers (PS) are key to their biological efficacy, while laser and oxygen allow to appropriate and flexible delivery for treatment of diseases. Introduction: In presence of oxygen and the specific light triggering, PS is activated from its ground state into an excited singlet state, generates reactive oxygen species (ROS) and induces apoptosis of cancer tissues. Those PS can be divided by its specific efficiency of ROS generation, absorption wavelength and chemical structure. Main body: Up to dates, several PS were approved for clinical applications or under clinical trials. $Photofrin^{(R)}$ is the first clinically approved photosensitizer for the treatment of cancer. The second generation of PS, Porfimer sodium ($Photofrin^{(R)}$), Temoporfin ($Foscan^{(R)}$), Motexafin lutetium, Palladium bacteriopheophorbide, $Purlytin^{(R)}$, Verteporfin ($Visudyne{(R)}$), Talaporfin ($Laserphyrin^{(R)}$) are clinically approved or under-clinical trials. Now, third generation of PS, which can dramatically improve cancer-targeting efficiency by chemical modification, nano-delivery system or antibody conjugation, are extensively studied for clinical development. Conclusion: Here, we discuss up-to-date information on FDA-approved photodynamic agents, the clinical benefits of these agents. However, PDT is still dearth for the treatment of diseases in specifically deep tissue cancer. Next generation PS will be addressed in the future for PDT. We also provide clinical unmet need for the design of new photosensitizers.

• Journal of Hospice and Palliative Care
• /
• 제19권2호
• /
• pp.163-169
• /
• 2016

목적: 말기암환자들에게 간병인의 미충족 의료는 매우 중요하지만 간병인들이 필요로 하는 통증 조절, 삶의 질 보조, 가족간의 문제, 심리 사회적 문제, 자택 요양, 세심한 돌봄, 보완 대체 의학 같은 건강의 질을 유지할 수 있게 하는 관리 정보를 간병인에게 전부 제공하기에는 한계가 있고, 이와 관련된 연구는 아직 부족한 상태이다. 이번 연구를 통해 간병인의 특성과 미충족 의료를 밝히고, 특성에 따른 미충족 의료가 어떻게 다른지 알아보고자 하였다. 방법: 설문조사는 4개 호스피스 완화의료 병동에 입원한 말기암환자의 가족간병인 109명을 대상으로 시행되었다. 자료는 2014년 3월 1일부터 2014년 12월 31일까지 구조화된 설문지를 이용하여 수집되었다. 기존의 설문지를 수정하여 삶의 질 향상에 필요할 것으로 생각되는 14개 항목에 관해 필요성과 충족도를 알아보았다. 또, 통계는 단변량 분석으로 카이제곱 검정을, 다변량 분석으로 이중 회귀 분석을 사용하였다. 결과: 보완대체요법 및 건강기능식품 상담, 성기능 상담, 암 검진, 가족 및 대인관계 상담, 보험 상담, 직업 상담, 경제적 지원 등 7개의 항목에서 의미 있는 결과가 나타났다. 말기암환자의 가족간병인의 삶의 질 향상과 관련된 요구 중 충족도가 미충족도보다 더 높은 요구는 14개 중 피로 관리, 건강 체중 관리 2개였다. 결론: 본 연구 결과를 통하여, 말기암환자의 가족간병인의 미충족 의료를 이해하고 미충족 원인과 효과적인 중재방안에 대한 연구를 통해 요구를 충족시킬 수 있는 방안을 마련할 것을 제안한다.

• 한국융합학회논문지
• /
• 제11권11호
• /
• pp.433-441
• /
• 2020

본 논문은 고식적 항암화학요법을 받는 진행성 암환자의 미충족 요구를 분석하고 영향요인을 파악하여 암 말기 환자들에게 적합한 융합적 간호중재 프로그램 개발에 기초자료로 활용하고자 시도되었다. 연구대상은 일 대학병원에 입원하여 고식적 항암화학요법을 받는 진행성 암환자 71명으로 구성되었으며, 연구도구는 Shin 등이 개발한 CNAT(Comprehensive Needs Assessment tool in Cancer)를 사용하였다. 자료분석은 독립표본 t-검정, ANOVA 및 다중회귀분석으로 분석하였다. 연구결과 대상자의 미충족 요구는 의료진 영역이 4점 만점에 2.34점으로 가장 높았으며 심리적 문제 2.09점, 정보교육 1.69점의 순으로 나타났다. 진행성 암환자의 미충족 요구에 영향을 미치는 요인은 학력(β=.207, p=.047), 죽음에 대한 생각(β=-.269, p=.018), 진단명(β=-.283, p=.013)으로 나타났다. 본 연구결과를 바탕으로 진행성 암환자들에게 의료진 영역의 요구를 배려하여 심리적 지지를 제공하고, 학력, 진단명에 따른 요구 충족 방안을 고려할 필요가 있다

• Asian Pacific Journal of Cancer Prevention
• /
• 제17권4호
• /
• pp.2325-2327
• /
• 2016

Gall bladder cancer is generally fatal. The high morbidity and mortality due to gall bladder cancer exerts a significant impact on efforts towards cancer control in high risk populations of the World and a rationale program for control of gall bladder cancer mortality has remained as an unmet need in these populations. Currently there are no effective strategies for controlling gall bladder cancer mortality. This mini review is to highlight the need and feasibility for secondary prevention of gall bladder cancer by screening in high risk populations. A way forward is to assess the role of secondary prevention of gall bladder cancers by conducting randomized-controlled screening trials in high risk populations.

• 수면정신생리
• /
• 제28권1호
• /
• pp.6-12
• /
• 2021

Insomnia is one of the most common sleep disorders experienced by modern people, and treatment is often not adequate due to various limitations. Digital therapeutics for insomnia are expected to play a revolutionary role in supplementing and satisfying unmet needs in real-world clinical treatment. Digital therapeutics for insomnia were developed based on cognitive-behavioral therapy for insomnia, which is the first standard treatment for insomnia. The effectiveness of digital therapeutics for insomnia developed by several companies has been proven through well-designed clinical research. Various approaches have been used for practical application of digital therapeutics for insomnia. Thus far, meaningful results have been drawn, but there are areas that need to be improved upon based on real-world evidence. Sleep researchers need to validate the safe and effective application of digital therapeutics for the treatment of insomnia.

• 한국치위생학회지
• /
• 제13권2호
• /
• pp.211-220
• /
• 2013

Objectives : This study intended to figure out illegal treatment by unlicensed person in dental area and factors, which were considered as user's position on the basis of the local community investigation of health conditions in chungbuk provinces in 2008. Methods : This study used chi-square test and complex sample design of multi-variate logistic regression analysis to question 12,443 peoples who have experience on illegal dental treatment. Results : Multi-variate logistic regression analysis results showed that factors having related to illegal dental treatment are sex, age, education standards, subjective awareness of oral health condition, drinking experience of lifetime, unmet need of dental treatment, chewing difficulty, use of dentures, experience of scaling and the use of interdental care instrument. Conclusions : As a result of this study, in order to root out illegal dental treatment, we need to expand the breadth of health insurance coverage so that it can reduce the burden of dental expenses. Moreover, we need to set out health service of public oral health to inform the importances of maintaining good oral health and the problems of illegal dental treatment by unlicensed person.

• 한국치위생학회지
• /
• 제9권4호
• /
• pp.768-783
• /
• 2009

Objectives : The purpose of this study was to analyze dental records performed through a dental hygiene process and provide basic data on clinical training education for dental hygienists. Methods : The dental hygiene records of 440 senior dental hygiene students in Y University from March 2005 to September 2008, were examined. The needs of the clients confirmed by the dental hygiene diagnosis was based on Human Need Theory. The client's needs and the number of visits were analyzed according to the general characteristics(gender, age). The contents of the dental hygiene implementation performed according to the needs were divided into dental hygiene care and oral health education. The dental hygiene evaluation was classified into 'Met of Goal', 'Partially Met of Goal', and 'Unmet of Goal' according to the dental hygiene diagnosis. Data analysis was performed for the Frequency statistics and a Fisher's exact test using SPSS 12.0K for Windows. Results : 1. The clients were mostly aged in their 20's(307 clients). 2. The dental hygiene care usually performed was 'Scaling' and 'Recommendation to visit a dental clinic', and the education performed was 'How to brush teeth'. The implementation result from the need to Freedom of Stress was as simple as 'Be careful when treating' and 'Explanation of medical treatment and tools'. 3. The dental hygiene evaluation showed a higher met rate in the field of education than in that of the dental hygiene care. The reason for unmet the goal was 'Lack of the client's efforts and they didn't visit dental clinic'. Conclusions : The search for a range of clients for dental hygiene process should be made through effective connections between the local community institutions and schools. It was suggested that they should be strength the practical exercises for clients suffering dental anxiety and stress in dental treatments. In addition, education and attempts to motivate the clients should be performed according to their characteristics.

• 한국치위생학회지
• /
• 제17권3호
• /
• pp.539-551
• /
• 2017

Objectives: The purpose of this study was to investigate the changes in factors on unmet dental scaling rate before and after the national health insurance. Methods: This study used the $2^{nd}$ data from the Community Health Survey. The study participants numbered 209,341 in 2011 and 219,517 in 2013.The average age was $51{\pm}17$ in 2011 and $52{\pm}17$ in 2013. Data were analyzed by descriptive statistics, chi -squared test and logistic regression using SPSS 23.0. Results: The scaling experienced rate of Korean adults has fallen by 3.5% from 66% to 69.5%. Logistic regression analysis showed that 2.7 times more 'people who were educated at elementary school level or lower' did not use dental scaling compared to higher educated children. Agriculture, forestry and fisheries workers did not use scaling at 2.0 times. Local residents with an income of less than one million won did not use 1.7times scaling. Local residents of 'no private insurance' did not use scaling at 1.5 times. In the case of the predisposing factors, the 20s had less than 1.8 times scaling compared to 50s. In the case of needs factor, local residents who experienced 'bad oral health status' and 'dental calculus' were treated scaling 1.3 times less compared to people with good oral health status and normal periodontal symptoms. Conclusions: In Korea, local residents are less frequently treated scaling due to enabling factors such as accessibility. In addition, predisposing factors such as age and sex, and oral health status and periodontal symptoms were related to not using the dental scaling. Therefore, the universality of health care services should be considered so that people who need periodontal care can use scaling.

• 보건행정학회지
• /
• 제21권1호
• /
• pp.77-92
• /
• 2011

Objectives : This study examined the health policy researchers' needs and their accessibility towards health insurance claim datasets according to their academic capacity. Methods : An online questionnaire to capture relevant proxy variables for academic needs, accessibility, and research capacity was constructed based on previous studies. The survey was delivered to active health policy researchers through three major scholarly associations in South Korea. Seven-hundred and one scholars responded while the survey as open for 12 days (starting on December 20th, 2010). Descriptive statistics and logistic regression analysis were carried out. Results : Regardless of the definition for operational needs, the prevalent needs of survey respondents were not met with the current provision of claim data. Greater research capacity was shown to be correlated with increased demand for claim data along with a positive correlation between attempts to obtain claim datasets and research capacity. A greater research capacity, however, was not necessarily correlated with better accessibility to the claim data. Conclusions : The substantial unmet need for claim data among the healthcare policy research community calls for establishing proactive institutions which could systematically prepare and make available public datasets and provide call-in services to facilitate proper handling of data.