• 제목/요약/키워드: Visiting healthcare

검색결과 102건 처리시간 0.025초

농촌지역 보건소 중심의 노인 통합보건의료서비스 필요도 (Need of Health Center-based Integrated Healthcare Services for the Elderly in Rural Area)

  • 원은숙;장세진;박종구;현숙정;김춘배
    • 농촌의학ㆍ지역보건
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    • 제32권1호
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    • pp.27-39
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    • 2007
  • Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

서울지역으로의 원거리 의료 이용에 대한 영향 요인 -KTX 이용자를 중심으로- (Determinants of Bypass Healthcare Utilization for Hospitals in Seoul -The Case of KTX passengers-)

  • 이재희;이원재;정현용
    • 한국콘텐츠학회논문지
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    • 제11권7호
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    • pp.259-274
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    • 2011
  • 이 연구는 2004년 KTX의 도입 이후 증가하고 있는 서울 지역 의료기관으로의 원거리 의료 이용 현상의 특성 및 그 영향 요인을 분석하였다. 설문조사를 통해 KTX로 서울지역 의료기관을 이용한 경험이 있는 203명에 대한 자료를 확보하여 이들을 대상으로 분석하였다. 분석 결과 최신 설비 및 의료장비의 보유 여부, 의료진의 수준 등이 원거리 의료 이용의 가장 중요한 이유로 나타났고, 질병 치료의 방문 목적, 40세 이상 연령, 전문대졸 이하 등의 요인이 서울지역 의료기관에서의 입원서비스 이용 가능성을 유의하게 높였다. 이는 지방 소재 상급종합병원의 중증질환 진료능력 제고와 이를 위한 정부 지원의 필요성, 그리고 의료 기관 인증 및 가감지급평가사업 결과 공시의 강화를 통한 합리적인 의료기관 선택 유도의 필요성을 시사한다.

보건기관 이용 현황 및 만족도와 관련 요인 -'2010지역사회건강조사' 자료를 이용하여- (Related Factors on Health Service Utilization and Satisfaction of Health Center Clients -Using '2010 Community Health Survey'-)

  • 김혜숙;박영희
    • 보건의료산업학회지
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    • 제7권3호
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    • pp.95-109
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    • 2013
  • The objective of this study is to assess the utilization and satisfactions about public health centers in Korea. For the analysis, the study utilize the nationwide data of 229,229 person on '2010 Community Health Survey' of Ministry of Health & Welfare. The statistical methodology used in the study is ${\chi}^2$, ANOVA, logistic regression model and multiple regression model. This study have four major findings. First, the significant affecting socio-demographic factors in utilizing public health center were gender, age, region, national basic living secured, married, income, education, job, state of health, chronic disease, unmet medical needs and utilization reason. Second, the most serviced category of health center user was vaccination both city and rural area and the next was certificate, primary care, health screening, other use, the mother and child in city area, primary care, health screening, certificate, home visiting health in rural area. Third, the significant affecting socio-demographic factors in satisfaction degree on health center service were age, region, national basic living secured, income, education, job, state of health, utilization degree and reason. Fourth, the most satisfied service of health service center was home visiting health in city area and mental health service in rural area and the next was nutritive control and the lowest satisfied service was user of certificate. The utilization and satisfaction on health center service were identified as different with residental area and user's characteristics. The politic effort are needed to support socially disadvantaged class and to narrow regional gap.

방문건강관리 대상 여성노인의 요실금 유병과 삶의 질 영향요인 (Factors Influencing Urinary Incontinence Quality of Life among Elderly Women in Home Visiting Healthcare Services)

  • 소애영;박선아
    • 지역사회간호학회지
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    • 제32권3호
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    • pp.243-253
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    • 2021
  • Purpose: The purpose of this study is to identify factors affecting the urinary incontinence (UI) prevalence and the quality of life among elderly adult women who are subject to home visiting healthcare services. Methods: A cross-sectional study was conducted with 400 women aged 60 or over who were registered for home health care services at one health center in Gangwon-do. Data were collected using a structured questionnaire consisting of UI severity, UI type, and the quality of life. The UI severity was assessed using International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), the quality of life using Incontinence Quality of Life (I-QOL), and type of UI using Questionnaire for Urinary Incontinence Diagnosis (QUID). The data were analyzed by using x2 test, independent t-test, one-way ANOVA, Pearson's Correlation, binary logistic, and multiple lineal regression. Results: The prevalence of UI is 51.7%. The mean score of ICIQ-SF was 9.70±4.04 for women with UI and 0.04±0.51 for women without UI (t=-33.67, p<.001). As the frequency of day time urination (OR=1.34), the subjective health status (OR=1.45), and the educational status (OR=0.90) were higher, the risk of UI prevalence was the higher. The factors affecting I-QOL were ICIQ-SF score, mixed UI, subjective health status, and nighttime urination (adjusted R2=.61). Conclusion: The results of this study showed that UI severity, mixed UI, subjective health status, and day time urination affected the quality of life. It suggests that the assessment for the severity and type of UI be needed to prevent UI or improve the quality of life of UI vulnerable elderly adult women.

ZigBee 기반의 무선 뇌 자극기와 네트워크를 이용한 원격 뇌졸중 회복 시스템의 개발 (A Development of Remote Medical Treatment System for Stroke Recovery using ZigBee-based Wireless Brain Stimulator and Internet)

  • 윤효정;유문호;김정자;김남균;양윤석
    • 전기학회논문지
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    • 제57권3호
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    • pp.514-517
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    • 2008
  • Ubiquitous healthcare (U-healthcare) system is one of potential applications of embedded system. Conventional U-healthcare systems are used in health monitoring or chronic disease care based on measuring and transmission of various vital signs. However, future U-healthcare system can be of benefit to more people such as stroke patients which have limited activity by providing them proper medical care as well as continuous monitoring. Recently, an electric brain stimulation treatments have been found to be a better way compared to conventional ones and many are interested in using the method toward the treatment of stroke. In this study, we proposed a remote medical treatment system using ZigBee-based wireless electric brain stimulator that can help them to get a treatment without visiting their doctors. The developed remote medical treatment system connects the doctors to the brain stimulator implanted in the patients via the internet and ZigBee communication built in the brain stimulator. Also, the system receive personal information of the connected patients and cumulate the total records of electric stimulation therapy in a database. Doctors can easily access the information for better treatment planning with the help of graphical visualization tools and management software. The developed remote medical treatment system can extend their coverage to outdoors being networked with hand-held devices through ZigBee.

상황인식 기반의 U-Silvercare서비스 (U-Silvercare Service based on Context-awareness)

  • 최보경;윤희용
    • 한국정보과학회논문지:소프트웨어및응용
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    • 제36권3호
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    • pp.200-207
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    • 2009
  • 인구의 급속한 고령화와 더불어 국민의 복지수준이 향상됨에 따라 건강문제에 대한 효율적인 해결방안으로 병원을 방문하지 않고 의료 서비스를 받는 U-Healthcare의 필요성이 증대되고 있다. 최근 다양한 센서들을 이용하여 사용자의 생체정보 및 주변의 상황정보들을 수집하고 분석해 사용자에게 적절한 서비스를 제공하기 위한 시스템에 대한 연구가 활발히 진행되고 있다. 기존의 U-Healthcare 서비스를 위한 시스템들은 특정 서비스만을 대상으로 하여 다른 서비스로의 확장 및 연계가 어렵고, 다수의 사용자를 대상으로 일반화된 서비스를 제공하고 있어 사용자 개개인의 특성을 고려한 서비스를 제공 기능이 미약하다. 본 논문에서는 이러한 문제점을 해결하기 위해 멀티에이전트 기반의 상황인식 에이전트를 이용해 시스템의 확장성을 높이고, GUI 기반의 모델링 툴킷 JaUCE를 사용하여 고객 개개인의 상황에 맞는 상황 정보를 모델링 함으로써 고객들에게 가장 적합한 상황인식 서비스를 제공한다. 본 논문에서는 제안된 상황 인식 에이전트와 모델링 툴킷의 이용하여 상황인식 기반의 U-Silvercare 서비스를 설계하고 구현하였다.

일부 학교구강보건실 운영 초등학생들의 구강보건지식도 및 실천에 관한 조사 (Oral health knowledge and practice of elementary school students in school dental clinics)

  • 정호진;김혜진;이민경;윤현서;오상환;이정화
    • 한국치위생학회지
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    • 제13권6호
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    • pp.1047-1055
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    • 2013
  • Objectives : The purpose of this study was to evaluate the overall oral health knowledge and toothbrushing pattern of school dental clinic students in school dental clinics and to provide the basic data for the oral health. Methods : The subjects were 290 elementary school students visiting school dental clinics in Busan Metropolitan city. The data were collected from July 3, 2012 to July 19, 2013. Results : The visit rate of school dental clinics was 40.3%. Girl students brushing three times a day accounted for 47.3% and boy students brushing twice a day accounted for 58.5%(p<0.05). Students using rolling brushing method accounted for 35.4% and 8% of the students did not know the rolling method. Brushing method response consisted of circular motion(21.6%) and rolling method(30.8%). Brushing more than 3 minutes accounted for 46.5%(p<0.001) and 30.8% of the students chose rotation brushing method(p<0.001). Conclusions : It is very important for the elementary school students to learn the right oral health education and oral health knowledge.

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center

  • Lee, Dong Ok;Chin, Young Ran
    • 지역사회간호학회지
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    • 제30권4호
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    • pp.528-538
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    • 2019
  • Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.

Is the Legal Basis for Physical Therapist's Home-Based Rehabilitation Appropriately Prepared?

  • Kim, Won-Su;Shin, Jun-Bum;Yun, Hye-Lyeong
    • The Journal of Korean Physical Therapy
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    • 제32권4호
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    • pp.258-265
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    • 2020
  • Purpose: This study examined the legal basis related to a physical therapist's home-based rehabilitation. Methods: The policy data were referenced to the comprehensive plan for national health promotion and the guidebook Community Health Promotion Project issued by the Korea Health Promotion Institute and other institutes. The legal data were referenced to the Bill information system on the National Assembly website. Results: The physical therapist's home-based rehabilitation did not have a legal basis in the community-based rehabilitation project (CBR) of the HP 2020 project. On the other hand, according to the Home health care part of the community health promotion project that began in 2013, physical therapists were allowed to play a role from 2020 under Article 16-2 (Public Officials in Exclusive Charge of Visiting Health Management) of the REGIONAL PUBLIC HEALTH ACT. Conclusion: Policies and laws are being developed in the field of healthcare, but the necessary policies and laws in the field of rehabilitation are still insufficient. A bill to rehabilitate in a variety of fields and spaces by modifying the scope of work of physical therapists will be needed.

보건소와 병원방문환자의 의료서비스에 따른 환자 만족도 연구 (A Study on Patient Satisfaction According to Medical Service of Patients Visiting Public Health Centers and Hospital)

  • 이경화
    • 보건의료생명과학 논문지
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    • 제9권1호
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    • pp.87-93
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    • 2021
  • 본 논문은 보건소와 병원 방문환자 특성 및 전반적 만족도에 미치는 영향요인을 알아본 결과 보건소와 병원의 방문환자 특성을 비교해 보면 보건소 환자들이 병원환자들에 비해 상대적으로 초진환자가 많고, 의료급여환자가 많으며, 질병치료 목적보다 방접종이나 물리치료 환자가 많았으며, 민간보험 가입갯수도 적었고, 연령은 고령층이 더 많았다. 보건소의 전반적인 만족도에 가장 큰 효과를 미치는 변수는 시설만족도로 나타났고 의사만족도가 약한 영향을 미쳤다. 또한 병원의 경우에도 시설만족도, 의사만족도, 진료비만족도, 진료환경만족도 순으로 영향을 미쳤다.