• Health Policy and Management
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• v.22 no.1
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• pp.65-84
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• 2012

Because of the rising healthcare costs, there is a growing need for developing efficiency indicators for medical resources use and measuring efficiency of healthcare providers and healthcare systems using them. In this study, we aimed to develop efficiency indicators for medical resources use by means of Delphi technique. We systematically reviewed the existing measures of medical resource use. Thirty nine indicators were selected as a candidates across the six domains: medical personnel, medical equipment, medical facilities, ethical management, resource efficiency, and drug use. To develop efficiency indicators with professional consensus, a 2-round Delphi survey was conducted among 29 professional experts. The following indicators were selected based on the Delphi survey results: adjusted number of the patient per day and level of the nurse number medical personnel in medical personnel domain; the number of the scan a professional physician and the quality of the scan in medical equipment domain; bed utilization rate in medical facility domain; drug price reported pharmaceutical price by medical institutions, medical fee billing transparency, and medical care appropriateness in ethical management domain; costliness index in resource efficiency domain; and utilization of high cost drug and items per prescription in drug use domain. The efficiency indicators could provide valid information about efficiency of healthcare providers and healthcare systems with respect to their resources use and facilitate policies to improve their efficiency.

• Journal of Korean society of Dental Hygiene
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• v.15 no.1
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• pp.171-177
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• 2015

Objectives: The purpose of this study was to investigate the relationship between toothbrushing and hand washing according to health education experience in middle school students. Methods: The subjects were 480 students of four middle schools in Y region. This is a cross sectional study and the study instrument was adapted from the knowledge, attitude and practice of hand washing and toothbrushing in elementary school students by Jung. Cronbach's alpha was 0.87 in the study. The questionnaire consisted of 5 questions of the general characteristics of the subjects, 5 questions of hand washing knowledge, 3 questions of hand washing behavior, 3 questions of health education experience. Toothbrushing questionnaire consisted of 10 questions of knowledge, 5 questions of behavior, 5 questions of health education experience, and 5 questions of dental health care facilities within schools. Data were analyzed by PASW 20.0 program. Results: Toothbrushing more than three times a day accounted for 76.8%. Those who receiving health education in elementary school accounted for 41.5% and those who had not accounted for 58.5%. Health education experience(75.8%) led to toothbrushing after meal(p<0.05). Those who receiving health education in elementary schools had 1.76 times of toothbrushing after meal than those who had not(p<0.01). Conclusions: Middle school students receiving health education had a tendency to do toothbrushing and hand washing frequently.

• Health Policy and Management
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• v.15 no.3
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• pp.60-78
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• 2005

The main objective of this study is to define the nature of the patient service quality of Health Centers, and based on that, to examine the causal relationship of Health Center visitor's perceived service quality with overall satisfaction, intention to revisit and intention to recommend. Data are collected on the basis of the second field survey of '3rd Regional Health Care Planning' operated by the Ministry of Health and Welfare(MOHW). In this study, the 24 patient satisfaction questions are used as outcome indicators. The samples are 3,091 patients who visited 68 Health Centers. The reliability and validity of patient service quality items was evaluated. Finally, the Structural Equation Modeling(SEM) analysis was conducted to find a causal relationship of service quality, patient satisfaction, intention to revisit and intention to recommend. This study shows firstly, the dimension of patient service quality was categorized into 3 dimensions, that is, facilities and environment, staff kindness, and convenience of utilization process. Secondly, the reliability and validity of patient service quality items was satisfied. Lastly, the total effect of convenience of utilization process factor on satisfaction(path coefficients=1.721), intention to revisit(0.843) and intention to recommend(0.696) is more higher than other variables. These findings imply that the quality of various services concerning convenience of utilization process at Health Centers should be improved to satisfy the health need of community people and improve the service quality of Health Centers.

• Advances in pediatric surgery
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• v.3 no.1
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• pp.15-23
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• 1997

During a 6-year period, from January 1990 to December 1995, 101 neonates with congenital anomalies were admitted to the division of Pediatric Surgery of Youngdong Severance Hospital. All of them had prenatal screening more than once with ultrasound. Fifty eight of them had prenatally detectable anomalies by ultrasonography. However abnormalities were prenatally detected in 24 neonates(41%). The detection rate was 70% in patientws who had the prenatal screening at our hospital, whereas, the rate was 24% when it was performed at other medical facilities. Duodenal and jejuno-ileal atresia showed the highest detection rate(86%) followed by abdominal mass. Esophageal atresia was suggested by maternal polyhydramnios in 3 patients (25%). Only one patient with diaphragmatic hernia(1.75%) was prenatally detected and none with gastroschisis. The mean interval from birth to operation was 32 hours in the prenatally detected patients and 50 hours in the non detected. The complication rate and the mortality after emergency operation were 20% and 7% in the detected group, and 58% and 23% in the nondetected, respectively. The average period of the hospitalization was 20 days in the detected group and 39 days in the nondetected. We conclude that the prenatal detection of anomalies is necessary to ensure adequate care for the mothers and the babies with congenital anomalies. This includes early transfer, timing of optimal delivery and operation.

• Korean Parent-Child Health Journal
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• v.9 no.2
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• pp.91-100
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• 2006

Purpose: This study was done to investigate into the relationship between mother's stress in postpartum period and perception of infant in order to provide basic data for developing nursing intervention program. Methods: The data were collected from September 1, 2004 to October 15, from one women's hospital and three facilities for taking care of women's health after delivery located in B metropolitan city, and analyzed by SPSS/12.0 program frequency, percentage rate, mean, standard deviation, average, the maximum value, the minimum value and Person's correlation coefficient. Results: 1. The degree of stress of subjects was $75.6{\pm}38.3$(0-376) in average, and $.8{\pm}\;.4$(0-4) of average point, and the degree of perception of infant was $-5.8{\pm}5.6$(15-75) in average and $-\;.4{\pm}.4$(1-5) of average point. The relationship of degrees between the stress of subject and conception of infants that showed weak reverse relation(r= .210, p= .030). That is, the more the stress of subject was high, the more the perception of infant is relatively indefinite. Conclusion: As a result, The stress of mother in postpartum period was a level to be in need of management and the perception of infant was slightly negative. thus, the introduction of nursing assistance program is necessary to relive the stress of mother in postpartum period to promote the affirmative perception of infant.

• Korean Journal of Veterinary Research
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• v.49 no.1
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• pp.91-99
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• 2009

The concept about zoo is changing from the animal exhibition which simply contained the animals to the ecological zoo which has the function of preserving the animal species. At the central point of maintaining such role, the basic principle called the animal welfare lies obviously. Korea has applied the animal welfare principles such as carrying out the enrichment in the zoos since 2003, but there has not been any institutional device to evaluate and examine the application of the animal welfare so far. This study aims to confirm the level of animal welfare in Korea and suggest a developmental direction. For the purpose of the study, 12 zoos in Korea were evaluated according to 68 evaluating categories. 'Five Principles of Animal Welfare' in the Secretary of State's Standards of Modern Zoo Practice were selected and carried out as the evaluation categories, and the result, from the highest to lowest score given, was 'provision of food and water', 'provision of protection from fear and distress', 'provision of health care', 'provision of an opportunity to express most normal behaviours', and 'provision of a suitable enrichment' with the overall score of the entire Korean zoos being 2.86 (${\pm}$ 0.56). It was also confirmed that in order to improve the animal welfare of the Korean zoos, the animal management system must be standardized and organized. The evaluation and feedback, the active practice of animal welfare and its legislative support should be provided to establish an effective institutional device as well.

• Research in Community and Public Health Nursing
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• v.14 no.1
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• pp.132-143
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• 2003

Purpose: A descriptive correlation study was done to provide basic data for comprehensive nursing care by analyzing the, relationship between spiritual well-being and death anxiety of the elderly. Method: 358 respondents who lived in facilities for elders such as nursing homes and elder's rehabilitation centers were selected, and their age was over 65 years old. Paloutzian and Ellison(1982)'s spiritual well-being scale and Park(1989)'s death Anxiety scale was used. From August 2nd to November 7th, 2002, readymade questionnaires were handed out by the researcher to those who could fill it out and for those who could not fill out the questionnaires alone, the researcher read it and completed it by interview. The data were analyzed with SPSS Win 10.0 program, t-test, ANOVA, and correlation coefficient. Result: 1) The mean score for spiritual well being of the elderly was 43.95 in a possible range of 20-80. The mean score of religious well being was 22.22 and that of existential well being was 21.73 in a possible range of 10 - 40. 2) The mean score for death anxiety of the elderly was 109.04 in a possible range of 34 - 136. 3) There were significant differences in spiritual well being according to religion, and present occupation. 4) There were significant differences in death anxiety according to age, religion, and family status. 5) In testing concerning the relationship between spiritual well being and death anxiety, there was a statistically negative correlation(r=-.70 p=.000). Conclusion: There was a negative correlation between spiritual well being and death anxiety. When the nurse implicates the nursing intervention, which can promote the spiritual well-being, elder's death anxiety also can be released.

• Research in Community and Public Health Nursing
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• v.24 no.4
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• pp.398-406
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• 2013

Purpose: The study was conducted to clarify effects of a clonorchiasis prevention education program for clonorchiasis prevention lecturers. Methods: The research adopted a single group pretest-posttest design to see effects of the educational program to prevent Clonorchis sinensis infection. The subjects of this study were 74 clonorchiasis prevention lecturers from primary health care facilities. The pretest was conducted before the clonorchiasis prevention education program and the post test was done after the 2-day program in August, 2011. Descriptive statistics, t-test, and ANOVA were conducted to analyze the data. Results: The confidence level in Clonorchiasis management activities was improved significantly from $4.1{\pm}0.53$ points before the education to $4.4{\pm}0.46$ points after the education (t=-5.117, p<.001). The knowledge level about prevention of Clonorchis sinensis was improved significantly from $16.1{\pm}2.72$ points before the education to $18.3{\pm}1.14$ points after the education (t=-6.629, p<.001). Conclusion: The results suggest that the education program was effective in improving the confidence and knowledge levels in Clonorchiasis management activities for the clonorchiasis prevention lecturers. Based on the results of this study, continuous research on how the increased knowledge and confidence levels of Clonorchis sinensis prevention affect the prevalence of Clonorchis sinensis infection.

• Korean Journal of Health Education and Promotion
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• v.20 no.1
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• pp.203-218
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• 2003

In aging Korean society, many elderly people have difficulty in the areas of health, economic insecurity, role-loss(both work & spouse), loneliness, and family conflicts. Above all, retirement from work is one of the most important stressful life events having influences an elderly's persons economic & social activities, mental state, health status, and Lifelong educational programs could help the aged cope with these situations in later life. Health and social welfare are commonly recognized as an important value of life. They also have an effect on each other. Most people agree that the promotion of health and social welfare is to take a short-cut toward achieving well-being. Thus we need to develop a substantially integrated program of lifelong education, before and after retirement, for the promotion of health and welfare. Universities have the advantage of practicing lifelong educational programs because they have more material, intellectual, and human resources than any other educational facilities. As a result, the purposed of this study is to suggest life-long educational programs for promoting both health conditions and the level of social welfare by utilizing an aging center affiliated with a university. Specifically, the developmental courses of pre-retirement, learning in retirement, elder-hostels, and the connection between pre and post-retirement educational programs are proposed in this study.

• Journal of Families and Better Life
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• v.31 no.4
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• pp.145-164
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• 2013

This study analyzed qualitative data to examine the attitude toward the conditions of and the barriers to the work- family balance among unmarried workers. The data was drawn from 5 focus groups consisting of 4 workers each. The 20 participants, aged 21 through 38, were interviewed in mini groups composed of 2 male workers and 2 female workers each. The research depicts four main themes about their work-family balance: the image of a dual-earner family, women's market labor, housework, and the ideal conditions of a dual-earner family. This research concluded that unmarried workers desperately want to be part of a dual earning family for economic survival. However, they also know that it would be very difficult to make ends meet and to live as dual-earner families because of the lack of a proper social support system. However, most of them believe that they must solve these problems on their own, and they do not expect to receive help from systematic public policies. They think that they should find solutions by rearranging the role divisions between the husband and the wife or by asking for help from their parents or other relatives. The only assistance they expect from the government are reliable child care facilities and governmental incentives to promote stimulate the family-friendly workplace.