• Title/Summary/Keyword: care management

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Hypertension Management Status in Vulnerable Rural Areas and the Role of Community Health Practitioners (농어촌 의료취약지역에서의 고혈압관리 실태와 보건진료전담공무원의 역할)

  • Cho, Sooyeoun;Kim, Soonchan;Ryu, Jeougim;Han, Jongsuk;Seo, Kawoun
    • Journal of Korean Academy of Rural Health Nursing
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    • v.13 no.2
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    • pp.3-23
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    • 2018
  • Purpose: This study was a descriptive study to investigate correlations between self-care behaviors and quality of hypertension management by hypertensive patients being cared by community health practitioners. Method: Participants were 583 people who were prescribed antihypertensive medications at a health clinic located in South Chungcheong Province. The survey was done from June 1 to July 30, 2018. A self-report questionnaire was administered, and data analysis was performed using descriptive statistics and Pearson correlation coefficients with the SPSS 24.0 program. Results: The rate of awareness, treatment, and control of hypertension were 97.9%, 99.1% and 92.8%, respectively. The number of hypertensive self-care behaviors was 1.82 (${\pm}0.36$) out of 3 points. The quality of hypertension management was 3.22 (${\pm}0.46$) out of 4 points. There was a moderate correlation between hypertensive self-care behaviors and quality of hypertension management (r=.340, p<.001). Conclusions: Results of this study confirm that the quality of hypertension management by community health practitioners is related to self-care behaviors of hypertensive patients. Therefore, it is necessary to improve the quality of hypertension management by health care specialists for self-management of hypertension patients. In addition, a systematic program to improve the quality of hypertension management by community health practitioner is needed.

Development of an Ecological Model to Improve Health Care Management for Children in Child Care Centers (보육시설 아동의 건강관리향상을 위한 생태학적 모형 개발)

  • Park, Eun-Sook;Im, Yeo-Jin;Cho, Eun-Ji
    • Child Health Nursing Research
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    • v.19 no.1
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    • pp.59-68
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    • 2013
  • Purpose: This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers. Methods: Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method. Results: Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care. Conclusion: The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

A Study on the Chinese University Women's Appearance Management Characteristics and Clothing Purchasing Behavior (중국 여대생의 외모관리 특성과 의복구매행동)

  • Wang, Ya;Kim, Yong-Sook
    • Korean Journal of Human Ecology
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    • v.16 no.1
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    • pp.145-157
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    • 2007
  • The purpose of this study was to identify Chinese university women's appearance management characteristics and clothing purchasing behavior. A self-administered questionnaire was used. Research period was 15th - 30th March. Frequencies, percent, factor analysis, cluster analysis, ANOVA, chi-square test were done. The results of study were: 1. The factors of appearance management characteristics were food management, skin care, weight control & tooth correction, nail & hair care, and use of identity kits. The factors of clothing selection criteria were outlook & appropriateness, management & service, fashion & brand, and individuality & price, and factors of information resources were marketer oriented & neutral and consumer oriented & store. 2. Chinese university women were segmented into positive appearance management group, food & skin management group, nail care & identity kits using group, and appearance management stagnated group. Positive appearance management group selected their clothing to pursuit individuality & relaxation, fashion, and conformity, considered fashion or brands more, used various information sources. Food & skin management group purchased their clothing for conformity. Nail care & identity kits using group considered management & service of clothing more, utilized consumer oriented & store information more. 3. Positive appearance management group were younger, and spent more pocket money and for their appearances. Food & skin management group were older, but nail care & identity kits using group were older. Appearance stagnated group spent less pocket money and appearance management.

A Comparative Analysis of Undergraduate and Postgraduate Training in Health Care Management

  • Kong, Myung-Dalm
    • Industrial Engineering and Management Systems
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    • v.15 no.3
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    • pp.239-250
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    • 2016
  • This study is to prepare curriculum in South Korea to train outstanding individual in the fields of Health Care Management for the global age, hospitals' administration managers, professors and students were targeted to carry out the survey and the collected questionnaires were processed with SPSS Ver. 21.0 statistic package, based on this the suitability of the current Health Care Management curriculum and postgraduate curriculum was inspected and improvement plan was deducted, and also through comparative analysis of the Health Care Management curriculum for undergraduate and postgraduate in the United Kingdom and United States, optimum improvement suggestions were made. Based on the research result, the priority to improve and consolidate from undergraduate curriculum was the strengthening of the working-level education, the most needed ability in the future is global negotiation and dispute/conflict adjustment which needs supplementation. Also, after analyzing the undergraduate curriculum of the United States and United Kingdom, it is needed that the development of the capacity to lead organizations for healthcare and subjects for the establishment of health policy should be reflected.

Glucose Control in Intensive Care Unit Patients: Recent Updates (중환자의 혈당 조절: 최신 업데이트)

  • Rhee, Sang Youl
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.81-85
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    • 2018
  • Proper glucose management in hospitalized patients can improve clinical outcomes. In particular, intensive care unit (ICU) patients are known to have significantly higher rates of mortality from changes in blood glucose due to severe comorbidities. Improving glucose control in ICU patients, therefore, can improve mortality and prognosis. Several studies related to the management of blood glucose in the ICU patients have been conducted. Intensive glucose management of surgical ICU patients has been successful. However, studies on medical ICU patients did not demonstrate positive effects of strict glycemic control. There is no independent glucose management goal for neurological ICU patients. However, maintenance of the usual glucose control target of 140-180 mg/dL is recommended for ICU patients. Intravenous insulin infusion is essential for glucose control in ICU patients not consuming a regular diet, and caution should be exercised to prevent hypoglycemia.

Food Allergy Awareness and Nutritional Management by Preschooler's Faculty Members of Child Care Facilities (보육기관에서 유아기 아동의 식품 알레르기 인지 및 관리 현황)

  • Kim, Soo Bin;Kim, Jung Hee
    • Korean Journal of Community Nutrition
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    • v.22 no.4
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    • pp.298-306
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    • 2017
  • Objectives: The purpose of this study was to investigate the awareness and nutritional management of food allergy (FA) by preschooler's faculty members in child care centers. Methods: A questionnaire survey was conducted among faculty members of child care centers in Seoul. The questionnaire was designed to identify the prevalence of food allergies, requirements of food allergy support and differences in food management depending on the presence of allergic diseases. After excluding incomplete responses, the data of 171 faculties in 137 child care centers (95.0%) were used for statistical analysis. Results: According to the 137 collected questionnaires, 96 child care centers asked parents about their children's allergic disease and 151 children from 66 child care centers had food allergies. A reported 89 children from 43 child care centers had food restrictions. However, 9 child care centers (21.0%) were not aware of food restriction for children with food allergies. Only 6 child care centers (14.0%) supplied substitute foods with the same amount and type of nutrients. Forty eight faculties (28.1%) received training about food allergies. Although there were some differences according to institution type, most of the faculty members wanted food allergy-related support. Conclusions: This study identified a lack of food allergy training for faculty members in child care centers. For proper management, it is necessary for faculty members of child care centers to be educated on overall food allergies. Food allergy-related support such as menus without allergenic ingredients, guidelines on emergency care for food allergies and anaphylaxis should be provided for faculty members in child care centers.

Consumer Impairment and Its Improvement on Longterm Care Insurance Service : Focused on the Current Conditions and the Analysis of Counseling Cases in Korea and Japan (노인장기요양보험 서비스에 관한 소비자피해와 개선방안 : 한일 서비스이용현황 및 상담사례 분석을 중심으로)

  • Lee, Hyun-Jin
    • Journal of Families and Better Life
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    • v.28 no.1
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    • pp.51-67
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    • 2010
  • This study looked into the current conditions in Korean and Japanese care management for the elderly, cases of consumer counseling in these countries, and the supporting institutions for Japanese users regarding the use of care management for the elderly. The number of recipients of care management for the elderly in both Korea and Japan is growing every year, and more Japanese users receive various services compared to Korean users. The results of an analysis on consumer counseling regarding the use of Korean and Japanese care management revealed, two types of complaints: counseling for the improvement of the institution and complaints related to the procurement of service. Regarding the insurance system, the complaints were mostly related to affirmation of a rating and the burden incurred by cost-sharing. Regarding the use of service, such key impairment cases were related to in-service medical accidents, illegal acts including caregiver contract violations and forced retirement, careless service by workers, and human rights violations of the elderly. Japan has developed governmental and, related-administrative and business services as well as a local governmental system to redress customer impairment issues as this pertains to service for better quality care management. In addition, they have enlarged the locally closed service, provided exact information about the services offered, and improved service appraisal techniques. The Japanese cases will serve as a good reference to improve the Korean system. In particular, the construction of a system that reduces customer losses and the availability of more counseling information are urgently required to improve the system in terms of customer experiences when they seek care management.

Effects of Clinical Nurses Critical Reflection Competency, Professional Pride, and Person-Centered Care Practice on Patient Safety Management Activities (임상간호사의 비판적 성찰 역량, 전문직 자부심, 인간중심간호 수행이 환자안전간호활동에 미치는 영향)

  • Lee, Subin;Shin, Sujin
    • Journal of Korean Critical Care Nursing
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    • v.16 no.3
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    • pp.87-98
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    • 2023
  • Purpose : This descriptive survey investigated the effects of clinical nurses' critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey's HSD, Pearson's correlation coefficient, and multiple regression using SPSS 29.0. Results : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p =.010), education level (t=-2.56, p =.013), total work experience (F=3.87, p =.010), and the number of healthcare accreditation system experiences (F=5.22, p =.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p <.001), professional pride (r=.271, p <.001), and person-centered care practices (r=.399, p <.001). The results indicated that person-centered care practices affected patient safety management activities (𝛽=.358, p <.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses' patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

Vaccination for Infants and Children in the Primary Health Care Posts from 1980 to 2009 (보건진료소 영유아 예방접종사업(1980년~2009년))

  • Son, Gye-Soon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.3 no.2
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    • pp.96-103
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    • 2008
  • Purpose: The Study of vaccination for infants and children business in Primary Health Care Posts from 1980 to 2009. Method: look for national essential vaccination look for the change of vaccination by the times in Primary Health Care Posts and the rate of vaccination for infants and children by a administrative report statistics survey of a vaccine delivery system of Public health care institutions investigation about assistance details of vaccination cost in order to raise the rate of vaccination for infants and children. Results: In 1980s, there are many infants and children management object, but now there are rapidly decreasing infants and children management subject of a Primary Health Care Post because of rural exodus phenomenon of 1990's and a low birthrate of 2000's. Currently, the infants and children that registed, and managed to a Primary Health Care Post is most multi-cultural families. A multi-cultural family assistance program is provided these infants and children to the objects. Conclusions: Infant vaccination execution in Primary Health Care Posts showed to high vaccination rate because the prevention of vaccination delay or omission of the interior child who raised geographical accessibility to object sons nowadays it difficult to management of transportation of vaccine and storage management for a little shroud objects limited and management of inoculation business in quality. A main problem is as follows. There are a little vaccine transportation, trouble of proper temperature maintenance of a storage process, and having a lot of vaccine abolition as a little objects, educational training shortage of health care practitioner regarding to execute an inoculation. Therefore, vaccination business needs measures for management in quality in Primary Health Care Posts.

The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries (일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과)

  • Ahn, Yang-Heui;Kim, Eui-Sook;Ko, Il-Sun
    • Research in Community and Public Health Nursing
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    • v.21 no.3
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    • pp.351-361
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    • 2010
  • Purpose: This study was done to analyze the effects of tele-care case management services using secondary data. Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high-risk group or the preventive group. Casemanagement services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t-test. Results: After the case management intervention, the participants' health quality of life, self-care competency, and reasonable medical care utilization increased significantly for the high-risk group. However there were no significant changes in the preventive group. Conclusion: The results showed that the tele-care case management services were effective for high-risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.