• Title/Summary/Keyword: care policy

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Technical Improvements of the Projection of Household Health Care Expenditure (보건의료 가책소비지출 추계 개선방안에 관한 연구)

  • Rho, Sang-Youn
    • The Korean Journal of Applied Statistics
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    • v.23 no.1
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    • pp.1-11
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    • 2010
  • This study aims to improve the more confident and efficient projection method that is to estimate the Number of Household per Family scales(NHF) in projecting the Household Heath care Expenditure(HHE). For this purpose, this paper suggested three results of the research. First, because projecting the NHF does not reflect the recent socio-demographic trends in the process of projecting the National Health Expenditure(NHE),the prior projection results have serious problem in the confidence and political availability. Second, the projection results about the HHE might be underestimated relative to the real one. Third, in order to estimate the more confident and efficient estimates of the HHE, the estimated NHF reflecting the socio-demographic trend must be used to project the one. There is an alternative method that the NHF and the increasing or decreasing rate of them which are regularly surveyed and suggested by the KOSIS should be used to project the process.

Study of water drowning death patients on clinical care and prevention (수중익사 사망 환자의 임상 치료 및 예방에 대한 연구)

  • Kim, Seon-Rye;Cho, Byung-Jun;Ko, Jang-Sik
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.427-432
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    • 2016
  • The purpose of this study was to investigate drowning death patients on clinical care and prevention. Drowning accidents that occurred in the Republic of Korea were identified by using the Emergency Activity Daily Report Data from the National Emergency Management Agency (NEMA). The age of drowning accidents was 20-29 years (25.4%). Drowning cases for the months of August was 17.6%. The main circumstance involved in the drowning cases was swimming (45.0%). Half of swimming incidents related the drowning accidents of people attempting to save a life of a family member or friend from the water. The most common location was at a lake or reservoir (40.2%). Drowning is a main cause of accidents in the Republic of Korea. Preventive strategies that may be beneficial for persons contain life jackets or life rings supply, upgrading swimming ability, placing lifeguards based on public education activities.

The comparative study on physiological activity of White ginseng, Red ginseng and Black ginseng extract (백삼, 홍삼, 흑삼 추출물의 생리활성 비교 연구)

  • Jang, A-Young;Sueng, Yun-Chul;Ji, Joong-gu
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.459-471
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    • 2016
  • This study presents a comparative study for differences in efficacy and ingredient of white ginseng(WG), red ginseng(RG), and black ginseng(BG) using anti-oxidative activity test and anti-inflammatory activity test. In the results of cytotoxicity test for WG, RG, and BG, the survival rate of all cells was more than 95%. In the total polyphenol analysis, DPPH, ABTS radical scavenging test, and ROS production test, BG showed higher anti-oxidant activity than WG and RG. RG and WG showed higher inhibition activity of NO production and $PGE_2$ production, respectively. As results of the test for the effect on reduction of inflammatory cytokine production, WG and RG were effective on reduction of IL-$1{\beta}$ production, and BG was effective on reduction of IL-6. In the case of TNF-${\alpha}$ production, there was no difference among samples. This study could be useful basic data for the development of functional food and the fabrication of safe cosmetic.

Application of Animation Mobile Electronic Informed Consent in Inpatient of Long-term Care Hospital: Focused on DNR Informed Consent (요양병원 입원환자의 애니메이션 모바일 전자동의서 적용: DNR 동의서를 중심으로)

  • Park, Ji-Kyeong;Kim, Ji-On
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.187-196
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    • 2015
  • The purpose of this study was to examine the understanding of contents and the convenience of use of the DNR animation mobile electronic informed consent. The subjects in this study were inpatients of long-term care hospital. As for data analysis, a statistical package SPSS 21.0K was employed. The findings of the study were as follows: First, DNR choice was 33.0%, CPR choice was 54.0% in case of the outbreak of cardiac arrest. Their principal diagnosis made statistically significant differences to their choice of DNR and CPR. Second, they got 2.50 in the understanding of the content of the DNR electronic informed consent, and got 2.37 in the convenience of use. Given the findings of the study, the DNR animation electronic informed consent is expected to help patients to have a better understanding of contents, to make their decision to choose DNR or CPR, and to sign the DNR informed consent forms themselves.

Job Analysis of Maternal Fetal Intensive Care Unit Nurses Using DACUM Technique (DACUM을 이용한 고위험 산모·신생아 통합센터 간호사의 직무분석)

  • Kim, Hee Jeong;Kim, Jeung-Im;Ahn, Sukhee;Kim, Myoung-Hee;Kim, Yunmi;Cho, Kyung Sook;Hwang, Namsuk;Choi, Jung Sun;Park, Soo Hye;Lee, Eun Hee
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.1
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    • pp.10-22
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    • 2018
  • Purpose: This study was performed to establish the role and to analyze the job of MFICU (Maternal Fetal Intensive Care Unit) nurses using DACUM (Developing a curriculum). Methods: A DACUM workshop was held to define MFICU nurses' role and identify their duties and tasks. A DACUM committee was consisted of 7 nurses, 2 nursing professors and 1 medical doctor and as a result, a survey was developed which contained duties and tasks of MFICU nurse. Pre-test was carried out for the validity, finally collected the data from 97 nurses who worked at 7 MFICU and 10 delivery room. Results: A total of 60 duties, 115 tasks and 822 elements of tasks were defined on the DACUM chart and survey. The importance, frequency and difficulty of the tasks were presented the determinant coefficient (DC), the highest DC duty was 'Manage maternal ventilator' (15.09) and the lowest DC was 'Provide nursing care for leisure to gestation extension mother' (6.52). Twenty-eight tasks were differentiated between MFICU and delivery nurses significantly. And the most important, frequently, difficulty task perceived by MFICU nurse was 'Check fetal heartbeat with electronic fetal heart monitor'. Conclusion: The organized educational program and policy was needed to develop for MFICU nurses.

A Study on Research Framework and Research Trends in the Healthcare Information Technology Area (헬스케어 정보기술 분야의 연구 프레임워크 및 연구동향)

  • Lee, N.K.;Lee, J.O.;Hwang, K.T.
    • Informatization Policy
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    • v.21 no.3
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    • pp.3-32
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    • 2014
  • Recent developments of smart phone and ICT, and explosive developments of wireless sensor area drive radical changes on traditional health care service. To accommodate the changes, many researchers have studied to expand traditional healthcare service areas including home care for independent living and public care for preventive and collaborative wellness area. This study proposes a research framework for healthcare information technology area based on Mettler and Raptis's(2012) work. Then, the study analyze the research trends in the area based on the framework. The area of monitoring patients health status at home using smart phone, providing innovative healthcare service by out-patients monitoring, and implementing preventive healthcare services are identified most active and emerging research agenda. It is expected that the research framework and implications of this study can assist future research efforts and practical utilization of healthcare information technologies.

A Phenomenological Study on Convergence Horticulture Activity Experience of Mother of Child with Disability (장애부모의 융복합 원예활동 경험에 대한 현상학적 연구)

  • Kang, Soo-Jung;Jeong, Yeon-Soo
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.561-568
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    • 2015
  • This study aimed to explore process of convergence life experience by horticulture activity of mother of child with disability through qualitative research. The data collection consisted of interview data of two meetings with four participants and transcribed interview data. The collected data analyzed by coding process of conceptualization-subtopic theme-core theme. The result through the phenomenological research of this study appeared as start of connection, care and empathy, understanding about living things, healing, sharing, In conclusion, this study could search the process of relationship building with herself and the world behind her, even though the process of convergence life experience of mother of child with disability started with little connection, as they became to understand the meaning of relationship through care and empathy and sharing.

The effect of oral function improvement with oral exercise program by elderly people (노인의 입체조 운동이 구강기능 향상에 미치는 효과)

  • Kim, Young-Soon;Shin, Kyoung-hee;Park, Jeong-Ran;Chung, Soon-hee;Choi, Hye Sook
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.4
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    • pp.559-566
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    • 2016
  • Objectives: This research has executed a new oral health promotion program among the elderly residents of a long-term care center, which purpose was to verify its effectiveness of oral health promotion through the improvement of their oral function. Methods: This study has selected the elderly over the age of 65, capable of communication, who use a long-term care center over the period of two months between July and September 2014. The subjects who remained until the final analysis numbered 50 excluding the dropouts during the program session (experimental: 33, control : 17). The oral stretching program was exercised two days a week, for total of two months. Each function was assessed by the standardized methods and measurement equipment. Also the sum of each function was converted into the oral health grade. Results: The oral function score of the experimental group also showed a statistically significant difference after the execution of the program, where the oral function score of experimental group increased $6.70{\pm}1.30$ from $4.95{\pm}0.89$ after the execution of the program (p<0.05), while the comparison group showed no valid statistical difference with the score result of $5.00{\pm}0.87$ down from $5.11{\pm}0.93$ after the execution of the program (p>0.05). Conclusions: Therefore if the oral health promotion program is reflected to the welfare policy in the future, it can be said that it contributes to the improved health status of the elderly who reside in the long-term care centers.

Development of A Community-Based Nursing Center Model: Focused on Health Promotion of Infant & Toddler (영유아 건강증진을 위한 지역사회 간호센터 모형 구축)

  • Oh, Ka-Sil;Kim, Eui-Sook;Kim, In-Sook;Seo, Mi-Hye;Ham, Ok-Kyung;Kim, Gwang-Suk;Margaret, Storey J.;Cho, Won-Jung
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.795-807
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    • 2002
  • Objectives: The purpose of this study was to develop a community-based nursing center model that can provide health promotion for infants and toddlers as well as a research and practice site for nursing faculty and students. Methods: Review of current health care system and health promotion programs, and workshops with brain-storming were carried out to identify needy areas of services to be provided by the nursing center. Finally, the community nursing center model was developed through expert consultation and filed visits. Results: The services and programs were developed for infants and toddlers residing in Seoul area. These services and programs include growth and developmental screening, environment and health problem assessment, infant stimulation and parent education, and self-help group. Full-time and part-time staff nurses and nurse practitioners will provide those services and offer home visiting if needed. Database system, health information system, and trainers' training programs were developed as well. Conclusion: The nursing center model developed in this study will ensure clients direct access to nursing care and increase of autonomy and accountability of nursing practices. The nursing center model focused on disease prevention and health promotion will enhance the quality of life of the infants, toddlers and their families as well as to decrease national health care expenditure.

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A New Disability-related Health Care Needs Assessment Tool for Persons With Brain Disorders

  • Kim, Yoon;Eun, Sang June;Kim, Wan Ho;Lee, Bum-Suk;Leigh, Ja-Ho;Kim, Jung-Eun;Lee, Jin Yong
    • Journal of Preventive Medicine and Public Health
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    • v.46 no.5
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    • pp.282-290
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    • 2013
  • Objectives: This study aimed to develop a health needs assessment (HNA) tool for persons with brain disorders and to assess the unmet needs of persons with brain disorders using the developed tool. Methods: The authors used consensus methods to develop a HNA tool. Using a randomized stratified systematic sampling method adjusted for sex, age, and districts, 57 registered persons (27 severe and 30 mild cases) with brain disorders dwelling in Seoul, South Korea were chosen and medical specialists investigated all of the subjects with the developed tools. Results: The HNA tool for brain disorders we developed included four categories: 1) medical interventions and operations, 2) assistive devices, 3) rehabilitation therapy, and 4) regular follow-up. This study also found that 71.9% of the subjects did not receive appropriate medical care, which implies that the severity of their disability is likely to be exacerbated and permanent, and the loss irrecoverable. Conclusions: Our results showed that the HNA tool for persons with brain disorders based on unmet needs defined by physicians can be a useful method for evaluating the appropriateness and necessity of medical services offered to the disabled, and it can serve as the norm for providing health care services for disabled persons. Further studies should be undertaken to increase validity and reliability of the tool. Fundamental research investigating the factors generating or affecting the unmet needs is necessary; its results could serve as basis for developing policies to eliminate or alleviate these factors.