• 보건행정학회지
• /
• 제16권2호
• /
• pp.117-134
• /
• 2006

Korean health care system introduced the reform for separation between prescribing and dispensing of drugs (SPD reform) in the latter part of the year 2000. The objective of this paper is to look at what change this reform has brought about in the financial situation of Korean public health insurance scheme, particularly in terms of insurance benefit outlay. Since the inception of the reform is a development of more than five years ago, its impact on the finance situation would now start to become apparent. Hypothesis is set in this study for each of three components of drug reimbursement in health insurance, i.e. average price level, composition of drugs and their overall volume. In terms of the classification of health care services by mode of production, the impact of the SPD reform is confined mainly to the last two among three drug reimbursement fields including inpatient department, out-patient department and pharmacy. Pure impact of the SPD reform was estimated to be more or less than 1.7 trillion won, 13.1% of the total outlay of the Nation Health Insurance in 2001, and more than 2.0 trillion won, 14.9% of the total outlay of the Nation Health Insurance in 2003. Both dispensing fees for the pharmacists, which had been newly introduced on occasion of the SPD reform, and larger share of expensive drugs in the medicines prescribed by doctors were confirmed to be main drivers of the augmentation of drug reimbursement.

• 한국환경보건학회지
• /
• 제37권5호
• /
• pp.376-386
• /
• 2011

Objectives: The aim of this study was to evaluate the microbial hazards posed by food utensils and fixtures in food service operations at selected middle and high schools located in Seoul, Korea. Methods: We collected 200 samples of utensils and fixtures including cups, spoons/chopsticks, food trays and tables from five different schools in Seoul. Target microorganisms of this study were divided into two groups: total bacterial count and total coliform as indicators of microbial contamination and Bacillus cereus and Staphylococcus aureus as pathogens of food poisoning. We used selective media to quantify microbial concentration and 16S rRNA PCR assay for qualitative analysis. In addition, intensive interviews with nutritionists were conducted and observations were made to identify factors that may affect microbial contamination. Logistic regression analysis was employed to examine the relationship between the microbial concentration and operation characteristics of each operation. Results: The level of microbial concentration in school B and C were significantly lower than in school A, D and E (p<0.05). Some samples from school A, D and E showed over 3.4 log CFU/100 $cm^2$ (total bacterial count) and 1.0 log CFU/100 $cm^2$ (total coliform), which requires immediate hygienic action. The number of customers per staff member, periodicity of hygiene education for staff and daily operation time of sterilizers were also found to be important factors related with the microbial contamination of food service operations. Conclusions: These results suggested that not only a HACCP (Hazard Analysis and Critical Control Point) approach, but also efforts to assess internal risk factors within operations be needed to reduce the microbial contamination of food utensils and fixtures. This study is expected to provide preliminary data for assessing microbial hazards in food service operations.

• 한국응급구조학회지
• /
• 제1권1호
• /
• pp.28-41
• /
• 1997

The purpose of this study was to identify the change of perceptions related to E.M.T. profession of E.M.T. student and to provide the basic data for development of curriculum. The subjects of the survey were 216 students from 3 junior college by questionaire from November 25 to November 29, 1996 in Kwang-Ju, Cheong-Ju, and Kong-Ju. The results were analyzed using the SAS and can be summerized as follows : 1. The view on profession was a statistically significant difference inspecial knowledge & skill training (t=-1.686, P<.001), high income (t=-0.753, P<.05) 2. The view on competence as a E.M.T. was a statistically significant differncein sufficient professional knowledge on the E.M.T. (t=-1.144, P<.001), own's health (t=-0.808, P<.001), sincerity and responsibility (t=-1.429, P<.01), satisfaction and effort (t=-1.335, P<.01), boundary of affairs (t=-1.356, P<.01) 3. The view on E.M.T. profession was a statistically significant difference inprotect of pt. life & to relieve the pain (t=-2.388, P<.001) 4. The view on necessary knowledge of E.M.T. was a statistically significant difference in patient assessment (t=-2.168, P<.001), ACLS (t=1.678, P<.001), hemorrhage & shock (t=-3.252, P<.001), trauma (t=-4.284, P<.001), cardiopulmonary disturbance (t=-2.897, P<.001), acute abdomen (t=-4.284, P<.001), neonatal disease (t=-4.032, P<.001), OBGY disease(t=-4.151, P<.001), emergency delivery (t=-2.825, P<.001), infectious disease (t=-2.930, P<.001), environmental emergency (t=-3.123, P<.05), recording(t=2.22, P<.05) 5. The view on ideology of E.M.T. was a statistically significant difference in belief & faith (t=-2.344, P<.001), knowing of own (t=-2.142, P<.01), humanity (t=-2.581, P<.05), knowing of patient (t=-2.079, P<.05).

• 한국병원경영학회지
• /
• 제4권2호
• /
• pp.85-105
• /
• 1999

The main purpose of this article is to analyze the managerial performance of small and medium-size hospitals that are specialized in certain areas of medical services. Data of 189 hospitals were obtained from the data file of Korea Institute of Health Services Management The items include general characteristics of the hospitals, fianancial reports, and utilization records. Degree of specialization is measured by concentration(Herfindahl) index, and the sample hospitals are accordingly classified into specialized and unspecialized groups, by means of cluster analysis. These groups are compared in terms of various measures of managerial performance, which include several profitability indices such as operating margin, return on assets(ROA), and return on equity(ROE). To examine the relationship between specialization and managerial performance, we estimate the regression model, where the profitability indices are used as the dependent variables and the concentration index as the independent variable, controlling for the hospital characteristics such as size, type and location. Also, we perform 'Du Pont' analysis, to investigate the basic elements that can explain the differences in profitability between specialized and unspecialized hospitals. Major findings are as follows: 1. Managerial performance is better for the specilized hospitals than the unspecilized, in all aspects of profitability(operating margin, ROA, ROE). 2. Regression analysis suggests that there is a positive, statistically significant relationship beween the degree of specialization(i.e. concentration) and hospital profitability. 3. Main reason for the higher profitability of specialized hospitals lies in lower expenses rather than higher revenue. 4. In particular, personnel and material expenses are significantly smaller for the specialized hospitals, and this result seems to stem from the efficiency of operating fewer lines of business.(some kind of 'economies of scale') 5. Specialized hospitals also have fewer employees compared with the unspecialized, especially in administrative departments, which implies their efficient personnel management.

• 한국토양비료학회지
• /
• 제44권6호
• /
• pp.1286-1294
• /
• 2011

This paper reviews the future directions and perspectives on the soil environmental researches in the 21 century. Previously, the principal emphasis of soil environmental researches had put on the enhancement of food and fiber productions. Beside the basic function of soil, however, the societal needs on soil resources in the 21st century have demands for several environmental and social challenges, occurring regionally or globally. Typical global issues with which soil science should deal include food security with increasing agronomic production to meet the exploding world population growth, adaptation and mitigation of climate change, increase of the carbon sequestration, supply of the biomass and bioenergy, securing the water resource and quality, protection of environmental pollution, enhancing the biodiversity and ecosystem health, and developing the sustainable farming/cropping system that improve the use efficiency of water and agricultural resources. These challenges can be solved through the sustainable crop production intensification (SCPI) or plant welfare concept in which soil plays a key role in solving the abovementioned global issues. Through implementation of either concept, soil science can fulfill the goal of the modern agriculture which is the sustainable production of crops while maintaining or enhancing the ecosystem function, quality and health. Therefore, directions of the future soil environmental researches should lie on valuing soil as an ecosystem services, translating research across both temporal and spatial scales, sharing and using data already available for other purposes, incorporating existing and new technologies from other disciplines, collaborating across discipline, and translating soil research into information for stakeholders and end users. Through the outcomes of these approaches, soil can enhance the productivity from the same confined land, increase profitability, conserve natural resource, reduce the negative impact on environment, enhance human nutrition and health, and enhance natural capital and the flow of ecosystem services. Soil is the central dogma, final frontier and new engine for the era of sustainability development in the $21^{st}$ century and thus soil environmental researches should be carried according to this main theme.

• 한국학교ㆍ지역보건교육학회지
• /
• 제12권3호
• /
• pp.17-28
• /
• 2011

Backgroud & Objectives: The purpose of the study was to develop an innovative blended learning method on life style and health promotion and evaluate the educational effects for university students. Methods: The blended learning was developed to combine face-to-face lecture(off-line lecture) and on-line lecture that applied the subject of life style and health promotion. This course is a coordinated effort towards providing 5 topics of lifestyle such as smoking, alcohol, exercise, diet, and stress management. This has been verified by an expert in the field of nursing, education, e-learning technician and students. Participants were different part of university students (n=28) with major enrolled in a general culture course for 2 credits which composed of 8 sessions of each 2-hour in the first semester of 2010. The study was a one group posttest design. A self-report about health knowledge, attitude, and health behavior was organized by content analysis after the sessions. Results: Positive feedbacks from students were reflected in the outcome. Student regarded good lifestyle as being the most important. Student concerned those on-line lectures are not only available at most time and site, but also good for individualization, visual understanding and interest. Face-to-face lecture provided student a chance to integrate with knowledge and experience and had desire to improve good lifestyle and health promotion. Conclusions: The blended learning method on good lifestyle and health could make a best use of improvement for knowledge, attitude and behavior concerning. It is needed to identify the long term effects of a blended learning for further study.

• 한국축산식품학회지
• /
• 제38권5호
• /
• pp.1055-1063
• /
• 2018

The aim of study was to investigate the correlation between the level of 17 antibiotic residues and 6 antibiotic resistances of Escherichia coli isolates in chicken meats. A total of 58 chicken meats were collected from retail grocery stores in five provinces in Korea. The total detection rate of antibiotic residues was 45% (26 out of 58). Ten out of 17 antibiotics were detected in chicken meats. None of the antibiotics exceeded the maximum residue level (MRLs) in chicken established by the Ministry of Food and Drug Safety (MFDS). The most detected antibiotics were amoxicillin (15.5%), followed by enrofloxacin (12.1%) and sulfamethoxazole (10.3%). In a total of 58 chicken meats, 51 E. coli strains were isolated. E. coli isolates showed the highest resistance to ampicillin (75%), followed by tetracycline (69%), ciprofloxacin (65%), trimethoprim/sulfamethoxazole (41%), ceftiofur (22%), and amoxicillin/clavulanic acid (12%). The results of study showed basic information on relationship between antibiotic residue and resistance for 6 compounds in 13 chicken samples. Further investigation on the antibiotic resistance patterns of various bacteria species is needed to improve food safety.

• International Journal of Computer Science & Network Security
• /
• 제22권7호
• /
• pp.320-326
• /
• 2022

The main purpose of the article is to determine the role of the digitalization phenomenon (its positive and negative sides) as a means of anti-corruption policy in the healthcare sector of Ukraine and provide practical recommendations for transforming the domestic healthcare sector based on digitalization through the implementation of organizational and legal measures. The definitions of such concepts as: corruption in the healthcare sector; digitalization; digitalization of the healthcare sector; e-medicine. A typology of reasons for promoting the development of corruption in the healthcare sector of modern Ukraine is given. As a result of the study, a number of scientific tasks were implemented. The negative side of the introduction of digitalization in the healthcare sector has been identified and illustrated. The types of e-services in the healthcare sector are systematized, each of them is characterized and the fundamental directions of their development are indicated. The existing problems of technostress are characterized (techno-overload; techno-invasion; techno-complexity; techno-insecurity; techno-uncertainty). In the context of considering digitalization as a means of anti-corruption policy in the healthcare sector, practical organizational and legal measures are proposed for implementation.

• 한국도서관정보학회지
• /
• 제52권3호
• /
• pp.21-48
• /
• 2021

오늘날, 온라인 및 오프라인 상에서 무수히 많은 건강정보가 시시각각 쏟아지면서 대중들은 다양한 방법으로 건강에 대한 정보탐색이 가능해졌다. 본 연구에서는 만 0-3세 건강한 영유아들의 건강정보를 적극적으로 탐색하는 어머니들의 건강정보 탐색행동에 초점을 맞추었다. 24명의 미국인, 한국인, 미국에 거주하는 한인 이민자 어머니들과의 심층인터뷰를 통해, 그들이 아이에 대한 건강정보를 탐색할 때 어떠한 정보원들을 순차적으로 활용하는지 탐색경로를 시각적으로 분석하였다. 연구 결과, 어머니들의 건강정보탐색 경로는 아이의 건강상태에 따라 사용하는 정보원과 탐색주제의 측면에서 눈에 띄는 차이가 나타났다. 예를 들어, 아이가 아플 때는 특정 질병이나 증상에 대한 정보를 중점적으로 먼저 탐색하지만, 아이가 아프지 않을 때는 성장, 발육, 식단, 육아 등 다양한 주제의 정보를 탐색하는 것으로 나타났다. 나아가, 활용되는 정보원과 관련하여, 아이가 아플 때보다 아프지 않을 때 더욱 다양한 건강정보원들(예컨대, 공공도서관, 정부기관, 어린이집 교사 등)이 활용되는 것으로 나타났다. 뿐만 아니라, 각 어머니들 그룹에 따라 활용되는 정보원의 차이가 나타났다. 이를 활용하여, 국내외 정보 전문가들은 어떠한 정보서비스를 기획하고 제공할 수 있을지 논의해본다.

• 지역사회간호학회지
• /
• 제4권2호
• /
• pp.109-116
• /
• 1993

The purpose of this study was to examine industrial workers ; Knowledge, Attitude and Practice of occupational health management and service. The data was collected from Dec 4. 1993 to Jan 21, 1993. The data was collected from 352 industrial workers from 37 companies located in Kyng Ki Province and In cheon city. The measurement tool used in this study was a structured questionnaire developed by the community Nursing academy. The major findings attained from this study are summarized as follows : 1. The level of Knowledge, Attitude and Practice of industrial workers of occupational health management and service, were as follows : The total mean score was 72 out of 100. The total mean score of Knowledge was 22.5, out of 30. The mean score of Attitude was 39.2, out of 55. The mean score of Practice was 10. 6, out of 15. 2. The level of Knowledge, Attitude, and Practice of industrial workers of health management and service according to workers' general characteristics. The significant perceptions of health management as a whole that impact on the Knowledge score were occupational factors such as, age, income, number of workers, educational status, sex, and marital status. The significant factor of Practice which impact on the score was age, number of workers, sex, and marital status.