• 한국산학기술학회논문지
• /
• 제13권3호
• /
• pp.1069-1076
• /
• 2012

본 연구는 산업재해예방을 위해 산업안전보건교육의 방안을 개선하기 위해 기초자료를 제공하고자 실시되었다. 대상자는 강원도 소재 5개의 제조업 업체에 근무하는 근로자 167명을 대상으로 하였으며, 자료수집은 2010년 3월 15일부터 4월 15일 까지의 기간 동안에 구조화된 자기기입식 설문지를 이용하였다. 제조업 근로자의 76.6%가 교육장을 가지고 있었으나, 산업안전보건교육은 약 44.3%의 근로자가 현장사무실에서 교육을 받고 있었다. 교육 수단은 대부분 주입식 강의식으로 이루어지고 있었다. 산업안전보건교육은 근로자의 일반적 특성과 직무에 대한 고려 없이 이루어지고 있었다. 제조업의 근로자에게 실시되는 산업안전보건교육의 문제점을 개선하기 위하여 교육은 근로자의 일반적 특성과 직무를 고려한 교육이 실시되어야 한다.

• 보건행정학회지
• /
• 제18권1호
• /
• pp.1-20
• /
• 2008

How health care providers compete and how competition among them affects their behavior are crucial questions in theory and health policy. In ordinary markets, competition improves social welfare, However in health care markets facing uncertainty and information asymmetry, competition can take the form of wasteful quality competition and result in cost increase. The purpose of this study is to examine the characteristics of hospital service markets and examine the impact of hospital competition on hospital behavior, more specifically hospital cost and the size of personnel. Based on patient discharge data of 2002 by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs, and health insurance EDI claims data of 2002, this study measures the degree of competition in the inpatient service market of hospitals, using variable radius method and Herfindahl index. The result of the study shows that the hospital service market consists of on average 3.13 government administrative units(shi, gun, or gu). Compared with hospitals, general or general specialized hospitals cover larger markets and operate in more competitive markets. Nearly 60% of patients use hospitals, which are not located in their government administrative units, meaning that market definition based on variable radius is better than the conventional method of market definition based on government administrative units. The results of multivariate analysis show that competition is not associated with high cost index of hospitals. But hospitals in more competitive markets employ larger(more intensive) input of personnel per 100 beds, implying that hospital competition in Korea can have the form of quality and cost-increasing competition.

• 지역사회간호학회지
• /
• 제15권2호
• /
• pp.298-307
• /
• 2004

Purpose: This study purposed to investigate the relationship between soldiers' general characteristic and their knowledge, attitude and health-belief about AIDS. Method: This study conducted a survey of 197 soldiers using a structured questionnaire. Data were collected from the 10th to 30th of May 2003. Result: The average age of the participants was 21.6 years, 78.2% of them were undergraduates of universities, and by religion the number of Christians was largest. In addition, 81.2% of them had lived with their parents and siblings before they joined the army and most of them were unmarried. Of the subjects, 75.1% finished education about AIDS, 64.5% experienced a sexual intercourse and 6.3% experienced a venereal disease. The participants' knowledge level about AIDS was 14.6 out of 20 points and their attitude about AIDS is 3.96 out of 5 points on the average. Their health-belief about AIDS was 4.0 out of 5 points in 'perceived benefits,' 2.9 in 'perceived barriers,' 2.6 in 'perceived seriousness' and 2.6 in 'perceived sensitivity. Among the subjects' general characteristics, religion was found to be a statistically significant variable for their knowledge level about AIDS. A variable that is statistically significant for the subjects' attitude toward AIDS was families they had lived together before joining the army. Statistically significant variables for the subjects' health-belief about AIDS were perceived sensitivity and experience in venereal diseases, perceived benefits and AIDS education and perceived barriers and marital status. The subjects' knowledge about AIDS was in a statistically significant correlation with their attitude toward AIDS, and their attitude toward AIDS with perceived benefits. Conclusion: According to the results of this study. those who had had AIDS education appeared to have high attitude and health-belief concerning AIDS. Thus it is necessary to execute AIDS education systematically and continuously in order to have right attitude and high health-belief concerning AIDS.

• Journal of Nutrition and Health
• /
• 제40권3호
• /
• pp.270-280
• /
• 2007

This study was performed to investigate the effects oi nutrition education program in physical health, nutritional status and health-related quality of life (HRQoL) of the Elderly in Seoul. Nutrition education program was consisted of healthy eating, prevention and diet therapy of obesity, diabetes, cardiovascular disease, and osteoporosis. Seventy eight free-living elderly people (13 male, 65 female), aged ${\geq}60 $ years participated in this program. Before and after nutrition education program, we surveyed the general characteristics, physical health, general health, nutrition status, and health-related quality of life to the subjects. All the subjects were divided into program completers (N=47) and noncompleters (N=31). All the data were analyzed by student t-test, chi-square test, paired t-test, and marginal homogeneity test using SPSS 9.0 version at p<0.05. After nutrition education program, physical activity and ADL maintained, however IADL improved in program noncompleters. In eating habits, 'slow eating' significantly improved in program completers in program completers. Nutrition knowledge and recognition scores were significantly increased in both groups, and accuracy score was significantly increased in program completers. However, nutrient-intakes of %RDA were not significantly changed in both groups, and it seemed to be more influenced by other factors such as 'family income' or 'family type' than by the nutrition education program. In HRQoL, social functioning was improved after nutrition education program in both groups (p<0.05). The nutrition education program has more effects on the program completers than on the noncompleters, and it is also needed social supports for the Elderly to fulfill their nutrient requirements.

• 한국치위생학회지
• /
• 제20권5호
• /
• pp.581-591
• /
• 2020

Objectives: Oral diseases can be prevented, and early treatment through dental checkups is important. This study was investigated the relationship between dental checkups and unmet dental care needs in Korean adults. Methods: From the data of the 7th Korean national health and nutrition survey (2016-2017), the final 9,300 of the 16,277 participants selected as the method for extracting stratified colonies by complex sample design. A structured questionnaire interview was used, and chi-square test and multiple logistic regression analysis were performed. Results: The relationship between dental checkups and unmet dental care needs for the last one year was analyzed by controlling demographic characteristics, variables related to health conditions, and "use of dental clinics for the last year." The unmet dental care needs were 7.57 times higher (CI: 6.49-8.83) for non-users of dental clinics for 1 year, and 1.32 times (CI: 1.13-1.54) for dental checkups for 1 year compared to non-dental checkups patients. Conclusions: As described above, there was a close relationship between adult dental checkups and unmet dental care needs. Therefore, it is suggested that it is necessary to expand educational publicity and prepare policy strategies such as visiting dental checkups to improve the adult dental checkups.

• 산경연구논집
• /
• 제10권7호
• /
• pp.71-82
• /
• 2019

Purpose - This study aims to identify the priorities of medical service quality improvement by customer satisfaction characteristics and potential customer satisfaction improvement (PCSI) index based on the dualistic quality classification of Kano Model (1984) for Comprehensive Health Screeening Center in General Hospitals and Centers only for Comprehensive Health Screening and suggest a direction for future improvement. Research design, data, and methodology - Through advanced research on health screening medical service quality, this study set four service quality factors, including tangible, human, process and supportive factors, and 39 measurement items. Based on these items, the study used 117 questions, which consist of dualistic quality factors, customer satisfaction coefficients, positive and negative questions for PCSI index and questions for current satisfaction. 300 effective samples were collected for adults in their 20s who experienced health screening service in Seoul, Gyeonggi-do and Incheon within the past two years. Collected data were input in the quality evaluation duality table to categorize quality factors and calculate customer satisfaction coefficients by Timko(1993). The study also analyzed PCSI index in comparison with current satisfaction and identified priorities in quality improvement. Results - It was found that the most urgent factors to improve the quality in both groups were adequate waiting hours and emergency response for complications, which are process factors classified as unitary quality. It is urgently needed to improve the quality as the PCSI index was high in supportive factors (complaint response team) as attractive quality in Comprehensive Health Screening Center in General Hospitals and in process factors (prevention of infection) as unitary quality in Centers only for Comprehensive Health Screening. As the PCSI index was low in space use as a tangible factor, it was found that the current level can be maintained instead of improvement. Conclusions - To improve the health screening medical service quality, it is required to focus on process factors (adequate waiting hours, emergency response for complications, prevention of infection) and supportive factors (complaint response team) among service qualities perceived by users. It is proposed to ensure continuous efforts to manage and reinforce priorities as a direction for future improvement in health screening service.

• 한국환경보건학회지
• /
• 제40권3호
• /
• pp.225-233
• /
• 2014

Objective: This study was performed in order to investigate the distribution of antibiotic resistant E. coli and water quality in waterscape facilities. Methods: Nine waterscape facilities were selected and classified into three types: ground, wall and general fountain. The items analyzed in this study were pH, turbidity, $KMnO_4$ consumption, total colony, total coliforms, fecal coliforms and E. coli. Additionally, an antibiotic resistance test on E. coli was performed. Results: There were no sampling sites that exceeded the permitted limits of water quality, but the concentration of pollutants was high at the beginning operation in June. Moreover, concentration of turbidity, $KMnO_4$ consumption and total colony were higher in ground fountains than in wall and general fountains. Five species of antibiotic resistant E. coli were detected from three sampling sites. Conclusions: The waterscape facilities were significantly contaminated with water microorganisms, especially total colony, total coliforms and fecal coliforms. Disinfection and filtration systems to remove pollutants should be installed for safe waterscape facilities.

• 재활간호학회지
• /
• 제7권1호
• /
• pp.15-23
• /
• 2004

The purpose of this study was to verify the effects of Yoga exercise as one way of the nursing intervention on stress and health status. This study was a quasi-experimental design with a non-equivalent control group pretest and posttest design. The study subjects were clinical nurses at K University hospital, in J city. Fifty one nurses were selected with 26 to a experimental group and 25 to a control group. The study data were collected from November, 2002 to January, 2003. During this period Yoga exercise was given to experimental group three times per week(one hour every time) for twelve weeks and no program was given to control group. The degree of general stress, job stress, health perception and health status was measured before and after experiment. The data were analyzed using SAS 8.1 program to obtain chi-square, paired, unpaired t-test. The results of this study are as follows. 1. After the experiment, the degree of general stress increased (t=-3.61, p=0.001) in experimental group, but in control group. There was significant difference between two groups (t=-2.10, p=0.041). However there was no significant difference in job stress between two groups and in each group (p=0.001), 2. After the experiment, the degree of health perception in experimental group increased (t=2.13, p=0.043) in control group. There was no significant difference between two groups. Health status in experimental group increased (t=3.14, 0.004) but in control group after the experiment. There was no significant difference between two groups. From the results, we are convinced that Yoga exercise is the nursing intervention that could decrease stress and promote health status in clinical nurses. Therefore Yoga exercise could be largely applied as one way of health care for nurses.

• 한국융합학회논문지
• /
• 제8권9호
• /
• pp.183-189
• /
• 2017

이 연구는 우리나라에서 영주권을 얻었거나 귀화한 외국인들의 정신건강과 한국문화 동화 간의 관계를 고찰하였다. 영주권자 및 귀화자의 건강을 포함한 가장 최근 자료인 2012년 거주외국인 조사자료가 분석에 활용되었다. 분석에 사용된 주요변수는 한국거주기간과 한국어 수준으로 측정된 문화동화 수준과 정신건강이었다. 문화동화수준이 영주권자와 귀화자의 정신건강을 보호하는 것처럼 보였지만 통제변수들이 분석에 추가된 후 그 효과는 사라졌다. 이러한 경향은 다른 나라에서 발견된 문화동화와 정신건강 간의 일반적 결과에 융합하지 않는 결과이다. 한편 차별경험이 이주민 건강에 매우 중요한 변수임이 발견되었다.

• 한국의료질향상학회지
• /
• 제26권1호
• /
• pp.35-45
• /
• 2020

Purpose: This study was conducted to identify patients' dissatisfaction with health care through a content analysis of newspaper articles published between 1990 and 2015. It focused on developing a systematic coding scheme for content analysis as well as exploring changes over time. Methods: Among articles published by 8 major national newspapers, our content analysis used those that specifically covered the dissatisfaction of patients. Coding taxonomy was developed in two domains: (1) contents of dissatisfaction and (2) special circumstances and groups where complaints were filed. All articles were then coded according to this coding taxonomy to conduct descriptive analysis. Results: A total of 794 complaints were discovered in 338 articles. Contents of dissatisfaction were classified into 7 categories and 50 subcategories. Complaints regarding accessibility, technical care, and administration were noticeable in special circumstances, including strikes and spread of epidemic diseases, whereas complaints on interpersonal care and cost were prominent in general population and circumstances. When comparing the proportion of articles covering patient dissatisfaction in general population/circumstances between 1990-2000 and 2001-2015, complaints on administration and physical environment diminished over time, whereas complaints on outcome of health care increased. Conclusion: This study offers a rare window to view the responsiveness of the Korean health care system on a long time horizon.