• 보건행정학회지
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• 제12권1호
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• pp.54-83
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• 2002

Korea's recent attempt to separate prescription and dispensation of pharmaceuticals suffers serious, negative side effects. The interned-based prescription delivery system is being considered a supportive tool to alleviate such side effects. This paper conducts an economic evaluation of the system. We consider all possible types of pecuniary costs and benefits, from societal perspective, to conclude that nationwide adoption of the system would raise net social benefits by 5,892 billion won for the coming five years. Specifically, the net benefits would be distributed among consumers (5,667 billion won), pharmacies (216 billion won) and medical institutions (8 billion won). Net social benefits would be far mere enhanced by deregulation policies, such as removal of restrictions on electronic type prescription and home-delivery of dispensed drugs.

• 보건교육건강증진학회지
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• 제29권1호
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• pp.89-96
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• 2012

Objectives: The purpose of this study was to investigate factors affecting the intention of vaccination in parents with noncompliance of vaccination. Methods: The participants of this study were 296 parents with noncompliance of vaccination. Data were collected by self-report questionnaires consisted of questions about parents' characteristics, intention of vaccination, attitude toward vaccination, perceived benefit of vaccination and perceived barriers to vaccination. Results: Factors affecting the intention of vaccination were perceived benefit of vaccination, attitude toward vaccination and mothers' education level. Conclusion: The intention of vaccination in parents with noncompliance of vaccination was decreased by decreased perceived barriers of vaccination in due consideration of negative attitude toward vaccination and mothers' high education level.

• 보건행정학회지
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• 제6권1호
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• pp.85-109
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• 1996

Telemedicine can increase accessibility to advance medical technology at the university hospital for community residents living in a remote area. This paper focused on the economic evaluation of telemedicine to identify important factors influencing costs and benefits and to understand how these factors can be changed to improve economic performance of the telemedicine. When the telemedicine project currently operating in Korea was evaluated based on the traditional cost-benefit analysis, the results showed a heavy net loss wiht a B/C ration of 0.56. As several values were added to the analysis based on the Information Economics approach, B/C ratios steadly increased. When the saving of medical expenses from the early detection of diseases was taken into a consideration, the ration exceeded the break-even point. >From the sensitivity analysis, a number of patients and the cost for equipment and communication were found to be the key factors for influencing economic performance of telemedicine.

• 식품과학과 산업
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• 제51권4호
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• pp.325-333
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• 2018

If private discipline replace the strict administrative regulation, fundamental rights of protective essence can be relativized while if may be beneficial for the individual freedom. Assigning the state power to the private organization is equivalent to giving up the practice of individual liberty to the organized authority. It is important to make use of public law mechanism, particularly under the imperfect juristic system. Regarding the prohibition of prior censorship, it is necessary to consider whether it is desirable to prioritize the freedom of speech over the rest of the legal benefit. Apart from this necessity, new advertisement screening mechanism was irreversibly - and controversially - introduced for the health functional food since the unconstitutional verdict of the prior screening of advertisements. With this, the state must secure the broad order through legal regulations and norms in order to freedom of speech and other legal benefit can be harmoniously and practically guaranteed.

• 지역사회간호학회지
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• 제11권1호
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• pp.80-89
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• 2000

This study was designed to investigate effects on cognitive perception. health promotion activity and life satisfaction of elderly. The participants for this study were 292 in senior citizen's center in S-city. The participants were categorized by two groups. one have taken exercise regularly. at least more than one a week for 6 months, the other have not. The measurement tools were the Perceived Benefit Scale developed by Walker, et al. and translated by Kim. Hee Ja(1994), the Life Satisfaction Index developed by Neugarten. etc. and translated by Lee. Ga Ok(1994) and Self efficacy Scale developed by Kim. Hee Ja (1994). The data were collected by personal interviews. which were taken from January 11 to 16. 1999, and analyzed by SAS 6.12. The major results of this study were as follows 1) Scores of self-efficacy were higher regular exercise group than irregular group. 2) Regular exercise group have taken exercise such as jogging, climbing and the other hands irregular group have not. 3) When the participants were categorized by smoking, other health promotion behavior (weight control. diet), both scores of life satisfaction index were higher smoking group than non-smoking group, other health promotion behavior than non-health promotion behavior. 4) There was no significant difference between the two groups in terms of perceived benefit, life satisfaction, From these findings, regular exercise program will be able to provide elderly with opportunity to change positively their lives in cognitive perception. health promotion activity.

• 대한방사선기술학회지:방사선기술과학
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• 제46권5호
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• pp.435-444
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• 2023

The purpose of this study was to analyze the factors that demographic factors, radiation knowledge level, and radiation awareness could be affecting the benefits of radiation. From July 2022 to July 2023, after receiving consent to participate by using the link of Naver through Social Network Service (SNS) for the general public, 312 people were surveyed by self-registration method without collecting personal information. The questionnaire consisted of a total of 25 questions following demographic factors (5 questions including age group by life cycle, sex, monthly household income, residence), radiation knowledge level (8 questions including basic physical, biological effects, radiation protection technology), radiation awareness (12 questions including risk, management, benefit). Independent sample T-test and ANOVA tests were performed for significant differences in the average radiation awareness between variables, and hierarchical regression was performed to identify influencing factors on radiation benefits. As a result, the benefit of radiation was significantly high among the radiation awareness, but the awareness of the danger of radiation was insufficient to the level of recognizing it as safe. Men had significantly higher awareness of radiation management and benefits than women, and the awareness of radiation management was significantly higher in the middle class with a monthly household income of 4.31 million won or more. The higher the knowledge level of radiation, the higher the awareness of the benefits of radiation. The factors that had a positive effect on radiation benefits were the high level of radiation knowledge and awareness of radiation management.

• 의료법학
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• 제10권2호
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• pp.287-307
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• 2009

A person is injured in car accident caused by his/her slight negligence except he / she causes accident by his / her willfulness or gross negligence. Because the National Health Insurance Corporation (hereinafter called "Corporation") shall not provide any insurance benefit "when he has intentionally or through gross negligence caused a criminal conduct or intentionally contributed to the occurrence of an accident" referred to in Article 48 (1) 1 of the National Health Insurance Act. So, if he / she is insured by his / her own bodily injury coverage, he / she can be compensated for his / her medical expenses. The injured have the rights to file either National Health Insurance claim and Automobile Insurance claim but there is no clear and definite adjustment clause. The claim disputes between National Health Insurance (hereinafter called "NHI") and Automobile Insurance (hereinafter called "AI") in the own bodily injury coverage makes some problems. Firstly, there are some differences in co-payments which he / she chooses between NHI and AI. Profit per a patient is higher in the NHI than in the AI. Secondly, it can provoke criticism that people shall unnecessarily pay double contributions. Lastly, it can raise moral hazards. For example, if he / she can cover the compensations when the insured receives the compensations from his / her insurer, the Corporation can be claimed by medical care institution payment of the health care benefit costs. In conclusion, first of all, to improve the national health and preserve the insured's rights the Corporation shall keep notice these facts.

• 한국학교보건학회지
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• 제18권1호
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• pp.37-46
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• 2005

Purpose: Our research team developed two types of hepatitis B prevention materials: video tape and leaflet. We showed them to two groups of subjects separately, and the effect of education was compared to find out a more effective educational material for preventing hepatitis B. Method: Students at a middle school and a high school, one class for each school year, participated in the five areas of this study. They were educated for hepatitis management using the video tape and the leaflet. Before and after the education, they were tested for knowledge on hepatitis and health belief to analyze the effect of education. Results: 1) The video tape was more effective than the leaflet in delivering hepatitis knowledge and enhancing sensitivity & severity in health belief. 2) Hepatitis knowledge was improved significantly after the education. 3) Sensitivity & severity in health belief was improved significantly after the education. 4) Benefit in health belief was improved significantly after the education. 5) Barrier in health belief decreased significantly after the education. 6) There was a correlation between hepatitis knowledge, sensitivity & severity in health belief and benefit in health belief. Conclusion: We suggest that for preventing hepatitis B it would be helpful to educate students in middle school and high school face to face with educational materials.

• 치위생과학회지
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• 제16권3호
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• pp.249-255
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• 2016

본 사례보고는 대전 동구보건소에서 7년간 실시하고 있으며 매년 천 명 이상이 참가하는 노인 불소도포 스케일링 사업의 진행과 만족도, 논의사항 등을 보고하여 노인 구강보건사업 실행에 도움을 주고자 함이다. 2009년 시범사업은 대한노인회 대전동구지회와의 협의를 통해 각 경로당에 관련 공문을 보내고 신청 경로당에 직접 방문하거나 인근지역의 여러 경로당을 합하여 주민센터에서 사업을 진행하였으나 이후에는 경로당 중심 사업보다는 복지관이나 주민센터를 중심으로 진행하였다. 대전 동구치과의사회와 사전 협의 후 사업이 진행되었기 때문에 사업진행에 문제가 없었으나, 스케일링 후 지혈이 되지 않는 1건의 의료사고가 있었으며 이후로 지혈관련 전신질환이나 약물복용에 관한 사전 조사를 강화하였다. 2013년 본 사업에 대한 만족도 조사 동의자 355명 중 홍보 95.2%, 대기시간 73.2%, 스케일링 99.7%, 불소도포 91.5%, 틀니관리교육 96.6%, 칫솔질교육 98.6%가 만족한다고 하였다. 사업 참여 이유에 대한 구두대면조사 대상자 137명 중 44.9%는 무료라서, 12.5%는 치과에 가면 불필요한 치료를 받으라고 할까 봐 마음이 불편해서, 8.1%는 치과보다 제대로 치아관리를 해주는 것 같아서, 8.1%는 이동이 편리해서, 7.4%는 노인 우대를 잘 해주어서 등의 순으로 나타났다. 본 사업에 다시 참여하지 않겠다는 의견은 치과에 가서 하면 된다 1.5%, 다른 치료를 해주지 않는다 1.5%, 답변 거부 1.5% 등의 순으로 나타났다. 본 사업담당자의 의견은 사업의 지속적 참가자들의 구강환경관리 향상에 사업이 효율적이라 판단되나 농촌지역이나 취약계층 밀집지역의 경로당들은 사업 신청을 하지 않거나 신청인원 부족으로 사업의 효율성 때문에 배제되는 점, 스케일링의 보험급여화 이후 사업의 비용에 대한 고려가 필요하다고 하였다. 따라서, 취약계층을 사업에 포함하기 위한 방안 마련과 건강보험 급여화와 중복이 되는 보건소 사업에 대한 평가가 필요하다고 제안한다.

• 보건행정학회지
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• 제14권3호
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• pp.66-96
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• 2004

This study was intended to describe the hypertensive patient's lifestyle and quality of life by creating a hypothetic model on the lifestyle and quality of life and by examining a causeand effect relationship, and to contribute to countermeasures for practicing their lifestyle and improving the quality of life through creating a predictable model. Exogenous variable($\xi$) of hypothetic model in this study composed of a family support, hypertension knowledge, perceived benefit and toughness. Endogenous variable($\eta$) composed of self-esteem, perceived health state, depression, lifestyle and quality of life. There were 6 measured variables for exogenous variable(x). There were 9 measured variables(y) for endogenous variable. Also, there was error variable ($\delta,\;\epsilon$) of an individual. The survey was conducted for 207 hypertensive parents who received an out-patient service for 3 weeks from September 15, 2003 to October 3, 2003 after diagnosing as hypertension from 2 general hospitals in Daegu. As the conformance of hypothetic model in this study, there were $x^2$= 155.81, standard $x^2$ ($x^2$/df)=2.32, GFI=0.003, NFI=0.971, CFI=0.982, and RMSEA=0.080. Generally, the hypothetic model and actual data were well coincided. The higher the hypertension knowledge was(t=6.030), the higher the perceived benefit was(t=9.429), the higher the toughness was(t=2.783), and the higher the perceived health state was(t=2.282), the higher the lifestyle was. However, the degree of depression (t=-0.038), family support(t=1.161), and self-esteem(t=0.518) was not affected. The higher the family support was(t=10.476), the higher the self-esteem was(t=7.244), the higher the perceived health state was(t=6.996), the lower the degree of depression was(t=-2.044), and the higher the practice degree of lifestyle was(t=3.315), the higher the quality of life was. However, the toughness(t=1.672) didn't have a significant influence on the quality of life. It was modified to increase the model conformance and gain a conscious model As the result of model revision, for the model conformance, there were $x^2$= 118.43, standard $x^2$=1.69, GFI=0.923, NFI=0.976, CFI=0.982, and RMSEA=0.078. As the revised model showed the better conformance than hypothetic model, it seemed to be more suitable model. In the revised model, the perceived benefit(t=9.440) affected the lifestyle in the revised model. Then, the lifestyle was influenced by hypertension knowledge(t=6.139), toughness (t=2.757), family support(t=2.078), perceived health state(t=1.962) in the order. As a factor which affected the quality of life, there were the family support(t=l0.46l), self-esteem(t=7.368), perceived health state(t=6.989), lifestyle(t=3.316), toughness(t=2.584), and depression(t=-1.968) in the order. It showed the significant effect.