• 대한지역사회영양학회지
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• 제18권6호
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• pp.611-625
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• 2013

The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human's life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.

• 보건행정학회지
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• 제3권2호
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• pp.1-24
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• 1993

The purpose of this study is to analyze the effects of the health information system on the productivity and behavioral aspects of health workers as well as quality of services to the visitors using the Vaccination room at the Kwon Sun Ku health center located in Suwon city as a study subject. Three survery were conducted to measure the changes in productivity and adoptation process(knowledge, attitude, activity, and satisfaction) of health workers over time during the period of 20 months. In addition, the effects of the information system on the quality of services to the visitors were also masured 7 months after the 3rd survey by comparing the quality of services between the study health center and the similar health center as a control group. The following results were obtained. First, productivity of health workers has improved over time as they became familiar with the system. Second, knowlege and activity did not significantly changed, but attitude score unexpectly decreased in the second survey. This may be due to an effect of intensive training prior to the first survery. Third, quality of services for the study center was better than other health center. While the health information system had positive effects on the productivity as well as the adoptation process, there are several limitations to establish a causal effect relationship between the two variables. For example, the system has kept modified since its development to meet the changing needs of the workers, and this may affect the productivity more than the adoptation process. Furthermore, since the study subject was only one health oenter, it lacks representativeness to generalize the study findings. Therefore, more health centers should be included in the study to solve such problems in the future.

• 한국치위생학회지
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• 제7권1호
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• pp.91-103
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• 2007

The purpose of this study was to pave the way for the development of oral health promotion programs for children from the low-income class. The subjects in this study were 322 children from the city of Incheon. Some of them visited local childcare centers, and the others attended six different adjacent elementary schools. Their awareness of oral health, oral health behavior and preventive-treatment experience were investigated in May 2005, and whether there were any characteristics in their visit of dental institutions was checked. Besides, whether their parents advised them to brush their teeth before turning in was examined. The findings of the study were as follows: 1. 22.0 percent of the children investigated were visiting local childcare centers, and 78.0 percent weren't. The guardians of the former group largely received high-school(50.7%) and middle-school or lower education(22.5%), and those of the latter group mostly received high-school(41.0%) and college- or higher education(35.5%)(pE0.001). The common monthly mean house-hold income of the former was one million won or less(54.9%) or ranged from 1.01 to 2.00 million won(19.7%), and the most prevalent monthly mean household income of the latter was between 2.01 and 3.50 million won(28.7%). The second most dominant monthly mean household income of the latter ranged from 1.01 to 2.00 million won(28.3%), and the third most common one was 3.50 million won or more(12.0%)(pE0.001). 2. The most prevalent daily toothbrushing frequency among the local childcare center visitors was twice(39.4%), followed by three times(19.7%). The third largest group of the visitors brushed their teeth after each meal(19.7%). The most dominant daily toothbrushing frequency among the non-users of local child care centers was twice(54.2%), followed by three times(29.1%)(pE0.01). As to the way of toothbrushing, 58.2 percent of the visitors and 74.9 percent of the non-visitors brushed their teeth by turning their toothbrush or up and down(pF0.05). 62.0 percent of the former and 74.9 percent of the latter always brushed their teeth before turning in, and whether they visited local childcare centers made a significant difference to that(pE0.05). 3. 69.7 percent of the non-visitors were always advised by their parents to do toothbrushing before turning in, and the visitors who were given the same advice all the time numbered 29.6 percent(pE0.001). 4. 56.4 percent of the visitors and 72.1 percent of the non-visitors had ever visited dental institutions over the past year. Dental hospitals and clinics were identified as the dental institutions that they visited the most, and they mostly received dental-caries treatment or had a tooth out there. 49.3 percent of the visitors and 35.1 percent of the non-visitors had ever had a toothache. 5. Sealant was experienced by 42.3 percent of the visitors and 46.2 percent of the non-visitors to prevent dental caries(pF0.05). 33.8 percent of the visitors underwent fluoride application, and that rate was higher than that of the non-visitors with the same experience that stood at 22.7 percent(pE0.05). The visitors mainly acquired knowledge on oral health through other channels that weren't specified in the questionnaire(28.2%), and the non-visitors did it mostly at dental clinics(39.0%)(pE0.001).

• 대한가정학회지
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• 제39권4호
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• pp.121-134
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• 2001

The purpose of this paper is to analyze the service facilities and activity programs of district(Dong) office so as to develope a model of a service integrated community center Various research methods were used for this study: Field research and interviews with the managers have been done in four offices during July and August, 2000. The facilities and programs of twenty district((Dong) offices were analyzed and ninety visitors of two district(Dong) offices were surveyed. The results showed that most visitors crime to the district(Dong) office for administrative services associated with the registration for citizenships. Visitors of district(Dong) office with activity programs were more Likely to factor to the service integrated community center than were those without. The size and kinds of facilities among district(Dong) office centers were varied and contrained by the size of the building but the activity programs were very similar and mainly arts and crafts, sports, music, and health for young housewives. Several implications from the results were suggested to the model of a service integrated community center.

• 보건교육건강증진학회지
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• 제25권1호
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• pp.25-38
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• 2008

Objectives: This study identified the factors associated with successful smoking cessation for 6 months at a smoking-cessation clinic of a public health center in an urban area. Methods: The subjects of this study were 670 visitors to the smoking cessation clinic of Dongjak-Gu public health center in Seoul, from September 6, 2005 to March 24, 2006. The 274 visitors of them responded to the questionnaire with registration, which contained the information related to the study except that of registered card for the clinic. A dependent variable was success or failure in smoking cessation during the 6 month-smoking cessation program, measured the status of smoking cessation in each week by self-report. Independent variable included demographic information, the characteristics in using the clinic, health status and smoking related behaviour, exposure to other smokers in daily life and motivation. Multiple logistic regression model was used to find the factors associated with success of smoking cessation. Results: The success rate in smoking cessation for 6 months was 33.6%. Five pretreatment characteristics were identified as univariate predictors of continuous abstinence. Finally, age, job, and practice oriented motivation were associated significantly with the success of smoking cessation for 6 months from a multiple logistic regression analysis. The lower socio-economic smokers such as people having lower literacy level, lower income people, unskilled workers, and recipients by Medical Assistant Program were more likely to fail in continuous abstinence for 6 months. Conclusions: In order to increase the success rate in smoking cessation clinics of public centers, counselors should activate self confidence and practice oriented motivation of participants for smoking cessation.

• 한국건강관리협회지
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• 제4권1호
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• pp.104-114
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• 2006

Background: This survey has focused on Client-Satissfaction for health examination services of Korean Association of Health Promotion, This research will help final weak point and promote the qualify of the services provided. Methods: This survey was done on 400 visitors of the clinic. Between Jan. 2 and May 3l, 2005 Questionaires were distributed to the visitors with a informed consent. Results: The visitㅐrs for health examination at Daegu chapter of Korean Association of Health promotion had high-school or higher level education(79.8%) and were self-employed persons with an average monthly income of 3~4 million won(27.7%), and housewives(33.0%). The most frequent complaints of the visitors was the difficulty in access to the center. The motives for taking health examination were cheap cost of examination(32.7%) and recommendation by fami1y members and friends(42.0%). The possitive attitude of the employees of KAHP were kind reponses to phone calls(85.3%) and kind explanations to questions(68.5%). Regarding the merits of the examination at KAHP, appropriate equipments(68.0%) and quality of equipments(66.0%) and they expressed their desire for further use revisit to the KAHP(85.3%).Conclusions. It is concluded that this KAHP is providing services meeting their demands in cost and qualitatively of health examination. However, it is noted that there are several weak points in own system that make own clients uneasy in taking health examination. They have to be solved by providing transporting for accession, kind attitudes and comfortable facilities.

• Journal of Preventive Medicine and Public Health
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• 제17권1호
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• pp.121-126
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• 1984

Several detailed aspects of medical care services during one year (Aug 1, $1982{\sim}$July 31, 1983) were compared between two community health sub-centers; one (A) was served by a local clinician, the other (B) by a trainee of preventive medicine. The results were analysed as follows: 1. Total spells of medical services during the same period in 'A' sub-center was 4,087 and that in 'B' 2,347. Medicaid visitors in 'A' was 1,051 (25.7% of the total), that in 'B' was 250 (10.7%). Significant difference was observed. 2. Average number of visits for the same case in 'A' was 2.0, that in 'B' was 1.4. Average duration of service by day for the same case in 'A' was 3.9, that in 'B' 3.0. 3. Average cost of service for a case in 'A' was 6,770 won, that in 'B' 4,230 won. 4. Difference in age distribution of visitors in the two sub-centers was insignificant. $0{\sim}9$ year group was 38.5% of the total. Difference in distribution by sex (between two sub-centers) was minimal. Male utilisers more than female by ca. 10%. 5. Concerning distribution of visitors by month, utilisation in July, August and September was the highest; the sum of them was 32.7% of the total in 'A' and 32.9% in 'B'. 6. Distribution by diagnoses in 'A' in decreasing order of frequency was Respiratory system diseases (26.1%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (17.4%), Accidents and poisoning (11.5%) and Diseases of musculoskeletal system and connective tissue (5.4%). That in 'B' was Respiratory system diseases (39.0%), Digestive system diseases (23.0%), Diseases of skin and subcutaneous tissue (14.2%), Accidents and poisoning (10.9%) and Infection and parasitic diseases (9.1%). 7. The 10 most frequent diagnoses comprised 68.5% of the total in 'A' and 65.5% in 'B' 8. Utilisation by accessibility to each sub-center was studied. It is shown that the nearer the distance or the easier the accessibility, the more visits to services. The distinct pattern is manifested in the utilisation in 'A'-Myun.

• 농촌의학ㆍ지역보건
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• 제29권1호
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• pp.185-194
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• 2004

건강증진사업을 실시하고 있는 충청남도 1개 군의 보건소에서 내원하는 주민 중 신체적 운동을 통하여 자신의 건강을 증진시키고자 하는 동기가 있는 주민을 대상으로 보건소의 운동 프로그램 교육을 받은 교육군 142명과 교육을 받지 않은 비교육군 72명에서 대하여 2003년 4월부터 9월까지 건강상태(SF-36) 변화와 운동행태의 변화에 대해 조사한 결과 다음과 같은 결론을 얻었다. 운동 프로그램을 교육받은 군에서는 비교육군에 비해 높은 운동지식과 태도를 보였으며, 교육 후 비교육군에 비해 운동 횟수의 증가를 보였다. 교육군에서 비교육군보다 건강상태의 점수가 전반적으로 높아졌으나 통계적으로 유의하지는 않았다. 운동 실천군은 운동 비실천군에 비해 운동에 대한 지식과 태도가 높았고, 조사 기간동안 운동 횟수의 증가를 보였다. 이와 같이 운동 교육 프로그램은 보건 기관 방문자들의 지식과 태도 및 운동을 다소 향상시켰다. 비교적 단기간의 소규모 연구로서 운동 교육 프로그램에 의한 건강상태의 증진효과는 뚜렷하지 않았으나 향후 적절한 강도의 장기적 운동 교육 프로그램을 통한 연구가 이루어 진다면 보다 긍정적인 효과를 기대할 수 있을 것으로 사료된다.

• 보건교육건강증진학회지
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• 제22권1호
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• pp.147-160
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• 2005

The purpose of this study is to identify the nature of the patient service quality of health center, and based on that, to examine the relationship of health center visitor's perceived quality and overall satisfaction. Data were collected on the basis of 'the 3rd Regional Health Care Planning' operated by Rural Health Care Service Technology Aid Task-force Team(RHCSTAT), Ministry of Health and Welfare. Basically, the Manual of 3rd Regional Health Care Planning is composed of structure, process, and outcome measurement indicators. Of these indicators, 21 patient satisfaction questions as outcome indicators are used in this study. The samples are 3,530 patients who visited 80 health centers all of the nation. First, the reliability and validity of patient service quality items was evaluated. Second, the descriptive statistics of health service quality are calculated. Third, through the T-test and ANOVA, the differences of patient satisfaction by responder's general characteristics are compared. In final, to explore the relationship of service quality and overall satisfaction, multiple regression analysis was used. This study shows firstly, the dimension of patient service quality was categorized into 3 dimensions, that is, facilities and environment, staff kindness, and access convenience. Secondly, the reliability and validity of patient service quality items was satisfied. Thirdly, the mean score of staff kindness factors are high in contrast to the facilities and environment. And in regard to the overall satisfaction, the mean score is more higher in Daegu region, County type health center, male group, and upper 65 age group than comparison groups. Lastly, as a result of multiple regression analysis, the effect of patient's perceived service quality, especially, appropriateness of billing time(Beta=0.190) and of reservation time(Beta=0.132) are statistically significant(P<0.01). In conclusion, to satisfy the health need of community people and improve the service quality of the health center, the efforts for the access convenience might be needed. Additionally, the enlargement on health center space and supply of new medical equipment is urgent for the patient satisfaction.

• 대한치과기공학회지
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• 제41권4호
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• pp.319-326
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• 2019

Purpose: This study aimed to verify the oral health behavior according to the oral health education experience and knowledge who visit public health center at Gyeonggi-do districts. Methods: The research has come into a survey from 2th on March to 27th on April 2018 on the youth and the century where is located in Gyeonggi-do public health centers. Results: There were statistically significant differences in the number of brushing, correct tooth brushing, and the use of oral aids in the presence of oral health education experience(p<.05). Oral health education has been shown to affect knowledge and behavior when oral health education experience is high. Conclusion: Periodic oral health education should be further strengthened, not once for the prevention of proper oral care and oral illness.