• 제목/요약/키워드: medical supplies

검색결과 179건 처리시간 0.027초

병원구매업무에 있어서의 전자상거래 도입에 관한 연구 - 구매부서 관리자의 인식도를 중심으로 - (A Study on the Introduction of Electronic Commerce for Purchasing Section in Hospitals - Focused on the Understanding of Purchasing Managers -)

  • 황은범;남상요;하호욱;이창은
    • 한국병원경영학회지
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    • 제6권3호
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    • pp.69-89
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    • 2001
  • This study is focused that the electronic commerce(EC) on the purchasing section may improve the efficiency and transparency of the hospitals management. After reviewing the purchasing activity of hospitals, I study the introduction, expected effects, and problems of EC. So, I am going to provide basic information for activating EC. The samples are managers of 170 hospitals, which are located on Seoul. As a result of collection this survey, I analyze 79 hospitals. For data analysis, I use $X^2$-test and ANOVA for purchasing management and the relevance of EC according to the level of care. The results of this study are 1. The problems on the management of purchasing section are: firstly, they don't have sufficient time to study market. Secondly, it is difficult to find competitive suppliers. And, lastly, they cannot gather a lot of information about the price of products. 2. There are many answers of the needs on the introduction of B2B. However, some hospitals think they don't need it. But, the most answers are that the EC will be settled within 4 years. So, we can realize that these hospitals are getting interested on the EC. On the other hand, I find that they prefer outside EC companies for the introduction of EC. 3. On the expected effects on EC, first is the effectiveness of the market survey. The next is to collect information of adequate price of products owing to clear transaction, find easier new suppliers and gather useful data. 4. On the external problems of the introduction of EC, there is low credibility related to the security and the weakness of suppliers' information system. Especially, on the Real Transaction Price Payment system, the bigger bed size, the higher understanding on these problems. On the internal problems of the introduction of EC, first is the burden of the introduction of EC and operating cost. Especially, on the burden of the disclosure of revenue source, the smaller bed size, the higher understanding on this problem So, this is a point which deserves my attention statistically. However, this shows relatively little understanding about incomplete the standard of product category and the weak information system of hospital. Through this study, I am going to suggest 3 points for the activation of the introduction of EC on hospitals. 1. The reform of the Real Transaction Price Payment System on medical supplies and materials for medical treatment 2. The establishment of the standard of product category 3. The promotion of information system based on network.

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영상의학과 이동촬영장비의 감염 관리 (Infection Control of Computed Radiography Portable in Radiology)

  • 신성규;이효영
    • 한국방사선학회논문지
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    • 제11권2호
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    • pp.117-122
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    • 2017
  • 본 연구는 IP 카세트를 이용하는 이동촬영 장비의 세균오염도를 조사하여 이동촬영으로 인한 병원 감염을 예방하고 감염교육의 기초자료를 제공하고자 실시하였다. 결과는 IP Cassette 1번에서 CNS, VRE가 검출되었다. 2번에서는 CNS, 3번에서는 CNS, Pseudomonas aeruginosa, 4번에서는 CNS, 5번에서는 CNS, Bacillus sp., 6번에서는 Enterococcus faecium이 검출되었다. 영상판독기에서는 Enterococcus faecium, Bacillus sp., 장비 이동 손잡이에서 Acinetobacter baumannii, 조작버튼에서는 Bacillus sp., 조사야 조절 손잡이에서는 CNS, Bacillus sp., X-선 발생 스위치에서는 Acinetobacter baumannii, 바코드기 에서는 CNS가 검출되었다. IP Cassette 이동테이블에서는 Bacillus sp. Acinetobacter baumannii, 납 앞치마에서는 CNS, Bacillus sp.가 검출되었다. 방사선사가 촬영 중 착용한 의료용 장갑에서는 Acinetobacter baumannii, CNS가 검출 되었다. 따라서 IP Cassette는 사용 후에는 반드시 소독하고 재사용하며, 영상판독기, IP 이동테이블은 오염된 IP Cassette를 통해 세균이 전파될 수 있으므로 사용 후에는 소독을 실시해야 한다. 환자와 직접 접촉하는 의료용 장갑도 1회 사용 후 교체하고 촬영 시 접촉이 많은 X-발생 스위치, 납 앞치마도 철저히 소독하여 이동촬영으로 인한 감염을 예방하여야 한다.

Health Status of Dependent Older People and Pattern of Care among Caregivers: A Case Study of Hong Ha Health Promoting Hospital, Lampang, Thailand

  • Wicha, Sumitra;Saovapha, Benjaporn;Sripattarangkul, Sirirat;Manop, Natchapan;Muankonkaew, Thanakrit;Srirungrueang, Supha
    • Asian Journal for Public Opinion Research
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    • 제5권3호
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    • pp.228-249
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    • 2018
  • In 2015, the population of elderly people in Thailand was 16% of the total population and is predicted to be over 20% by 2021 and nearly 28% by 2031. The increase of the elderly population in Thailand has also increased the proportion of dependent elderly people, and caring for them poses many challenges for both families and the government. This descriptive method research aimed to survey the health status of dependent older people in the rural community of Lampang province in northern Thailand. The participants consisted of 62 older people and 62 primary family caregivers from Hong Ha Health Promoting Hospital, Lampang, Thailand (totaling 124 people). The researchers assessed the health status of older people and their activities of daily living (ADL). In addition, researchers assessed the health status and stress of caregivers. All the participants were interviewed about their experiences with caregiving. The results showed that most of the older respondents were female with an average age of 78.15 years. Based on the ADL assessment, 50 of the 62 older persons were homebound while the rest were bedridden. The majority of older people had chronic or long-term conditions that required hospitalization from time to time. Their frequent health problems included oral disorders such as tooth decay or caries/gum disease/no teeth, reduced sight, psychological disorders, knee pain and risk of falling, low BMI, risk of malnutrition, and urinary leakage and incontinence (58.06%, 66.13%, 62.90%, 70.97%, 38.71%, 66.13%, and 37.10%, respectively). Usual care provided by the family members included personal hygiene care, food preparation and feeding, medication management, housekeeping and organizing necessary equipment, supply of needed equipment, prevention of falls, helping with travel for medical checkups and treatment, and providing companionship. Families experienced shortages of medical supplies, daily use equipment, lack of employment, inadequate income, and difficulty accessing health care services due to lack of transportation. Some caregivers experienced caregiving stress related to a lack of social interactions as well as routine caregiving activities. Families need different types of support in order to promote the well-being of older people and caregivers. This highlights the need for a community participation model for the care of older people in order to reflect sustainable long-term outcomes.

치매주간보호사업 개발모형의 적용 (Application of the Development Model of Day Care Center for Dementia)

  • 정연강;백경아;현혜영;염순교;김경희;최미혜;한승의
    • 지역사회간호학회지
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    • 제14권1호
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    • pp.106-119
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    • 2003
  • This study was executed to develop the model of the format of the day care center which supplies the total service on the health care in the day time and social program related with the work and to evaluate the processing courses which was adjusted for 3 years from March 1999 to December 2001 in order to improve the quality of life of the family who experience dementia, dementia prevention, and the old and the burden of daily activities. The processing courses of this business model were evaluated to the confirmation on the health condition, application of the nursing processes, and the precise medical examination, and 20 sorts of social programs. The methods used in this model were the simplified MMSE-K, Ability for ,Daily Life(ADL), Instrumental Activities of Daily Living(IADL), and nursing process, and so on. The execution effects of this model are as follows. 1. It can contribute to the delay in the dementia process of the old people who are related with the dementia and maintenance and improvement of the health by confirming the stopping of the process of the dementia as the objective estimation method while the dementia symptom is maintained as the current condition through the medical and social total services. 2. The reduction of the burden for the daily care of the subject people and their families for the old people who are concerned with the dementia helped to improve the quality of life of the subject people and their family by enabling them to have jobs. 3. It enabled them to positively cope with the demand for the health and nursing of the local residents related to the old people. 4. It enabled them to enhance the recognition for the socialization of the local social organization and residents for the old people. 5. It enabled them to reinforce the related system among the local social organizations, and develop and provide the various social programs which are proper for the old people.

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간암환자에 있어서 $^{11}C$-Acetate와 $^{18}F$-FDG PET/CT 검사의 당일 검사법과 양일 검사법의 비교 (Comparison of One-day and Two-day Protocol of $^{11}C$-Acetate and $^{18}F$-FDG Scan in Hepatoma)

  • 강신창;박훈희;김정열;임한상;김재삼;이창호
    • 핵의학기술
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    • 제14권2호
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    • pp.3-8
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    • 2010
  • $^{11}C$-Acetate PET/CT는 간에 관련된 병변을 찾아내는데 있어 유용성이 있으며, 이에 대한 예민도는 87.3%에 이른다. 이에 반해 $^{18}F$-FDG PET/CT의 예민도는 47.3%이며, $^{18}F$-FDG와 $^{11}C$-Acetate PET/CT 검사를 동시에 사용하는 경우 예민도는 100%로 보고된바 있다. 하지만 $^{11}C$-Acetate PET/CT검사에서 췌장, 비장의 정상섭취로 인해 $^{18}F$-FDG PET/CT검사에 영향을 줄 수 있어 정확한 진단에 혼란을 야기시킬 수 있다. 본 연구는 이러한 두 방사성의약품의 사용으로 인하여 영상에 얼마나 영향을 주는지에 대해 당일 검사법과 양일 검사법 간의 비교 분석을 통해 유용성을 확인하는데 목적이 있다. 본 연구는 2007년 12월부터 2009년 7월까지 본원에서 간암 진단을 받고 PET/CT 검사를 시행한 환자 46명을 대상으로 하였다(남자 35명, 여자 11명, 평균연령: $54{\pm}10.6$세, 연령 범위: 29~69세). 검사에 이용된 장비는 Biograph TruePoint 40 PET/CT이며, 당일 검사법으로 검사한 21명에게는 $^{11}C$-Acetate PET/CT 검사를 먼저 시행하고 약 1시간 후에 곧바로 $^{18}F$-FDG PET/CT 검사를 시행하였다. 양일 검사법으로 검사를 시행한 25명에게는 1일째 $^{11}C$-Acetate PET/CT검사를 시행하고, 2일째 $^{18}F$-FDG PET/CT 검사를 시행하였다. 두 검사법 간의 $^{18}F$-FDG 영상에서 췌장과 비장에 동일한 관심영역을 설정하고 표준섭취계수를 측정하여 비교 평가하였다. 통계 분석은 SPSS Ver. 17을 사용하였으며, unpaired t-test를 통하여 두 검사법 간의 통계적 유의성을 확인하였다. 각각의 검사법으로 시행한 환자의 영상을 분석한 결과, 양일 검사법으로 검사를 시행한 환자의 췌장 부분의 표준섭취계수 평균${\pm}$표준편차는 두부 $1.62{\pm}0.32$ g/mL, 체부 $1.57{\pm}0.37$ g/mL, 미부 $1.49{\pm}0.33$ g/mL, 비장은 $1.53{\pm}0.28$ g/mL였다. 당일 검사법으로 검사를 시행한 환자의 췌장은 두부 $1.65{\pm}0.35$ g/mL, 체부 $1.58{\pm}0.27$ g/mL, 미부 $1.49{\pm}0.28$ g/mL, 비장은 $1.66{\pm}0.29$ g/mL로 나타났다. 당일 검사법과 양일 검사법 간의 췌장과 비장에서의 표준섭취계수는 통계적으로 유의한 차이를 보이지 않았으며 (p<0.05), PET/CT 영상분석에서도 위양성으로 오인할 수 있는 높은 섭취는 보이지 않았다. 본 연구를 통해서 하루 동안 $^{11}C$-Acetate와 $^{18}F$-FDG PET/CT 검사를 시행하여도 $^{18}F$-FDG 영상에서 $^{11}C$-Acetate의 영향으로 인해 표준섭취계수의 과대평가가 일어나지 않는다는 것을 알 수 있었고 이는 표준섭취계수의 측정값을 통해 통계적으로 유의성을 확인할 수 있었다. 앞으로 $^{11}C$-Acetate가 상용화될 경우 $^{18}F$-FDG와 당일 검사법을 이용하여 간질환의 진단에 있어 PET/CT 검사의 진단능을 향상시킬 수 있고 위 결과를 토대로 두 방사성의약품의 간섭영향 없이 하루에 검사를 완료할 수 있으며, 대기시간을 단축하여 환자의 만족도를 높일 수 있을 것으로 사료된다.

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입원환자의 비공식적 의료비용 부담에 관한 연구 (A Study on the Informal Cost Burden of the Patients Admitted to the Hospital)

  • 한미현
    • 간호행정학회지
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    • 제7권1호
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    • pp.5-14
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    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

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DMA 인터페이스를 갖는 블루투스 기저대역 모듈의 설계 및 구현 (Design and Implementation of a Bluetooth Baseband Module with DMA Interface)

  • 천익재;오종환;임지숙;김보관;박인철
    • 대한전자공학회논문지SD
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    • 제39권3호
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    • pp.98-109
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    • 2002
  • 블루투스 무선 기술은 음성 및 데이터 전송을 위한 단거리 일대다중 무선 주파수 통신을 위해 제안된 범용적으로 사용 가능한 무선통신 기술이다. 블루투스는 2.4㎓ ISM 밴드에서 동작하며 약 l0m 범위의 다양한 이동 장치와 휴대용 장치를 위한 저가격의 기저대역 무선 접속을 제공한다 본 논문은 DMA 방식의 블루투스 기저대역 모듈을 개발하고 그 구조와 테스트 결과를 보인다. 개발된 모듈은 링크 컨트롤러, UART 그리고 오디오 코덱의 세가지 블록으로 구성되며 메인 프로세서 사이의 정보 전달 및 DMA지원을 위한 버스 인터페이스와 RF모듈과의 데이터 송수신을 위한 RF 인터페이스를 지원한다. DMA의 사용은 FIFO를 이용한 데이터의 송수신 방법을 사용하는 기저대역 모듈에 비하여 모듈의 구현 크기 및 데이터의 처리 속도에 있어서도 많은 차이점을 갖는다. 각 블록을 DMA를 지원하도록 설계함으로써 작은 크기의 모듈을 설계할 수 있다. 이러한 작은 크기의 모듈은 생산비용의 절감과 함께 다양한 응용분야에 사용될 수 있는 범용성을 제공한다. 또한 본 모듈은 UART를 이용한 펌웨어 업그레이드 방식을 지원하고 소프트 IP로 설계되었으며 FPGA와 ASIC으로 구현하여 개인용 컴퓨터 사이의 파일 전송과 비트-스트림 전송을 통해 테스트 되었다.

점토광물의 식품산업분야 활용 방안 (Application of Clay Minerals in the Food Industry)

  • 박소림;이소영;김효진;임성일;남영도;강일모
    • 자원환경지질
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    • 제48권3호
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    • pp.255-260
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    • 2015
  • 지구상에는 2000종 이상의 광물이 존재하고 있으며 환경, 건축, 축산, 화학, 의약 등의 다양한 분야에서 활용되고 있다. 그 중 점토광물은 흡착과 방출을 통해 물리 화학적인 성질이 변할 수 있는 특징이 있다. 국내 비금속 광물자원의 매장량은 약 96억 톤으로 그 자원 효용이 높은데 반해 고부가가치화를 이루지 못하고 있는 실정이다. 또한 벤토나이트와 제올라이트를 이용한 제품들이 화장품과 생활용품, 포장재 등에 일부 사용되고 있지만 잠재적인 가치 측면에서 무한한 가능성을 지닌 식품산업에 활용된 사례는 사실상 전무하다. 광물자원에 대한 식품/약용으로의 섭취기록은 이미 오래 전부터 문헌상으로 존재하고 있으며, 국내 매장량이 높은 자원임을 감안할 때 식품 소재로서의 활용가치는 상당하리라 생각된다. 점토광물의 특허 동향 조사를 통해 미국, 유럽을 비롯한 세계 각국이 기업체를 중심으로 광물자원을 식품산업에 적용하기 위한 기술을 개발 중이며, 관련 산업이 성장시기에 있다는 것을 확인할 수 있었다. 따라서 본 논문에서는 국내외 광물자원 관련 식품산업분야 특허 동향과 광물자원의 식품산업분야 이용 및 규제 현황에 관한 정보를 제공하고, 이를 바탕으로 향후 광물자원을 식품분야에 어떻게 활용할 지에 대한 적용 방안을 제시하고자 한다.

식물세포배양기술을 이용한 약용식물 개똥쑥 세포주 유도 및 세포주 추출물의 wound healing effect (Effect of Artemisia annua Linne callus induced by plant cell culture technology on wound healing)

  • 오승택;정해수;조문진;송미영;모상현;서효현
    • 한국산학기술학회논문지
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    • 제15권9호
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    • pp.5628-5636
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    • 2014
  • 현재 많은 나라들은 자생식물을 활용한 산업소재를 개발하는 데 지대한 관심을 가지고 있다. 특히 화장품 산업은 친환경, 자연친화적인 소재를 찾는데 집중하고 있는 추세이다. 우수한 생리활성 물질을 포함한 식물을 식물세포배양기술을 이용하여 대량으로 배양하고 그 함유물을 고농도로 얻음으로 효과적인 소재로 개발하려고 노력하고 있다. 이에 본 연구는 항암, 항균, 항산화, 항염 등의 효능이 입증되어 세계적으로 주목받고 있는 개똥쑥을 선택하여 식물세포배양기술을 이용해 유도한 캘러스의 화장품 소재로서의 가능성을 확인하고자 하였다. 약 6개월 동안 식물세포배양기술로 개똥쑥 캘러스를 유도하였고, 유도된 캘러스를 얻어 열수 및 에탄올 추출하여 약 2개월간 다양한 효능을 시험하였다. HPLC 분석을 통하여 열수 및 에탄올 추출물의 유효성분에 차이를 보임을 확인하였다. 또한 효능평가에서도 차이를 보였다. 개똥쑥 캘러스 에탄올 추출물을 처리하였을 경우 항염관련 단백질인 COX-2의 발현을 50% 이상 감소시키고 wound healing assay를 통해 상처 치유능이 70%정도 증가함을 확인하였다. 이를 통해 개똥쑥 캘러스 추출물이 자연친화적, 친환경적인 소재로써 항염 및 상처치료 관련 제품에 기여할 것으로 예상된다.

보건진료원 직무수행에 영향을 미치는 요인에 관한 연구 - 경기도 관내 보건진료원을 중심으로 - (A Study on the Factors which influenced the Performance of Community Health Practitioners' Function -Around the CHPs in Kyonggi-province Area-)

  • 이명숙
    • 한국보건간호학회지
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    • 제3권1호
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    • pp.18-37
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    • 1989
  • This study was done in order to analyze the factors which influenced the performance level of community health practitioners' task. Interview survey was done during the period from August to October, 1986. Interviewee were 166 CHPs among total of 217 CHPs in Kyonggi province area. Multiple stepwise regression and canonical correlation analysis were used to identify major factors influenced to perform community health practitioners' task. The results of this study were summarized as follows: 1. General characteristics of CHPs 1) Personal characteristics The average age of CHPs was 37.8 years and their marital status was $77.6\%$ of married, educational back-ground was $65.3\%$ of junior college graduation. Their job career was $38.6\%$ of between 1-3 years, $33.3\%$ of between 3-5 years, $22.2\%$ of less than 1 years. Most of CHPs$(62.8\%)$ were fully satisfied with their job, $33.3\%$ were moderately, and $3.8\%$ were not satisfied. 2) Working environmental condition Only $31.7%$ of CHPs were satisfied with their working condition of primary health post, $26.6\%$ were not satisfied. Half of CHPs$(52.5\%)$ replied having good cooperation with health center, $10.1\%$ replied bad. Cooperation with health subcenter was good in $32.9\%$, and bad in $21.9%$. Cooperation with private health institutions was good in $34.2\%$, bad in $21.6%$. 2. Performance level of community health practitioners' task Among a total of 52 contents of their functions medical history taking. physical examination, referral of diagnostic laboratory work-up($(86.4\%)$, health assessment of pregnant women$(82.1\%)$, development of health information system$(79.4\%)$, supervision of health workers $(78.4\%)$, follow-up of family planning acceptors$(77.3\%)$, and follow-up of family planning acceptors' side effects$(77.3\%)$ were actively performed. Diagnosis of pregnancy$(62.1\%)$, sampling of drinking water for quality test$(52.5\%)$, making list of equipment' & supplies $(51.5\%)$, evaluation of primary health post activities $(37.6\%)$, organization of village health workers$(32.4\%)$ and management of village health workers $(30.1\%)$ were poorly performed. 3. Stepwise multiple regression analysis of job function The factors which influenced the performance level of community health practitioners' function were age, marital status, educational level, job career, job satisfaction, satisfaction of working environment of primary health post, cooperation of health center, cooperation of health center, cooperation of private health instiutions in orders. These 9 variables were able to explain job function from $25.7\%$ of program planning to $6.7\%$ of management of common disease. 4. Canonical correlation analysis between the performance of function and general characteristics of CHPs. Cooperation of private health institutions was found to be the factor influencing task performance of community organization, management of primary health post, technical supervision of health personnels. Job satisfaction of CHPs was also found to be the factor influencing task performance of family planning, management of common disease and maintenance of health information system.

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