• 대한예방한의학회지
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• 제4권2호
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• pp.1-24
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• 2000

This study was conducted to examine utilization patterns and determinants of oriental medical services. Data were collected from 545 residents in Taegu city The results of this study are summarized as follows 1) 37.8% of subjects used oriental medical services in the past year. Especially, the female, the ages of 50 and 60 over, the single. low-educated. high-income class, white-collar class, medical insured tended to use more oriental medical services than another groups. 2) 46.7% of users of oriental medical services reported that number of visits in the past year was 2 - 5 times 37 1% of them was 1 times, and 4.5% over 10 times. 3) According to the reasons to choose the oriental medical facilities, most was 'on their own judgement'(48.8%) and 'by the advice of relatives and friends'(42.0%) Regarding to the objectives of using oriental medicine, 68.3% was 'treatment', 31.7% 'health counselling and promotion'. And among diseases of users, diseases of musculo-skeletal system was the highest(54.5%). 4) 57.9% of oriental medical services users had experience of utilizing western medicine on the same diseases. Among peoples with experiencing western medicine on the same diseases. 54.4% received oriental medical services 'in addition to western medicine', 45.6%'in place of western medicine 'And 41.2% of using both services reported that they had difficulty in deciding to choose the type of services -oriental medical services or western medicine-for their diseases. 37.3% of them answered that 'providing relevant information' was the most desirable measure to solve this problem, 27.3% 'establishment of effective referral system between oriental and western medical facilities '23.6% 'cooperative medical treatment systems in the same facilities', 11.8%'integration of oriental medicine into western medicine 5) According to the satisfaction level with each items of oriental medical services, the respondents had positive views on efficacy, kindness, and side-effects. They, however, had negative view on the cost of oriental medical services. 6) In regarding to the priority of improvement of oriental medical system,'expansion of insurance benefit package 'ranked first. 'expansion of insurance benefit Package 'ranked second, 'improvement of scientific methods and diagnostic technique 'third, and 'safety of herbal medicine' fourth in order. 7) The significant factors influencing the utilization of oriental medical services were kindness of oriental medical practitioners, efficacy , travel time, age To be brief, utilization rate of oriental medical services in urban area generally tends to be high. There, however, have been various barriers to limit oriental medical services, such as incomplete benefit package of oriental medical insurance and lack of coordination and referral system between oriental and western medical services, lack of scientific diagnostic procedures, high price etc . For the development of oriental medical services, Much attention to remove these limiting factors should be placed. In addition, kindness of oriental medical practitioners , which is expected to be more important factor in the consumer - focused health care environment than ever, should be kept high consistently. Since this study was conducted for specific residents of an urban city. further research including more sampling in different urban areas should be required to generalize the results of the study.

• 농촌의학ㆍ지역보건
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• 제29권1호
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• pp.195-206
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• 2004

충남도내 18개 도서지역의 의료 이용행태와 의료이용을 결정하는 요인을 알아보기 위해 2002년 9월 9일부터 9월 18일까지 조사한 결과는 다음과 같다. 조사대상자의 외래 의료이용 횟수는 연령이 높을수록, 교육수준이 낮을수록 많았고 주관적 건강상태가 나쁠수록 의료이용 횟수가 높았고 통계적으로 유의하였다(p<0.05). 유병 만성질환수가 많을수록 외래 의료이용이 많았고, 의료기관 접근시간이 2시간이상 3시간 미만인 군에서 외래 의료이용 횟수가 높게 나타났다(p<0.05). 의료기관 입원 횟수는 상용치료원이 종합병원인 군에서 가장 높게 나타났고 통계적으로 유의하였다(p<0.05). 의료기관의 입원 횟수에 영향용 미치는 변수로는 주관적 건강상태로 나타났으나(p<0.05) 그 설명력이 미약하였다.

• 보건행정학회지
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• 제10권3호
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• pp.50-67
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• 2000

This study aims to estimate the consumption of antibiotics in Korea and to suggest the further studies. To measure the amount of antibiotics consumption, we referred to the statistic of NFHI(National Federation of Health Insurance) and a private institute of pharmaceutical information(Korea Intercontinental Medical Statistics; IMS Korea). There were 1,563 antibiotics produced in Korea in 1997. The total amount of antibiotics production was 1,197 billion won in 1997. Antibiotics accounted for 17.6% of the total pharmaceutical productions in 1997. Cephalosporins have taken the largest part of antibiotics production since 1992. The estimation using NFHI data showed that the total expenditure of antibiotics used in health facilities was 268 billion won, 608 billion won, 911 billion won in 1990, 1994, 1997 respectively. Tertiary hospitals spent 246 billion won, general hospitals 287 billion won, hospitals 78 billion won, clinics 300 billion won in 1997. The amount of expenditure and the intensity of antibiotics consumption in hospitals have increased more steeply than any other health facilities. The total expenditure of antibiotics consumption in health facilities and pharmacies was 778 billion won when estimated using the data from IMS Korea, and 999 billion won from NFHI. Cephalosporins was the fast growing antibiotics group in all of the market- hospitals, clinics, pharmacies since 1991. To measure the amount and patterns of antibiotics consumption more precisely, a pharmaceutical monitoring or surveillance system is needed.

• 한국실내디자인학회논문집
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• 제18권3호
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• pp.102-113
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• 2009

The SARS virus began to appear and spread in North America and Southeast Asia in the early 2000' s, infecting and harming many people. In the process of examining the causes for the virus, studies on the airborne SARS virus and the way it spread were carried out mainly in the medical field. In the field of architecture, studies were done on the diffusion of air pollutants in buildings using gases such as $CO_2$, $N_2O$, or $SF_6$, but research on virus diffusion was limited. There were also explanations of only the diffusion process without accurate information and discussion on virus characteristics. The aim of this study is to analyze the physical characteristics of airborne virus, consider the possibility of using coupled analysis model and tracer gas for analyzing virus diffusion in building space and, based on reports of how the infection spread in a hospital where SARS patients were discovered, analyze infection risk using tracer gas density and also diffusion patterns according to the location, shape, and volume of supply diffusers and exhaust grilles. This paper can provide standards and logical principles for evaluating various alternatives for making decisions on vertical or horizontal ward placement, air supply and exhaust installation and air volumes in medium or high story medical facilities.

• 모자간호학회지
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• 제4권1호
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• pp.24-32
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• 1994

본 연구는 국민건강조사의 대상가구 중 0-4세 어린이와 엄마가 있는 3,002가구(1989), 1,623가구(1992)의 모아를 대상으로 의료이용 양상을 비교하였다. 그 결과 엄마의 의료이용이 어린이의 의료이용과 유의한 상관관계를 나타내고 있으며, 특히 건강한 어린이 그룹에서 어머니의 의료이용 수준이 어린이의 의료이용량에 크게 영향을 미치는 것으로 나타났다. 엄마의 의료이용이 엄마와 가족의 특성을 나타내는 대리변수로서 어린이의 의료이용에 영향을 미치는지 알아 보기 위해 엄마와 가족의 특성을 나타내는 가구원 수, 생활수준, 의료보험 종류, 엄마의 교육수준, 엄마의 평소 건강상태를 포함한 모형과 포함하지 않은 모형을 분석하여 비교한 결과 엄마의 의료이용 수준이 어린이의 의료이용에 독자적으로 영향을 미치는 것으로 나타났다.

• 지역사회간호학회지
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• 제9권2호
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• pp.324-335
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• 1998

This study describes the extent of recognition of problems to the aged in a future society, the recognition and necessity of day care facilities, and the service contents and patterns preferred as a method of mediation for nursing the aged and increasing their quality of life. It also tries to certify the relations between those subjects. The result of the study is as follows: 1. Concerning problems of the aged of social significance the aged of the next generation consider the difficulties in nursing the aged to be the most important at 63.6%. 2. Concerning the nursing of parents, 49.4% of those answered 'children should take care of their parents and live together', while 46.7% answered that 'it is enough for children to provide an economic support, not necessarily living together. 3. Concerning information of day care facilities, 66.9% answered that they have no information. 4. Concerning the use of day care facilities, 54.6% answered that 'they would under certain circumstances', and 21.0% that 'they had better use them in the future'. 5. Concerning the feelings of the aged using day care facilities, 46.6% say 'they do not look poor', and 33.4% said that 'they look a little poor'. 6. Concerning the reasons for using day care facilities, 56.1% answered' because children do not proride care', and 48.5% answered 'because their economic ability is not sufficient'. 7. Concerning the programs potentially needed, food supply, medical services and physical therapy were ranked in that order. 8. Concerning social facilities necessary for the aged, centers that specialize in dementia, free day care facilities, home care services, and fee - based day care centers were ranked in that order. 9. Concerning institutions providing day care, welfare centers for the aged, those centers auxiliary to hospitals, asylums, and individuals were ranked in that order. 10. Concerning the responsibity running day care facilities, social workers, doctors/nursing assistants, nurses, and entrusted visitors were ranked in that order. Based on the results of this study, the study proposes that the study of applied cases of therapy in day care facilities for the aged continue.

• 한국인터넷방송통신학회논문지
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• 제18권2호
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• pp.157-162
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• 2018

의료시설 내에서 이동하고 있는 환자의 위치를 확인하는 것은 환자의 안전을 보장하고 의료서비스 질의 향상을 위해서 중요하다. 기존의 블루투스를 활용한 실내위치확인 시스템에서는 정확도 향상을 위해서 많은 사전 정보와 다수의 장치를 활용해야하는 문제가 있었다. 본 논문에서는 서로 다른 공간에 다른 패턴으로 비콘을 배치하고 동일한 수신신호강도를 갖는 비콘들을 그룹화하여 사전 정보 없이 소규모의 비콘만으로 공간을 인식하는 기법을 제안한다. 제안 기법에서는 인접 패턴간의 간섭을 고려하여 이를 최소화 할 수 있는 패턴 배치 기법을 연구했다. 또한 실험을 통해 제안 기법이 환자 위치 확인 시스템에 적용가능하다는 것을 검증하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3403-3406
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• 2015

Background: Skin biopsy is the method to assist clinicians to make definite dermatological diagnosis which further helps in holistic management. Skin cancers are relatively rare clinical diagnosis in developing countries like Nepal, but the prevalence is on rise. Objectives: To investigate the profile of skin biopsies and frequencies and pattern of skin cancers in a tertiary care centre of Western Nepal. Materials and Methods: The materials consisted of 434 biopsies (1.37%) out of 31,450 OPD visits performed in the Department of Dermatology, Manipal Teaching Hospital, Pokhara, Nepal, during the period of Dec 2011-Nov 2014. Data were collected and analyzed using SPSS-16 with reference to incidence, age, sex, race and clinical and histopathological features. Results: The commonest disorders observed in biopsies were papulosquamous lesions, skin tuberculosis of different types, benign skin tumors, leprosy, collagen and fungal diseases. Viral diseases were rarely seen, probably due to straight forward clinical diagnosis. Dermatological malignancies accounted for 55/434 (12.67%) of biopsies. Skin disorders in general were commoner in females 280/434 (64%), including malignancies 32/55(58.2%). Mean age of patients with skin cancer was 54.5 years. Facilities for proper laboratory investigation of dermatological disorders will improve the quality of life. Conclusions: The most prevalent lesion in skin biopsies was papulosquamous disorders followed by skin tuberculosis of different types. Dermatological malignancy constituted 55/434 (12.67%) cases. The prevalence of skin malignancy is on rise in Nepalese society probably due to increase in life expectancy and better diagnostic services.

• 한국의료질향상학회지
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• 제25권2호
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• pp.16-25
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• 2019

Purpose:The healthcare system of South Korea is at the extreme of the dispersed system. Few regulations limit patients from directly visiting higher-level medical institutions for primary care sensitive conditions. As a result, similar to local clinics, general and tertiary teaching hospitals also provide diverse primary care services. Our study aimed to examine the general public's perceptions of their primary care performance. Methods: Face-to-face surveys were conducted with 1000 adults who were living in South Korea with the aid of a questionnaire that included the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of five domains, which are the main indicators of primary care performance: first contact, comprehensiveness, coordination, personalized care, and family/community orientation. One-way analysis of variance and post hoc tests were used to compare the KPCAT scores across the three types of medical institutions. Results: Domain-wise analyses revealed two different patterns. With regard to first contact and its subdomains, the highest and lowest scores emerged for local clinics and tertiary teaching hospitals, respectively. However, the other four domain scores were significantly lower for local clinics than for the other two types of medical institutions. Conclusions: Local clinics were perceived to be medical institutions that are responsible for providing primary care. However, the general public perceived only one domain of their primary care to be superior to that of the other two types of medical institutions: first contact. National efforts should be taken to strengthen their other four domains of primary care by training their workforce and providing appropriate incentives.

• 농촌의학ㆍ지역보건
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• 제26권2호
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• pp.79-96
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• 2001

보건진료소 관할지역주민들의 보건진료소에 대한 이용양상과 인식도를 파악하기 위하여 2000년 12월 10일부터 2001년 1월15일까지 경상북도 상주시 지역 24개 보건진료소 관할지역 753가구(가구원 1,803명)에 대해 설문조사를 실시하였다. 전체가구원의 지난 2주간의 급성질환 이환율은 29.6%이었으며 이들의 의료기관 이용률은 98.3% 이었다. 연령별로는 60-69세가 35.4%로 가장 높았는데 연령이 높을수록, 학력이 낮을수록 이환율이 높았다. 전체 가구원의 1년간 만성질환 이환율은 19.2%이었으며 이들의 의료기관 이용률은 92.8% 이었다. 만성질환 이환율은 70세 이상에서 37.2%로 가장 높았고, 연령이 높을수록, 학력이 낮을수록 유의하게 높았다. 급성질환시 의료이용은 보건진료소 이용이 89.5%로 대부분을 차지하였으며, 만성질환시에는 보건진료소 이용이 40.2%이었고 병 의원 이용이 48.9%이었다. 조사시점 이전 1년간의 보건진료소 이용 경험률은 94.8%이었고 진료목적 이외 방문 경험률은 72.2%이었으며, 73.3%의 응답자가 보건교육을 받은 경험이 있었다고 하였다. 응답자의 98.5%가 보건진료소의 위치를 알고 있었고, 건강관리에 도움이 된다는 인식이 98.6%, 지역발전과의 관련성에는 84.3%가 큰 역할을 수행한다고 하였으며, 보건진료소의 필요성에 대해서는 97.4%가 필요하다고 응답하였다. 보건진료소의 주된 업무는 질병치료, 예방접종, 건강상담 순으로 인식하였으며 보건진료소가 중점적으로 시행해주기를 원하는 업무는 주민건강상담 및 관리가 31.6%로 가장 높았다. 보건진료소 진료비에 대해서는 88.9%가 싸다고 하였고, 보건진료원의 친절도는 98.4%가 친절하다고 하였으며 서비스 만족도도 97.0%로 매우 높았다. 보건진료소에 대한 불만사항은 약의 종류가 부족하다가 42.9%로 가장 높았고 시설이 좋지않다가 15.8%이었다. 조사대상 지역주민들은 지리적 여건과 경제적 여건에 의해 보건진료소를 많이 이용하고 있었으며 보건진료소에 대한 주민들의 만족도도 높았고 필요성도 절감하고 있었다. 그리고 질병치료업무 이외의 보건사업에 대한 요구도 많았고 의약품과 의료시설 및 장비에 대한 불만이 큰 점을 감안하여 보건진료소를 계속적으로 유지 운영하되 보건진료소의 기능의 재정비, 시설 장비의 보강, 그리고 보건진료원의 교육훈련강화를 통해 벽오지 주민에게 바람직한 의료서비스를 제공할 수 있도록 적극 지원해야 할 것이다.