• 제목/요약/키워드: physical therapist's

검색결과 205건 처리시간 0.023초

의원 의료보조인력이 건강보험 진료비와 환자수에 미치는 영향 (The Influence of Physician's Assistants on National Health Insurance Revenue and Number of Patients in Clinic)

  • 조석주;김상아;박웅섭
    • 보건행정학회지
    • /
    • 제17권2호
    • /
    • pp.18-32
    • /
    • 2007
  • The purpose of this study was a quantitative analysis for the influence of physician's assistants on national health insurance revenue and number of patients in clinic. The data was derived from the Korean national health insurance. That was complete enumeration. Dependent variables were measured by national health insurance revenue and number of patients. Independent variables were reported physician's assistants that the number of nurse, nurse-aid, technologist of clinical laboratory, physical therapist and radiologist in clinic. Confounding variables were classified by demand(region, number of inhabitants, number of clinics, number of bed per a hundred thousand persons) and supply(sex and age of representative, number of bed, subjective of medical treatment). On the multiple regression analyses, the physician's assistants that nurse, nurse-aid, technologist of clinical laboratory and physical therapist were statistically significant for outputs. But radiologist was statistically significant only for number of patient.

물리치료사의 업무관련성 근골격계 통증, 삶의 질과 프리젠티즘의 관계 (Associations between Work-Related Musculoskeletal Pain, Quality of Life and Presenteeism in Physical Therapists)

  • 배영현;이종훈;유현주;김동언;이보라;김연희;하현근
    • 한국산업보건학회지
    • /
    • 제22권1호
    • /
    • pp.61-72
    • /
    • 2012
  • Background: The purpose of this study was to analyze the associations between physical therapists' work-related musculoskeletal pain, quality of life (QoL), and presenteeism. Methods: Self-reported questionnaires were given to 402 physical therapists in Korea. Variables examined included the prevalence of pain sites related to work, pain intensity, pain pattern, pain frequency, pain duration, pain rating score (PRS), general characteristics, QoL, and presenteeism. Results: Of the 314 physical therapists who responded, 251 (79.9%) reported work -related musculoskeletal pain in at least one body part. The most affected regions included the wrist and hand (21.0%), shoulder (19.6%), and lower back (19.1%). On average patients, QoL and presenteeism differed significantly between physical therapists who reported pain and those who did not (P < 0.05). QoL showed a negative correlation with the work-related musculoskeletal pain (P < 0.01) and presenteeism (P < 0.01), while the presenteeism and work-related musculoskeletal pain showed positive one(P < 0.01). Factors influencing a physical therapist's QoL included presenteeism, Working venues (Convalescent hospital), Work status (Contra ct worker) and professional experience, while the presenteeism included QoL, work status (Intern), PRS, working venues (Convalescent hospital), Area of specialty (Pediatrics), age, sex and working hour. Conclusions: Results show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain. Therefore, administrators need to use the intervention strategies to manage the presenteeism and QoL of physical therapists.

물리치료사의 업무 스트레스 현황과 대응수준 -부산지역을 중심으로- (An Analysis of Work Stress of Physical Therapist and Reaction)

  • 동종익;류황건;배성권
    • 보건의료산업학회지
    • /
    • 제2권1호
    • /
    • pp.37-55
    • /
    • 2008
  • This study aims to enhance work efficiency and satisfaction by offering data that make a physical therapist cope with stress coming from the job efficiently by identifying and analyzing the job satisfaction and work stress perceived by a physical therapist, and the level of reaction of a physical therapist. The study distributed survey questionnaires to 300 physical therapists working in medical institutions in Busan via mail and by visit from March 3, 2007 by selecting them simply and randomly from the physical therapist list, and collected the questionnaires by March 20, 2007, 103 respondents were working at 17 general hospitals including a university hospital, 65 respondents at 12 medical centers, and 79 respondents at 39 doctor's offices. The study collected 251 copies, which showed the collection rate of 83.7%, and analyzed 247 copies (82.3%) excluding 4 copies of insincere answers. As a research tool for measuring job satisfaction the study used a tool employed for research into the job satisfaction of physical therapists who work at medical institutions in Gwangju, Jeonnam, and Jeonbuk by Kim Hee-Gwon(1992) and research regarding job satisfaction by Jeong Jeong-Hee(2004) as well as research regarding the factors of job satisfaction by Flippo(1980) & Seberhagen(1970) after adjusting the research tools to the purpose of the study. Also for questions about work stress, the study employed nurses' job stress measurement tool developed by Kim Mae-Ja and em Mi-Ok(1984) by modifying the tool to the purpose of the study, and for a measurement tool for reaction to stress, the study used a tool employed for research into reaction to stress of nurses at general hospitals by Choi Eun-Deok(2005) without modification. For data analysis, the study used the SPSS12.0 as a statistical method, and then used t-test or ANOVA for verifying actual numbers, percentile, average :score, standard deviation, rank, and difference. Also, the study conducted which is a post-test method for variables that show a significant difference at the level of p<.05 level after the analysis. The findings include the following. 1) The respondents' job satisfaction score was 3.21 points on the average (out of 5 full points). The peer relationship ranked the highest, posting 4.02 points on the average, and the job satisfaction with rewards was proven the lowest, posting 2.51 points. For the job satisfaction level by characteristics, there were significant differences (p<.05) in gender, hospital type, weekly working hours, monthly working days, number of patients per day, department in charge of therapy, and number of peers, and there was no significant difference in characteristics other than that. 2) The respondents' work stress score was 2.72 points (out of 5 full points) on the average. The respondents were shown to be under the highest stress when they suffered from excessive workload, posting 3.49 points on the average, and they were shown to be under the least stress when they had a conflict with peers at another department, recording 1.90 points on the average. for the job stress level by the characteristics of job, there was a significant difference in the reflection of job assessment(p<.05). 3) 1n respondents' reaction to stress, most of them were shown to make efforts in coping with stress, posting 2.80 points (out of 5 full points). For their experience of being wider stress, they answered that 'they felt depressed (2.85 points)" for their experience of coping with stress, they answered that 'they were indifferent to it or thought about something else' (2.62 points). Also, for their efforts in coping with stress, they answered that 'they were motivated to remove their strain by taking leave, playing, or using their preferences' (3.52 points), which ranked higher. For the level of reaction to stress by characteristics, there were significant differences by age, gender, marital status, total service years as a physical therapist, monthly working days, and department in charge of therapy(p<.05). It is necessary to offer correct information by conducting an in-depth analysis of the stressful situations of physical therapists who exert efforts in rehabilitating patients at hospitals by factor, and seeking management plans based on the research results. Also, it is necessary to develop a program for coping with stress efficiently for removing stress and to conduct research into the understanding and cooperation of administrators and persons in charge of physical therapists for reducing physical therapists' stress at hospitals.

  • PDF

슬링운동치료에서 Hanging Point의 원리와 임상적 적용 (A Clinical Application with the Principle of Hanging Point In the Sling Exercise Therapy)

  • 김선엽;김택연;박성진
    • 대한정형도수물리치료학회지
    • /
    • 제9권2호
    • /
    • pp.25-45
    • /
    • 2003
  • Sling exercise treatment(S-E-T) is a therapeutic exercise based on scientific studies for the purpose of treating musculoskeletal or neurological disorders thereby improving strength, endurance, and skills for sensory-motor integration. Exercise resistance and intensity can be modified in various ways by changing the length of rope, patient position, therapist's manual resistance, and using elastic rope. The therapist can also progress to successively higher levels of exercise resistance and intensity by changing the position of the hanging point: the subject of this article. In brief, there are three axial components in S-E-T; hanging point, motor axis, and suspension point. The hanging point can be changed in several ways in relation to the joint; axial, superior, inferior, medial, and posterior hanging points. The position of the hanging point affects the amount of load on agonist and antagonist muscles as well as on the range of motion. To create an advanced exercise program, selection of hanging point can be two-dimensional such as superior-lateral or anterior-medial. Therapists, therefore, can freely but carefully select the best hanging point based on the purpose of the exercise and their level of knowledge in S-E-T.

  • PDF

장애 아동을 위한 수치료 프로그램 (Pooltherapy Program for Disability Children's)

  • 김찬문;황룡
    • 대한물리치료과학회지
    • /
    • 제4권1호
    • /
    • pp.329-341
    • /
    • 1997
  • Teaching swimming to the disability children's has been an accepted adjunct to other therapeutic and rehabilitative modalities for several decades. Much has been written on this subject during ths past 30 years both in the United States and in England. The purpose of this article is First, to describe the basic on swimming program equipment and principles of treatment. Second, an swimming program designied specially for use with disability children's. The foregoing designied swimming program as a recreational and therapeutic activity has tremendous potential for maintaining or improving the psychological and physical well being of the disability children's. A swimming or pool therapy program which is under the supervision of a therapist with a keen understanding of the nature and complexity of disability children's.

  • PDF

The effect of 5 different personalities on job stress in physical therapists

  • Kim, Eun Hyeong;Jang, Ho Young;Lee, Suk Min
    • Physical Therapy Rehabilitation Science
    • /
    • 제7권4호
    • /
    • pp.191-196
    • /
    • 2018
  • Objective: The purpose of this study was to investigate the effects of 5 different personalities on job stress in physical therapists. Design: Descriptive cross-sectional study. Methods: Structured self-report questionnaires consisted of demographic items, 5 types of personalities, and occupational stress. A questionnaire was distributed to 420 physical therapists working in Seoul and Incheon who had voluntarily agreed to participate in the study after the purpose of the study was explained. Of the 420 questionnaires, 405 questionnaires were collected and showed a recovery rate of 96.4%, of which 28 cases were excluded, leaving a total of 377 questionnaires being used for analyses. Pearson correlation analysis was performed to investigate the correlation of job stress and five personalities types. In addition, multiple regression analysis was performed to investigate the effect of general and occupational characteristics of physical therapist on job stress and the effect of personality type on occupational stress. All statistical significance levels were set at p<0.05. Results: The highest number of subjects, which were the physical therapists, showed the tendency to have a sincere personality, followed by affinity, openness, extroversion, and neuroticism. Physical therapists reported to be the most stressed in the order of professional role conflict, overload of work, work relation with a physician and supervisor, interpersonal relationship with patient and caregiver. The higher the level of affinity and sincerity, the lower the amount of stress received by the therapist from the interpersonal relationships between the patient and caregivers. On the other hand, the greater the level of openness and sincerity, the lower the stress levels related to professional role conflict. Conclusions: This study showed that the personality type and job stress of physiotherapists had a statistically significant effect. It is very important for physiotherapists to find their own way of coping with stress, which is satisfactory and appropriate for their job, because it is related not only to individual problems but also to the quality of patient care and medical services. Therefore, it is necessary to continue conducting research on how to relieve the stress levels of physical therapists according to their personality characteristics.

물리치료사에 대한 의사의 "지도"의 목적론적 해석 (A Teleological Interpretation of a Doctor's "Guidance" for Physical Therapist)

  • 이주일
    • 대한물리의학회지
    • /
    • 제13권2호
    • /
    • pp.147-156
    • /
    • 2018
  • PURPOSE: The law pertaining to medical service technologists does not discuss the scope and limits of doctors' guidelines. My paper aims to discuss these topics. METHODS: This study was based on a review of literature and an analysis of judicial precedents. RESULTS: Physical therapists have often noted the need for independent practitioners in their articles on health care. Their continued discussions on professional and educational differences have centered round this issue, but their ideas have not been accepted. Practitioners have continued to interpret doctors' guidelines in hospitals without discussing their scope. However, the Supreme Court presented a meaningful decision outlining the conceptual limits and the scope of medical practice. The court suggested, basing its interpretation in the goal of clarifying the concept of medical activities smoothly, was to follow a specific judgment on the levels of education, testing, and professionalism. CONCLUSION: The role of physical therapists is expanding in this country, in order to meet the needs of the ultra-aged society. Education is already responding to rising training needs. By dividing the doctors' guidelines into indirect and direct types, if there's no medical risk near or around the health center or hospital, it is a good idea to allow the management of physical therapy partially, while understanding the scope and limitations of these guidelines clearly. A teleological interpretation of the law is especially relevant, and can be implemented immediately by the authoritative interpretation on part of the health authorities without any legal amendments.

혼합형 감각조절장애 아동에 대한 단기집중 감각통합치료 프로그램의 효과-사례보고 (The Effect of Short-Term Intensive Sensory Integration Therapy Program on a Child with Sensory Modulation Disorder(Mixed Pattern) : Case Study)

  • 김은영;지석연
    • 대한감각통합치료학회지
    • /
    • 제4권1호
    • /
    • pp.37-46
    • /
    • 2006
  • Objective : This single-subject study explored the effect of short-term intensive sensory integration therapy program which was provided in a 2006 sensory integration treatment course on adaptive response of a four-year-girl with sensory modulation disorder(mixed pattern). Method : Based on results of the assessment to the child, her therapist offers an organized sensory integration program during four days. Results : Improvement of child's movement quality and variety in physical environment in therapy rooms and interaction with her therapist were observed. Conclusions : This report of the case will be helpful for occupational therapists who plan to intervent with a short-term intensive sensory integration therapy program. In addition, the need for consideration of consultation with the child's parents is discussed.

  • PDF

결합조직마사지를 통한 변비개선에 관한 연구 (A Study on Therapeutic Approach of Constipation with Connective Tissue Massage)

  • 남건우;배성수;이현옥;김수민
    • The Journal of Korean Physical Therapy
    • /
    • 제12권3호
    • /
    • pp.475-489
    • /
    • 2000
  • This research is due to know the transformation after Physical Therapist(PT) was educated the Comunity Based Rehabilitation(CBR) at the strong point by Public Health tenter(PHC) of the CBR. It was the education of physical therapist of strong point by PHC of the CBR from April 17 to April 29 of 2000 in National Rehabilitation Center. The fellowing is the result of Questionnaire educated 39 peoples. First, male and female are same rate, average age, 33 years old, In the position, regular position $86.3\%$. irregular position $13.2\%$. Second. the $76.3\%$ was only working PHC one PT. the main patients were $73.7\%$ of chronic degeneration and over 65 years old who are treated, they are treating $60.5\%$ under 20 person in each day. Third. We asked thru Questionnaire, these are first, need CBR education. second. participating of the PT of the CBR projects. third. suggesting the CBR the another in the PHC. The most of $97.4\%$ was answered the positive. $89.5\%$ agreed that they can offer physical therapy to Handicapped man without responsibility. And all of these answered $100\%$ that they want to offer the physical therapy when they meet the handicapped. Are you can aviable to assess the part of handicapped they answered $71.1\%$, to therapeutic exorcise $52.6\%$, to transfer and family education $47.4\%$, to gait training and family education $55.3\%$. In the welfare policy, introduce job and rehabilitation information side. having answer$44.7\%$. It was negative. In the filed of social welfare also is it possible for them to educate far the another medical staffs and volunteers is PHC. It was $52.6\%$. In Conclusion, needs and participant's rate was high all the people but it was the less in professional physical therapy.

  • PDF

물리치료학과 학생들의 임상실습 중 대인관계에 대한 연구 (A Study on Interpersonal Relations on Clinical Practice of Physical Therapist Students)

  • 김지선;장은미;전혜진;최영은;안덕현;김용권
    • 대한물리치료과학회지
    • /
    • 제10권2호
    • /
    • pp.173-183
    • /
    • 2003
  • The purpose of this study was to provide information for making positive interpersonal relations by understanding the degree of difficulties of interpersonal relations that physical therapist students may have on clinical practice. The survey results of 175 students who completed clinical practice for the first term of 2003. The survey was conducted through mail or e-mail between July 20 and August 20, 2003. The data were analyzed frequency, percentage, t-test, and one-way ANOVA using the SPSS/PC Ver. 10.0 (${\alpha}=0.05$). The results were as follows; 1. The mean score for the level of points interpersonal relations was 41.06 points in full 80 points. Therefore most students had a little problem on interpersonal relations. 2. More difficulties of interpersonal relations were felt by students in the following order; clinical instructors, patients, other students, and other department staffs in the hospital. 3. Between students and clinical physical therapist in the hospital, most students were satisfied with a instructor's attitude toward there (61.1%). 4. Between students and other department staffs in the hospital, most students were felt convenient when faced with other staffs(61.8%). 5. Between students and patients in the hospital, most students didn't uncomfortable when they made a rapport(69.2%). 6. Between students and other college students, most students were didn't inconvenient when they were practicing together(69.8%). 7. The students with higher marks in major felt more difficulties for forming personal relations with other department staffs in hospital, patient, and other students(p<0.05). 8. The students showed more felt inconveniences over 8 weeks practicing than below 7 weeks itperiods of clinical practice(p<0.05). 9. The number of practice place were significantly difference according to relation of patients, other college students(p<0.05). More less practice place were made difficult of interpersonal relations. The further studies would be made in viewpoints to clinical instructors, patients, students, others department staffs in the hospital so that we could compare our results with theirs.

  • PDF