• 제목/요약/키워드: preventive health service program

검색결과 179건 처리시간 0.04초

방문건강관리사업을 통한 재가 관절통증환자 집중관리 프로그램의 효과 (The Effects of Intensive Management Program of Home Visiting Health Service for community dwelling Clients with Arthralgia)

  • 박금숙;정헌영;김영희;이경완
    • 대한예방한의학회지
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    • 제18권2호
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    • pp.69-80
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    • 2014
  • Objective : The purpose of this study was to investigate the effects of Intensive management program of home visiting health service for community dwelling Clients with Arthralgia. Method : A nonequivalent control group pretest-posttest design was used for this study. Elderly people who agreed to participated in the study were assigned to an experimental group (n=30) or a control group (n=30). For an experimental group, The Intensive Management program was given as a home visiting health service once a week for 8 weeks. Study outcomes were measured by structured questionnaires from August, 2013 to october. For data analysis, Chi-square test, Fisher's exact probability test, independent t-test, and paired t-test were performed using SPSS version 17.0. Results : Changes in pain, fatigue, medical service utilization and self management compliance were significantly different between the two groups in pretest and posttest(t=-4.828, p < .001), (t=-4.944, p =.001), (t=2.176, p =.039), (t=3.141, p =.003). And there were significant difference between the two groups in left extension and flexion of knee(t=-2.241, p < .031), (t=2.166, p < .037). Conclusion : The intensive management program was effective on decreasing pain, fatigue, medical service utilization, and increasing flexibility of knee joint and self-management compliance of community dwelling clients with arthralgia.

우리나라 대학(大學) 학생보건관리실태(學生保健管理實態)에 관(關)한 조사연구(調査硏究) (A Study on Status of Student Health Service in Universities and Colleges in Korea)

  • 권병임;최삼섭
    • Journal of Preventive Medicine and Public Health
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    • 제12권1호
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    • pp.3-12
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    • 1979
  • A survery was carried out in order to know the status of student health service and student medical insurance of universities and colleges in Korea from 1 July to 30 September. 1978. And the following results were obtained; 1. Out of seventy universities and colleges, 54.8% of them had student health service facility such as student health conte. (30.0%) or health room (24.8%). 2. Out of twenty-seven national and public universities and colleges, 44.4% of them had student health service facility and out of forty-three private universities and colleges, 60.5% of them had student health service facilities. 3. Each of 80.0% of 25 universities, 43.3% of 30 colleges and 33.3% of 15 junior colleges had student health service facility. 4. Major roles of student health service were physical examination (92.1%), health counselling (86.8%), primary medical care (78.9%), tuberculosis control (68.4%), insect and rodent control (52.6%), parasite control(47.4%), water source sanitation (44.7%), and dental health care (28.9%). 5. Out of 21 universities and colleges, 66.7% of them had full time doctor and 81.0% of them had full time nurse for student health center. And out of 17 universites and colleges, 5.9% of them had full time doctor and 33.3% of then had full time nurse for student health room. 6. The range of health fee was varied from 100 won to 1,400 won per student per semester and the average was 520 won. 7. Among 55 universities and colleges, 78.6% of them had carried out annual physical examination in 1977 and the rate of physical examination was 57.4%. 8. Out of 70 universities and colleges. 45.7% of them had tuberculosis control program and the prevalence rate was 6.0 per 1,000 students. 9. Student medical insurance program was developed by ten universities and one college among 25 universities and 45 colleges. 10. Student medical insurance benefit was varied according to university and college; the reduction rate of medical fee was 20% to 80% for not only in-patient but also out-patient. 11. The upper limit of pay claim was varied according to the university and college from 5,000 won to no-limitation for out-patient and from 30,000 won to no-limitation for in-patient. 12. The highest utility rate of student medical insurance program was found in university 'F' with the rate of 791 for out-patient and 12 for admitted patient per 1,000 students.

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초등교사의 결핵 예방행위와 영향요인 (Influencing Factors in Preventive Behavior of Tuberculosis among Elementary School Teachers)

  • 강다해솜
    • 보건의료산업학회지
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    • 제12권3호
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    • pp.157-168
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    • 2018
  • Objectives: The purpose of this study was to explore and describe the influencing factors in preventive behavior of tuberculosis among elementary school teachers. Methods: Participants were 151 teachers working at 3 elementary schools in Kimhae City, 3 in Changwon City and 2 in Miryang City. Data were collected with structured questionnaires from May. 8. to Jun. 1. in 2018. Data were analyzed by SPSS/WIN 21.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The preventive behavior of tuberculosis among elementary school teachers were significantly positive correlated with knowledge(r=.275, p=.001), attitude(r=.493, p<.001) and self-efficacy(r=.280, p=.001). Moreover, The significant factors of the preventive behavior of tuberculosis were attitude(${\beta}=.341$, p<.001), gender(${\beta}=.407$, p<.001), smoking status(${\beta}=.210$, p=.004), self-efficacy(${\beta}=.187$, p=.005) and knowledge(${\beta}=.145$, p=.026). Conclusions: In this study, in order to promote the preventive behavior of tuberculosis among elementary school teachers, it is necessary to find ways to increase knowledge, attitude, and self-efficacy of tuberculosis, which are significant influencing factors. In addition it would be possible to develop more effective and efficient nursing intervention program if the individual characteristics of the subjects such as gender and smoking status are considered.

농촌지역 보건소 중심의 노인 통합보건의료서비스 필요도 (Need of Health Center-based Integrated Healthcare Services for the Elderly in Rural Area)

  • 원은숙;장세진;박종구;현숙정;김춘배
    • 농촌의학ㆍ지역보건
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    • 제32권1호
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    • pp.27-39
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    • 2007
  • Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

의료보험 건강진단사업의 개선방안 (Reform Measures of Health Examination Program in Health Insurance Scheme)

  • 박재용
    • 보건교육건강증진학회지
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    • 제16권2호
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    • pp.205-233
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    • 1999
  • This study is an effort to make policy suggestions by analysing the current health examination program as a benefit service provided by the national health insurance system, including health screening for the insured, screening of cancer and chronic diseases for their dependents. Analyses found some issues being gave attention to; 1) The insured under the community health insurance system do not get the health examination benefit. A program for them should be set to have equity in benefit services. 2) Low rates of using screen services compromise purpose and the efficiency the services have first intended to. An immediate attention should be made to increase low rate of use of screen test to detect chronic diseases in particular. 3) Selection of diseases and test items covered by health examination program does not reflect the need of the insured, but to reflect financial resources of the national health insurance system. 4) Lack of health screening facilities and their geographical maldistribution is observed, which with preference of a general hospital as a screening post by the insured may lead to unreliable test. 5) A follow-up system should have been developed for the suspected classified by test results of carrying chronic diseases. They should be cared for within the health examination program. Public health care systems incorporate such a system, along with caring for those who are in need of having a health counselling on preventive care. In conclusion, the national health insurance system should be a medical insurance of giving a higher priority on preventive care benefits, health examination program in particular. That could be done by making rearrangements of test items, screening methods and system, rationalizing current reimbursement system of service fee, increasing accessibility to and utilization of the services, and making an establishment of follow-up system.

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공중보건한의사의 진료여건에 관한 조사연구 (A Survey on the Medical Conditions of Public Health Oriental Medical Doctors)

  • 정명수;오충선;이기남
    • 대한예방한의학회지
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    • 제10권2호
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    • pp.63-80
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    • 2006
  • Public health oriental medical doctor has played a great role in providing oriental medical treatment and oriental medical health program with public health medical services, the basic infrastructure, however, is not sufficient. In this study, the researcher surveyed the treatment working or service condition of public health oriental medical doctor. 1. The payment, allowance of doctors are fixed upon the law and guideline according to the financial status of local government. The branch of public health center has more support like an official residence with expenses. 2. The public health center mainly has assitants and ratio of full-timer is more than the branch public health center without any assistants if any, they are temporary employee 3. The public health center has 5.22 beds while the branch has 3.14 beds. The daily average number of patient for public health center is 15.01 while the branch has 8.7 More than half of outpatients are over sixties with musculoskeletal disease. 4. Regarding the traveling clinic, the public health center put into more operation than the branch. The 3rd year serving public doctor gives negative about the traveling clinic much more than 1st and 2nd year serving public doctor. The treatment service condition of public doctor of the public health center is better than the branch doctor, but we are on the point of role-changing as health promotion and preventive treatment to bring up motivation, education and competence strengthening for execution the local-bound health program.

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구강건강증진프로그램이 노인의 구강건강에 미치는 영향 (Effects of Oral Health Promotion Program on Oral Function in the Elderly)

  • 장정유;이덕희
    • 보건의료산업학회지
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    • 제10권4호
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    • pp.141-151
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    • 2016
  • Objectives : The purpose of this study was to examine the effects of an oral health promotion program. And suggest that education on oral health should be given by a professional. Methods : Sixty-four people over the age of 65 years were selected from three elderly care facility located in Gyeongsangbuk-do, A city. From June 7 to August 19, 2016, an oral health promotion program was given to two experimental groups (N=21 and 20) for a total of eight times. One program was conducted by a professional and the other by a non-professional although both were considered experts. Additionally, a control group(N=23) was a observed. Results : While both experimental groups showed a positive change from the oral health promotion program, the experimental group that was given the oral health promotion program by a professional showed more positive changes in oral cavity function. Conclusions : By using professionals, it is possible to provide a health promotion program that actively monitors the oral cavity of the elderly as well as provide elderly care services for oral hygiene. Appropriate elderly health policies and oral health business model for elderly are needed.