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보건소 간호사의 노인보건서비스 업무 경험 (Public Health Nurses' Experiences of Public Health Services for the Aged)

  • 김정수
    • 성인간호학회지
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    • 제22권4호
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    • pp.408-417
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    • 2010
  • Purpose: The purpose of this study was to describe public health services for the aged in public health centers from the perspective of public health nurses. Methods: The interview data were collected from 11 public health nurses and analyzed by using Colazzi's (1978) descriptive phenomenology. The procedural steps was that described the phenomenon of interest, collected participants' descriptions of the phenomenon, extracted the meaning of significant statement, organized the meanings into theme clusters, wrote exhaustive descriptions and then incorporated data into an exhaustive description. Results: The results included 291 re-statements, 49 constructed meanings, 27 themes, 12 theme clusters, and 5 categories were deduced. The five categories were 'perception of obstacles for elderly health system', 'sense of burden in services of health', 'planning about diverse elderly health services', 'elderly clients-focused performance', and 'solidify community ground of elderly health services'. Despite obstacles, participants tried to diverse health services for elderly. Conclusion: This study has described public health nurses' experiences about public health services for the aged. These findings have important implication for the practice of public health services for the aged and must be considered to develop program for planning and practice of public health nurses for the aged.

의사의 공중보건 역량 개발을 위한 교육주제 (Education Topics for the Development of Doctors' Public Healthcare Competencies)

  • 안덕선
    • 의학교육논단
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    • 제24권1호
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    • pp.35-45
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    • 2022
  • Needs for public healthcare have recently increased. This paper proposes education topics for competency development in public healthcare in line with the needs of the times. In Korea, various lifelong education providers have already provided public health-related education. For example, the Research Institute for Health Policy (RIHP) under the Korean Medical Association provided an "executive course for physicians' public health care competencies" in 2019 and 2020. At the end of the course, the RIHP published a comprehensive report, entitled "Curricular development and evaluation for doctors' public healthcare competencies." This article is based on a summary of that report. To develop a curriculum for public healthcare, the RIHP adopted the following methodologies for a needs analysis; reviewing already-existing education subjects, evaluating end-of-course reports, and conducting in-depth focused group interviews and questionnaire surveys with doctors at public healthcare-related institutions. The results from the needs analysis can be categorized into two domains of education topics for public healthcare. The first domain includes education subjects related to the theory and practice of public healthcare, as follows: a general overview, community or population health, organizational administration, planning and evaluation, budget and finance, responses to disasters such as infectious diseases, health policy, and the legal system. The second domain contained education topics related to general professional competencies: leadership, communication, cooperation, teamwork, and professionalism. In conclusion, the curricular content for public healthcare will be an appropriate combination of competencies specific to public healthcare and core competencies for health professionals.

Unveiling the Mediating Role of Personality: Exploring the Nexus between Transformational Leadership and Work Stress in Public Organizations

  • Rohana Ahmad;Mohd Fo'ad Sakdan;Halimah Abdul Manaf
    • Asian Journal for Public Opinion Research
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    • 제12권1호
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    • pp.1-27
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    • 2024
  • This study investigates the interplay between transformational leadership, personality, and work stress in public organizations, focusing on public servants in Putrajaya, Kuala Lumpur. Data from 702 public servants in Putrajaya, Kuala Lumpur, out of 800 distributed questionnaires, were analyzed. Rigorous analysis employed a structural equation model (SEM) with partial least squares (PLS-SEM) methodology. Our empirical analysis challenges the conventional belief of a positive correlation between transformational leadership and work stress in public organizations, revealing no direct link between transformational leadership and increased work stress in this context. Our study highlights a significant positive correlation between personality and work stress among public servants, emphasizing the role of individual personality characteristics in shaping work-related stress levels. Finally, personality emerged as a crucial mediator in the transformational leadership-work stress relationship, indicating that transformational leadership indirectly influences work stress through its impact on personality. This underscores the importance of considering personality as a mediating factor in understanding the transformational leadership-work stress dynamic in public organizations. In summary, our research provides insights into the relationship between transformational leadership, personality, and work stress in public organizations. These findings challenge conventional assumptions, emphasize individual differences in stress levels, and underscore the mediating role of personality in addressing work stress among public servants.

문화변용이론의 시각에서 본 우리나라 공공도서관의 발전과정 (Growth of the Korean Public Library from the Point View of Acculturation)

  • 전명숙
    • 한국문헌정보학회지
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    • 제10권
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    • pp.39-70
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    • 1983
  • The concept of the public library defined by the Korean Library Association does not describe the current state of the Korean public library but describes the public libraries in the western society. Korean public library was formed after the western public library but it was modified and reconciled with the tradition of Korea. The difference between the concepts occured in the acculturation process of the Korean public library. According to the International Encyclopeadia of the Social Sciences, acculturation comprehends those phenomena which result when groups of individuals having different cultures come into continuous firsthand contact, with subsequent changes in the original cultural patterns of either of both groups. Korea opened its door to western world in 1876, and it began to contact with the western world. As the consequence, the concept of the public library of the West diffused to Lee Dynasty which were characterized by the confucianism and the extended family system. These two characteristics were against the public library concept and it could not function as it was and it had to be modified to fit to Korean society. The American public library was formed by the diffusion of English public library. The concept fitted in the colonial American society which was characterized by the Christianity and nuclear family system. Religion and family life were closely knitted together and they contributed much to the formation of the American public library. Also the society needed various information to form their new nation. The need of the public library grew and the public library repidly developed as the American society was urbanized and industrialized. The changes of Korean public library has passed the following process of acculturation. 1. The Korean culture contacted with Western world. 2. The public library concept diffused to Korea, but the people were illiterate and the need of the public library was for the preservation of the old books. The collection was not for people. 3. The function of the public library in Korea was altered slightly as several intellectuals who formed the first modern public library tried to literate Koreans as a means of liberation :from Japan through the library service. 4. The traditional libraries such as sodandg and hyangyo disorganized and finally disappeared as the traditional elements of the culture disappeared and the new cultural elements prevailed in Korea. 5. When the traditional elements of culture were disorganized, a reinterpretation of the diffused culture appeared. With the appearance of the vouth group which was not existed in the traditional society, cultural facilities for them were needed. They began to use public library as their reading rooms. This pattern has been institutionalized ever since in Korean public library. 6. When the new element of the culture spread, the traditional cultural elements react against this element. As the new public libraries sprung out, there were movements to restore the old Korean tradition of the family libraries and Hyangyo to counteract to the new libraries. This movements were not successful and they all disappeared as they could not keep up the rapid social change occurred in the Korean society. 7. In the process of the cultral change, cultural lag occurred between the public library and the users who could not adopt to the new library. This has been continued to the present time. 8. This diffused concept of the public library was modified and became native to Korean society. However, the acculturation of the public library concept has not changed the traditional ideas of Korean people and their behavior. The Korean society recently has been changing rapidly and the function of the Korean public library is improving accordingly; 1. The extended Korean family system is disorganizing. As the consequence, the public library could substitute the family system offering information and recreation service, etc. 2. The growth of educated population is requiring a variety of library materials. An individual library can not meet the needs of them and cooperative library service will be needed to share resources. The public library will become the center of the cooperative service. 3. The Koreans are watching TV more hours than they read printed materials. For them, the public library needs to collect audiovisual materials. Especially the teaching materials should be all audiovisualized for the effective teaching. 4. Technology is developing rapidly in Korea, especially computer technology is applied in many parts of the society. This will also influence library service. The public library will be developing as the centralized library computer system. When the Korean public library functions as the extended family system and the center of the cooperative library system, the Korean public library will be functioning as the public library defined by the Korean Library Association.

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보건간호사 인력수요 추계에 관한 연구 (A Study on the Projected Workforce for Public Health Nurses in Korea)

  • 한숙정;오복자
    • 지역사회간호학회지
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    • 제13권4호
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    • pp.757-766
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    • 2002
  • Purpose: Recently there have been many changes in health care environments in Korea. To perform public health programs effectively and efficiently, it is necessary to analyze and identify the demand and supply for the public health nurses. Method: The study analyzed experts' opinions regarding the supply of public health nurses, as well as national and foreign statistical data on workforce supply of public health nurses. Two methods for estimating the amount of demand for public health nurses were used: one was applying the indicators of developed countries for public health nurses based on population: the other was to refer to regulations and/or recommended guidelines in Korea. Result: 1) The number of public health centers, public health sub-centers, and primary health care posts have decreased between 1990 and 2001, from 260 to 242, 1318 to 1270, 2038 to 1907, respectively. 2) Between 1997 and 2002, the number of public health nurses has also decreased from 5572 to 5112. 3) In the case of applying regulations, the number (5112) of existing public health nurses falls shortly by 942. 4) In 2001, the Korean population per one public health nurse was 9262. 5) In the case of applying regulations, the number of public health nurses required to meet the demand for health services in 2001 and 2020 is estimated at 5932 and 6347, respectively. 6) In the case of applying the indicators of developed countries, the number of public health nurses required to meet the demand for health service in 2001 and 2020 is estimated at 9.469 and 10.310, respectively. Conclusion and suggestions: Because of the importance of public health industry, public health nurses have been approved as a field specialist and specialized nurse practitioner by the newly revised legal regulation, there have been absence of approval of their role differentiation and capability. In addition, organizational activity and insufficient number of the public health nurses have contributed to the inactive utilization of them. As community public health is focused on caring individuals as well as organizations, it requires more autonomy and special skills than other fields. Therefore, public health nurses need to enhance the capability as health educator, consultant, and information management persons through advanced education course for public health nurses. Public health nurses need to be prepared as advanced nurse practitioners by receiving advanced education courses and field experiences.

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한방 공공의료의 활성화에 관한 연구 - 공중보건 한의사의 활동을 중심으로 - (A Study on Activation of Oriental Medicine in Public Health Sector : The role of Oriental Public Health Physicians)

  • 이상구;문옥륜;박송림;이신재;윤태호;정백근;문용
    • 대한예방한의학회지
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    • 제4권1호
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    • pp.1-16
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    • 2000
  • From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.

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혁신성장기반 공공 연구자 중심의 기술창업 활성화 정책연구 (A Study on Technology Entrepreneurship Policy Focused on Innovative Growth)

  • 윤정근;권재철;최선희
    • 산경연구논집
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    • 제10권2호
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    • pp.51-64
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    • 2019
  • Purpose - Research on the ability of domestic public institutions to conduct business is being conducted. Research on government support policy for public technology projects, emphasizes technology creation. Public agencies are encouraging evolutionary barriers at the stage of realistic business. This paper presents the policy possibilities by presenting policies and strategies based on corporate public policy. Research design, data, and methodology - In this study, we surveyed the actual state of public technology commercialization based on the data on state of technology commercialization of public institutions. We collected and analyzed the literature data to enhance the competitiveness of technology commercialization by identifying success cases of public technology commercialization. In Korea, there are not many research papers that provide policy alternatives for technical commercialization of public research institutes. Therefore, in this paper, we review various government policies and check the status of technology commercialization to increase its value. Results - As a result of this study, it is suggested that various policy development is necessary for the commercialization of public technology, because it is important to increase the value of technology users, suppliers, investors and customers through various network activation. In particular, it is necessary to establish differentiated Korean public technology commercialization model for the proliferation of public technology commercialization by presenting methodical model of technical commercialization. Conclusions - Through this study, it is important to raise the competitiveness of domestic public technology commercialization, to create economic value, and to improve the performance of technology commercialization. Therefore, it is necessary to contribute to the creation of research achievement, research method of excellent technology, and method of commercializing technology, and to create achievement of technical commercialization in the future. In addition, from the viewpoint of commercialization of technology, strategies for creating value through utilization of public technology should be prepared, and a plan for mutual prosperity among domestic companies should be prepared. Policy alternatives of various public technology commercialization to build national competitiveness have been developed, and various examples of performance for the performance of public technology commercialization should be derived.

2008년도 직무교육참여 공공기관치과의사 대상 전문교육발전방안에 관한 설문조사 연구 (Survey on the development of the public dentist's professional education by the participating dentists of the 2008 public dentist's education)

  • 김미자;김미경;유희영;최용근
    • 대한치과의사협회지
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    • 제47권1호
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    • pp.31-42
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    • 2009
  • This study was conducted to investigate the effects of the public dentist's professional education for 81 dentists employed at the public health centers and dental clinics in the National hospitals. The purpose of this education was to improve public dentist's abilities to perform their duties. The 3days education was from 28 May until 30 May in 2008. The total 81 participants consisted of 8 medical position dentists, 20 employment position dentists, and 53 public health dentists. The survey provided appraisal of the education and suggestion of the development after this education. The obtained results were as followings : l. The public dental health project for the disabled people(91.4%) was a top priority. The second rank was the public dental health education project (87.6%) and the public dental health project for the aged people(86.4%) was followed. 2. The participants agreed that public dentist's professional educational programs were necessary(87.6%). 3. The participants did not have difficulties in attending this education(56.8%). 4. The participants who participated in 2008 public dentists' professional education were satisfied with this educational programs(81.4%). 5. Not only did the public dentists need the preventive dentistry programs and the treatment of the disabled people but also needed the health administrative programs and the health statistical programs in the future.

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AHP분석을 통한 공공공간의 공공성 제고방안 (Publicness of Public Space through the Analysis of AHP Enhancing)

  • 김혜란;이혜주;이명훈
    • 한국콘텐츠학회논문지
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    • 제13권10호
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    • pp.511-522
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    • 2013
  • 본 연구는 공공공간의 물리적 측면, 사용자 측면, 맥락적인 측면에서 공공성 제고를 위하여 반드시 고려되어야 하는 계획항목 및 지표들을 도출하고 공무원과 실무자측면에서 그 중요도를 분석하고자 하였다. 이를 위해 공공공간별 계획항목 및 지표들을 FGI(Focus Group Interview)를 통하여 도출하고, 전문가 설문을 통한 계층적 의사결정법(AHP:Analytic Hierachy Process)을 실시하여 중요도를 분석하였다. 분석결과, 공공공간의 우선순위는 공원으로 나타났으며 계획지표의 경우 공개공지, 공공보행통로, 공공공지, 공공시설부지, 공원은 위치 인지성이 가장 중요하고, 도로의 경우 대중교통수단연계가 가장 중요한 것으로 도출되었다. 이는 공공성 제고를 위해서는 공공공간은 접근이 용이하고 위치에 대한 인지성을 고려하여 계획해야 됨을 시사하는 것이다. 본 연구에서 도출된 결과는 향후 사적 공공공간의 공공성 제고 관련 정책 수립에 기초자료로 활용될 수 있을 것이다.

지방의료원의 재무적 효율성과 공공성 향상을 위한 관련 요인 분석 (Financial Integrity Strategies for Sustainable Development of Local Public Medical Centers: Focused on Financial Efficiency and Publicness)

  • 김신아;손민성;문성제;윤희수;최만규
    • 한국병원경영학회지
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    • 제22권2호
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    • pp.44-57
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    • 2017
  • The objective of this study is to investigate financial integrity strategies for sustainable development of local public medical centers, and particularly focus on seeking ways to enhance its financial efficiency and publicness. The data which was collected from 33 local public medical centers was analyzed by Data Envelopment Analysis to measure its financial efficiency. Then, Matrix Analysis was used to examine the association of financial efficiency and publicness of local public medical centers with related factors. In the aspects of facilities and location, according to the results, the local public medical centers which have larger number of available hospital beds or located in bigger cities were examined to have higher degree of publicness. In the aspect of human resources, greater number of doctors made both financial efficiency and the degree of publicness decreased, whereas higher participation rate of educational program for doctors affects increasing its financial efficiency and publicness. Lastly, in the aspect of costs, higher labor, material, and administrative cost diminished financial efficiency, but enhanced the degree of publicness. Based on these results, this study concluded that enhancing the publicness of local public medical centers should be pursued by increasing the accessibility with better facilities and location, and also concurrently organizing rational expenditure structure with appropriate cost investment to the resources of local public medical centers. Also, it is necessary to enhance both financial efficiency and publicness simultaneously by improving the quality of health care services through the educational programs for medical staffs.