• 대한예방한의학회지
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• 제4권1호
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• pp.32-50
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• 2000

On the process of research in the plan on oriental medical participation in the industrial health sponsored by BK21 project, we carried out the oriental medical health examination program for workers during former half-year We reached the conclusion as follows, 1. The oriental medical health examination program is contents and formalities that should be determined by present industrial health system, based on the oriental medical system and scholastic character, and included probability of the western and oriental medical cooperation. 2. The oriental medical health examination program can promote capability of individual health management and productive power of workers, and it is capable to manage on the self-conscious symptoms and macroschophically approach to their environment 3. The oriental medical health examination program that we have developed, is flow as questionare, understanding of working environment, information of result and later management. It is composed of three fields as follow , first, use of pulse diagnostic apparatus, understanding of the health promotion life style, and diagnosis of the oriental medical doctor, second, analysis of constitution, third, photographing for understanding of the musculoskeletal disorders, questionare for musculoskeletal self-conscious symptoms, and diagnosis of oriental medical doctor. 4. The oriental medical health examination program that we have developed, progressive from the view point of health, makes the oriental medical doctor's roll more important. It is the first trial at the western and oriental medical cooperation and characterized by excellence about musouloskeletal disorders. But it need to be improved in aspects of time and specialist on the health examination, diagnostic apparatus, control of examinant and later management. So we think that it needs research on the employment of health examination specialist, establishment of later management system, development of significantly diagnosable standard and assessable form on the health examination, and contents of health examination on the western and oriental medical cooperation.

• 한국학교보건학회지
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• 제7권1호
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• pp.9-28
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• 1994

This study is to investigate the status and problems in the anual physical examination in elementary & secondary schools. The study helps the introduction of health assessment. Two hundreds and forty nurse teachers of elementary & seconcary school in Seoul received in-service traomong fpr 20 daus frp, September 7 to September 27, 1992. Questionnaires were given to the 240 teachers and the number of collected questionnaire is 112. The result of the questionnaire analysis is like the following. First, the answered teachers aged 35~39, 36.6%; experience 6~10 years 37.5%; the number of class 31~40, 28.6%. Among the answered of the school doctors is practicioners. The doctors major subjects are 26.8% of internal medicine and 35.7% of surgery. Second, in elementary & secondary school nurse teachers received in-service training for the primary health assessment. And then 37.5% of schools practiced the health assessment. The term of the health assessment is largely a-year-length, occurately its rate of schools have practiced the assessment reaches 81.0%. The number of health assessment are consist of eyes, nose, ear, throat, skin, spine, heart and other abnormal regions and diseases all over the body. And 83.3% of the rate of the health assessment includes all these contents. The period of the health assessment is 7 to 28 days. Third, the physical examination conducted by school doctors is 91.0%. The method is various; one is 56.6% of the students who checked first by he nurse teacher. The number of 15.1% of the schools is directly checked by the school doctor. The invited medical doctors are divided into two categories. The number of general physician is 61.9%. Contrary to that school doctors are 38.1%. The contents of the medical examination is all the items printed on the medical examination sheet. To follow the medical examination sheet the number of school is 59.6%. Eyes, throat, skin and heart etc. partly medical examination is 40.4%. The rate of schools that used only stethoscope, tongue pressor as the medical instruments reaches 53.4% and 87.1% of elementary & secondary school give the invited doctors the allowance a nurse teachers conference decided. The number of 8.9% schools pay the doctors independent allowance. The medical examomatopm allowance is 200 to 250 won per capita. The rate is 56.1%. Forth, after the medical examination 72.1% of school sends letter to the parents to notice the result of the examination. The number of response from parent is 12.5%. The observation record in secondary school is 70.6% for junior, and 80.0% for senior respectively, and 65.5% is for the elementary school children. To conclude the regular physical examination in elementary & secondary school is very important. Because the students are in the stage of rapid growth and development. Early finding of the students diseases can help to cure with ease. In the light of public health the management of health program in the elementary & secondary school is of consequence.

• 의학교육논단
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• 제12권1호
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• pp.33-41
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• 2010

Purpose: This study aimed at investigating the current situation of Medical Humanities and Sociology-related-curriculum in Korean medical schools, and suggesting the courses of study for the contents and methods of the Medical Humanities and Sociology examination, which can be included in the National Examination for Medical Practitioners. Methods: We analyzed Medical Humanities and Sociology-related courses which are offered in Korean medical schools, and a survey was conducted by medical school professors and students and medical journalists. In the survey, the Medical Humanities and Sociology-related courses were divided into 8 parts, and the participants were asked to evaluate the importance of duty, necessity of education, necessity of evaluation and the evaluation method of each part using a seven-point scale. Results: A total of 207 medical school professors and students and 9 medical journalists participated in the survey. The results were similar for the importance of duty and necessity of education of each part, but those for the necessity of evaluation were different. - As a result, there seems to be a gap between the importance of duty and the importance of education of each course. Medical journalists and students group answered differently on the necessity of evaluation of each course was also reserved. Conclusion: It is necessarily recommended to include Medical Humanities and Sociology-related courses such as medical ethics, self-improvement and doctors' social responsibilities in the National Examination for Medical Practitioners.

• 한국정보시스템학회지:정보시스템연구
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• 제24권2호
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• pp.163-188
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• 2015

Purpose The healthcare services have drawn so much public attention, and many organizations such as schools and companies require the individuals to undergo the periodic health examination. In general, however, the mass health examination services are not managed in systematic way, and both examinees and medical staffs often experience much inconvenience while preparing, undergoing and managing the services. To address such problems, this paper aims to design the Health Examination Management System (HEMS), an integrated management system for mass health examination operations management, and implement its prototype. Design/methodology/approach First of all, HEMS enables the medical staffs to efficiently collect and manage the examination result data by supporting examination service management. Second, the users can efficiently analyze the cause-and-effect relationships among the examination items by using the visualization tool of HEMS based on the cluster heat map. Finally, the HEMS provides the operational supports for evaluating and managing the service performances. Findings The HEMS indicates that the conventional operations management approaches can be incorporated into the mass health examination services, and it is expected that the proposed system enables the examinees and the medical staffs to participate in such services in more efficient way.

• 보험의학회지
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• 제3권1호
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• pp.55-61
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• 1986

In life insurance the goal of medical examination is to exclude medical, environmental adverse-selection to the utmost. And keeping the principle of equity and the homogeneity of risk in the group of the insured, you are able to manage the company reasonably and realize the orginal ideal of life insurance, namely, the mutual assistance. And yet, the cases of the misrepresentation have been occurred frequently so far. As a result of them, the development of life insurance industry has been obstructed, and public criticism has been caused. Carrying medical examination, you have to know how the representation is important, And citing what the misrepresentation and false representation influenced the results, I want you to refer to medical exam-business.

• 디자인융복합연구
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• 제17권2호
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• pp.235-244
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• 2018

국민건강관리공단에서 행하고 있는 건강검진은 질병의 초기발견과 예방에 목적을 둔다. 검진 이후에는 결과지를 받게 되는데 이는 의료진과 환자의 원활한 의사소통을 위한 수단이 된다. 지금까지 몇 차례 결과지에 대한 디자인 개선이 이루어졌다. 그러나 여전히 환자들의 낮은 이해도와 인지의 문제점이 지적되고 있다. 따라서 본 연구에서는 실제 사용자인 수검자와 의료진, 디자이너들의 의견을 조사하여 디자인을 개선하고 사용성도 편리한 검진결과표를 제안하고자 한다. 연구방법은 건강검진 결과서와 관련한 각종 정보디자인 연구에 대한 문헌고찰과 현재 건강검진 결과지에 대한 사용자 인터뷰로 사전 조사하여 문제점을 파악하고 기존의 결과지를 1차로 디자인을 개선하였다. 또한 기존의 건강검진결과지와 본 연구자가 개선한 검진결과지를 수검자와 의료진에게 검증을 실시하여 그 결과를 참조하여 최종적으로 디자인 하였다. 그 결과 기존의 결과지에서 지적되었던 문제점이 상당수 해소 되었다는 긍정적인 답변을 얻었다.

• 한국직업건강간호학회지
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• 제11권1호
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• pp.52-62
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• 2002

Purpose: This study was to analyze changes of motivation and health-promoting lifestyle in 3 months after medical examination, and to identify the influencing factors on the change of health-promoting lifestyle. Methods: The subjects of this study were 81 adults who took medical examination at a general hospital health clinic in Cheonan city. The instruments used in this study were the motivation scale and modified HPLP. For data collection, the first survey was conducted from March 16 to April 19, 2001, and the second survey was carried out by mail three months after the medical examination from June 16 to July 19, 2001. Results: 1. The age of the subjects ranged from 26 to 66 years, 71.6% were male, and the major group was office workers(43.2%). 2. The average score of motivation scale was significantly improved in three months to 520.7(SD=82.7). All sub-scales of motivation scale, self-efficacy(t=-4.204, p=.000), perceived benefits(t=-4.263, p=.000), perceived barriers (t=4.305, p=.000), and emotional salience (t=-6.169, p=.000) showed significant improvements in 3 months. 3. The average score of health-promoting lifestyle was significantly increased to 62.5 (SD=9.8) (t=-5.111, p=.000) after 3 months. Health responsibility(t=-6.098, p=.000), eating habit(t=-3.625, p=.001), exercise(t=-2.557, p=.012), and smoking habit(t=-2.157, p=.034) showed significant improvement. But stress management was not changed at the significant level in 3 months(t=-1.832, p=.071). 4. As the result of multiple regression analysis, it was found that perceived barriers, self-efficacy and monthly mean income had a significant influence on health-promoting lifestyle in 3 months after the medical examination. These variables explained 42.4% of variance in health-promoting lifestyle in 3 months after the medical examination. Conclusion: Periodic medical examination and guidance for healthy lifestyle was effective to change the motivation and to improve health promoting lifestyle.

• 항공우주의학회지
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• 제29권2호
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• pp.67-71
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• 2019

The health of licence holders (flight crew members and air traffic controllers) is recognized as an important element of aviation safety. The medical emergency symptoms that occur during the flight duty period without prior notice can interfere with human performance capabilities and threaten aviation safety. To prevent this, ICAO has been required to conduct a periodic medical assessment process of licence holders including routine analysis of in-flight incapacitation events and medical findings during medical to identify areas of increased medical risk and continuous reevaluation of the medical assessment process to concentrate on identified areas of increased medical risk. The supply and demand of licence holders have become a major issue due to the increase in air traffic around the world, and the pilot retirement age has been extended to 65 years. But, there is no significant change in the aviation medical assessments process. The follow up of the result of medical examination discovered through aviation medical examination is a very important part, but it has not been properly implemented, and the sick leaves and medical inflight incapacitation reporting system should be improved. The management of health risk factors for licence holders must be implemented to prevent aircraft accidents or aviation safety problems caused by health problems. In this paper, we propose the development plan and concrete improvement plan of the health risk management system of licence holders in Korea in terms of aviation safety.

• 한국정보처리학회논문지
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• 제7권2S호
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• pp.594-607
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• 2000

The goal of this research is to develop a Remote Medical Examination System on Oriental Medicine on the very high sped information communication network. We developed a remote medical examination system based on the sample examination data of 10 patients and develop the information of search database based on contents. We analyzed the sample data and the requirements of patients, doctors, and nurses. By the analyzed result, we designed and constructed a prototype are as follow: the multimedia ORDBMS server system, network interface technology, internal/external database schema design, oriental medicine expert knowledge base design, inter-data search algorithm design and thesaurus.

• 농촌의학ㆍ지역보건
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• 제28권2호
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• pp.87-105
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• 2003

2002년도 군위군 내 30세 이상 저소득주민을 대상으로 건강검진을 실시한 결과 유소견자로 판정된 263명에 대하여 설문지를 이용하여 추후의료기관 이용여부와 관련요인을 조사 분석하였다. 대상자의 추후의료기관 이용률은 51.0%이었으며, 미이용률은 49.0%이었다. 단순분석결과, 추후의료기관 이용률은 소인성 요인에 있어서는 남자의 경우, 건강관심도가 높은 경우, 질병이 오는 이유가 팔자나 운명적이지 않다는 경우, 검진이 건강에 도움이 된다는 경우, 검진결과를 통보 받을 당시 느낌이 걱정된다는 경우가 의료기관 이용률이 높았다(P<0.05). 가능성 요인에서는 의료보장형태가 의료급여인 경우, 과거 2년간 건강검진 경험이 있는 경우, 단골의료기관이 있는 경우, 검진결과를 인지하는 가족이 있는 경우에 추후의료기관 이용률이 높았다(P<0.05). 필요성 요인에서는 검진결과를 본인이 인지한 경우, 판정결과가 건강에 심각하다는 경우, 검진결과를 통보받는 방법이 우편과 전화통보를 받은 경우, 검진결과에 대한 가족반응이 있는 경우, 보건지도가 있는 경우가 추후의료기관 이용률이 유의하게 높았다(P<0.01). 의료기관 이용여부를 종속변수로 하고 단순분석에서 유의한 관련이 있는 변수를 독립변수로 한 다중 로지스틱 회귀분석 결과, 판정결과를 받을 당시 느낌이 걱정이 된 경우, 의료보장형태가 의료급여의 경우 (P<0.05), 과거 2년간 검진경험이 있는 경우(P<0.05), 검진결과에 대한 가족의 반응이 있는 경우(P<0.01)가 의료기관을 더 이용하였다. 추후 의료기관을 이용한 방문시점은 통보 후 8-15일이 가장 높았고 그 다음이 16-30일 순이었다. 재검결과 당초와 같은 질환이 69.4%, 정상이 23.1%, 당초와 다른 질환이 7.5%이였으며, 정밀검사 후 치료유형에서는 규칙적 치료가 39.6%로 가장 높았으며, 치료하지 않은 경우가 34.4%, 치료중단이 11.8%이었다. 추후의료기관을 이용하지 않은 이유는 가벼운 질환인 것 같아서가 32.4%로 가장 높았으며, 일 때문에 시간이 없어서, 결과가 정상이라서, 이전부터 알고 있는 질병으로 치료 중이어서 순이었다. 이상의 결과, 저소득층의 건강검진 실시 후 의료이용 제고와 사후관리를 위해서는 국가와 검진기관, 보건기관, 가족 등이 연대가 되어야 하겠다. 국가에서는 차상위계층의 의료이용문제점을 해결하여 의료이용의 형평성과 효율성을 높이도록 하여야 하며, 검진기관과 보건기관에서는 건강검진 전에 검진의 필요성, 의의, 올바른 수검지도를 실시하고, 건강검진 통보 시에는 유소견자에 대해서는 방문 등을 통하여 추후관리를 하는 것이 의료기관 이용률을 높일 수 있을 것이다. 그리고 건강검진 결과에 대한 올바른 해석, 의료이용의 필요성, 해당 질환에 대한 정보에 대해 본인 뿐만 아니라 가족을 포함한 보건지도가 있어야 하겠다.