• 제목/요약/키워드: rural health service

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고령층 만성질환 외래이용의 지역 간 변이 (Regional Difference in Outpatient Service Utilization for Chronic Diseases among the Elderly)

  • 윤희숙
    • 보건행정학회지
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    • 제24권2호
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    • pp.128-135
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    • 2014
  • Background: With ageing and growing importance of disease management system, it is necessary to investigate the extent of regional difference in service utilization for chronic diseases among the elderly and to reflect it in designing the system. Methods: A multiple regression analysis and descriptive statistics analyses were employed using patient survey, which covers nationwide health facilities and their users. Results: While the differences in the rate of service utilization/utilization outside living area between urban and rural areas or between income levels are not large, considerable variations are observed within urban or rural areas and within income groups. Conclusion: This results suggest that it is important to subsidize economically disadvantaged segments of the population and residents of less-favored areas to be better-equipped for chronic disease management in order to prevent the development of severe ailments and the need for treatment at higher-level medical institutions. Improvements to the service infrastructure in vulnerable regions are essential.

농촌지역 고령자 보건·의료·복지시설의 집약에 따른 서비스 연계 - 일본 동북지방의 Miyagi현 Nango와 Yamagata현 Nishigawa의 비교분석 - (A Study on the Service Network of Intensive arrangement of the Health, Medical and Welfare facilities for Elderly in Japan - Focused on Miyagi Nango and Yamagata Nishigawa in Tohoku area of Japan -)

  • 남윤철
    • 한국농촌건축학회논문집
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    • 제9권3호
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    • pp.111-120
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    • 2007
  • Recently, the small-scale local governments of japan are enlarging and enriching the service of health, medical and welfare facilities for the elderly . Intensive arrangement of the three types of facilities is one of the effective ways especially for the small-scale local governments. The service network between facilities benefits by the intensive arrangement. Benefits include the network of the medical service, the share of care information, the share of space and equipment. It can be a notable feature in the intensive arrangement that the elderly were taken from welfare facilities (especially dayscare center) to hospital of high movement frequency quickly. Instead of EV path as possible, It is desirable to stand close between facilities of high movement frequency. For large area, the heavy snow made low daycare ratio. Therefore, it is desirable to construct a branch office at a long distance.

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도시 규모 별 청소년의 건강생활 실천 차이와 관련 요인 (Analysis of the Differences in Healthy Behaviors of Adolescents by Regional Size and Related Factors)

  • 진영란;양선이
    • 한국농촌간호학회지
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    • 제18권1호
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    • pp.11-18
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    • 2023
  • Purpose: This study is to compare adolescents' health behaviors by city size and to propose regionally tailored health promotion. Methods: We analyzed the data from the 17th Youth Health Risk Behavior Online Survey, national widly performed in 2021. Multi-sample descriptive and linear regression analysis was performed by city size. Results: The frequency of fruit consumption in the last week was 2.88 in the rural area, which is lower than 2.98 and 3.05 in other cities (F=10.98, p<.001). The number of high-intensity physical activity days in the last week (7 days) was 2.90 days in the rural area, higher than 2.74 and 2.73 days in other cities (F=3.36, p=.038). The number of days smoking cigarettes in the last 30 days was 3.23 days in the rural area, higher than 3.08 and 3.02 days in other cities (F=3.41, p=.035). BMI was 22.01 in the rural area, which was higher than 21.57 and 21.61 in other cities (F=4.19, p=.015). Conclusion: School health offices in the rural area districts need to operate to manage lack of fruit intake, smoking, and weight management programs in association with local healthcare institutions.

보건진료원 업무활동의 변화과정 : 문헌사료를 중심으로 (Changes in Work Activities of Community Health Practitioners by Time Period)

  • 김옥
    • 한국농촌간호학회지
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    • 제8권1호
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    • pp.25-32
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    • 2013
  • Purpose: The purpose of this study was to investigate the changing process of work activities of community health practitioners in medically vulnerable areas. Methods: For the study an historical research method was used, based on literature data and collected literature data related to the work of community health practitioners from 1940 to 2013. Results: There were 45 records according to the literature data about the work activities of the practitioners. Analysis of the process of work activities by time period was based on the historical records: first, the introduction period (1940~1980) saw the "community health practitioners begin their work activities"; second, the development period (1981~1997) involved "provision of comprehensive health and medical service"; third, the stagnation period (1998~2005) characterized by "attempts at new role changes in a crisis"; fourth, the expansion period (2006~2011) "focused on the work of health promotion"; and finally, the stable period (2012~the present) observed "work activities of community health practitioners recognized." Conclusion: Results showed five topics in the process of work activities of community health practitioners by time period. The results offer basic data to investigate work activities of these practitioners and enable discussions about the future of community healthcare.

도시(都市)와 농촌지역(農村地域)의 건강관심도(建康關心度), 건강행위(建康行爲) 및 주관적(主觀的)인 건강인식(建康認識)과의 관련성(關聯性) 연구(硏究) (The Study on the Relationship between Health Concern, Health Behavior, and Subjective Health Cognition in Urban and Rural Area)

  • 전선영;권소희;유현주;장두섭;송용선;이기남
    • 대한예방한의학회지
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    • 제6권2호
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    • pp.19-35
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    • 2002
  • To know the differences between health concern, health behavior, and subjective health cognition in urban and rural area, author used the correlation analysis between variables and wanted to provide basic data for public health service to support appropriate health care, health maintenance, and health promotion in community. Data collection were done in JeonBuk area from September 10 to October 10, 2001, and subjects were above 20 years old adult. 350 and 250 subjects were from urban and rural area by random sampling, respectively. Questionnaire were completed by interview with direct or self-recording type. Research tool was questionnaire with health concern, health behavior, and subjective health cognition, and data collected were analyzed into descriptives, crosstabs, T-test, ANOVA, Pearson correlation coefficient by SPSS 10.0 program. The results were as follows: 1. Health concern was 9.0% for upper group, 39.1% for middle group, 51.9% for lower group in urban area, and 10.1% for upper group, 41.0% for middle group, 48.8% for lower group in rural area. Health concern for middle and lower group was totally high percentage, and rural area had higher health concern than urban area. 2. Health behavior in both urban and rural area was statistically significant(p<0.01). Women who had higher age and with spouse had high degree of health behavior, and urban area had totally high score for health behavior compared to rural area. 3. Subjective health cognition was 71.0% for health, 29.0% for non-health in urban area, and 61.3% for health, 38.7% for non-health in rural area. Percentage of health group was higher in urban area than in rural area. 4. Degree of health behavior by health concern was statistically significant only in rural area. That is to say, the higher health concern had the higher degree of health behavior in rural area. Subjective health cognition by health behavior was totally significant correlation with health behavior in urban and rural area(p〈0.05). That is to say, the higher health behavior in urban and rural area had the higher subjective health cognition. 5. For correlations between 3 variables, there was significant correlation between health behavior and subjective health cognition in urban area (p<0.01). There were correlations between health concern and health behavior, health behavior and subjective health cognition(p<0.05). Considering above results, the higher health behavior had the higher subjective health cognition in urban area. The higher health concern had the higher behavior, and the higher health behavior had the higher subjective health cognition in rural area.

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도시와 농어촌지역 중·고등학생의 구강건강인식 및 구강보건 의식행태 비교연구 (A Comparative Study on Dental Health Perception and Dental Health Behaviors among Middle and High School Students in the Urban and Rural)

  • 김민자;양희정;이승연
    • 보건의료산업학회지
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    • 제6권4호
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    • pp.205-217
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    • 2012
  • A comparative study of the dental health perception and dental health behaviors among 12,325 middle and high school students in urban and rural areas was conducted by using "2010 National Dental Health Investigation". The results of this study are as follows. For the dental health perception and the utilization of dental service, all middle and high school students had a low perception of the their dental health status toward the farming and fishing regions from the urban. For the time of tooth-brushing among the dental health behaviors, most middle and high school students brushed their teeth after lunch. In connection with the frequency of cariogenic snack intake, high school students had a greater percentage toward the farming and fishing regions from the urban. For the dental health status, middle school students in big cities had a high average of carious permanent teeth, but high school students had a high average of carious permanent teeth toward the farming and fishing regions from the urban. In other words, there was no significant difference in missing permanent teeth, filling permanent teeth and decay permanent teeth between middle school students by region, but high school students had a greater percentage of the dental health perception and dental health behaviors toward the farming and fishing regions from the urban, showing a little difference. Consequently, there was a relationship between middle and high school students' perception of dental health and their behaviors of dental health.

보건진료소 보건사업 현황 분석 (Analysis of the Results of Health Service Programs in the Primary Health Care Posts)

  • 손계순;문자;박춘희;이은경
    • 한국농촌간호학회지
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    • 제3권1호
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    • pp.24-33
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    • 2008
  • Purpose: To analyze health programs of the PHCP (Primary Health Care Posts) Method: From August 2006 to July 2007, data on the general quality and health program of the PHCP was requested by official letter and replies were received via E-mail. From December 8 to December 30, 2007, data from 1,268 (66.8%) PHCP out of 1,897 PHCP were analyzed using SPSS 12.0 Win program. Results: The average population covered by each PHCP is 878.3 people. For the health and special programs, Community Health Practitioners report high motivation for programs on health promotion, management of chronic illness, social welfare (40-50%). Demand by the residents was reported at 10% and increases in the health of the residents were attributed to high interest and demand. Volunteer work was 83.3% for bathing, 54.5% for equipment support and 46% for exercise programs. As elders make up 30% of the population in rural areas, there is an increasing demand for volunteer work in bathing programs. Conclusions: As the number of elders in the population increases and there is an increased need for more medical treatment for older people who are sick, the role of PHCP must be strengthened to include visits to homes of community residents. Where financial support for the PHCP is difficult, it is necessary to develop sound data on demographic characteristics of the population in order to develop efficient and effective health promotion programs. The finding that 54.7% of the population need management of chronic illness has difficulty in seeing a physician indicates a need to enhance the health care delivery system by strengthening the role of the Community Health Practitioners and including them in the civil service system to ensure stability of the PHCP.

의료급여대상자의 의료이용형태와 건강행위에 관한 연구 - 선택병의원제 적용여부를 중심으로 - (A Study of Health Care Service Utilization and Health Behavior among Medical Aid Beneficiaries In Terms of Whether to Apply a Designated Doctor System)

  • 최정명
    • 한국농촌간호학회지
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    • 제8권1호
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    • pp.5-12
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    • 2013
  • Purpose: This research was a survey to ascertain whether there are differences in opinion about designated doctors and hospitals, type of health care service utilized and health behavior between people who have applied to be Medical Aid Beneficiaries, but not using the Designated Doctor System. Method: The participants were from three groups, application for two years, one year and non-appliers. Data collection was done by Medical Care Client Managers through in-depth interviews using a structured questionnaire. Results: The participants expressed no negative effect of the designated doctor system in relation to designated doctor, hospital or health behavior but there was a significant effect in type of health care service utilized. Conclusion: In the future, the commitment of Medical Care Client Managers is important, but the role of health care providers will be emphasized in order to sustain the effectiveness of the health care system under the Designated Doctor System.

Molecular epidemiological characterization of poultry red mite (Dermanyssus gallinae) collected from Korea

  • Oh, Sang-Ik;Noh, Guntai;Yi, Seung Won;Do, Yoon Jung;Kim, Eunju;Yoo, Jae Gyu
    • 한국동물위생학회지
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    • 제42권3호
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    • pp.161-167
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    • 2019
  • The poultry red mite (PRM), Dermanyssus gallinae, causes great economic losses to poultry industries in Korea. The molecular epidemiological characterization of PRM has been investigated in some countries, but those analysis has been not conducted yet in Korea. The aim of this study is to determine the genetic diversity of PRMs in Korea compared with those from other countries. Here, 13 PRM samples collected from Korea were analyzed with a part of the mitochondrial cytochrome oxidase subunit I (COI) gene and nuclear internal transcribed spacers (ITS) region. All the samples showed an identical COI sequence, which has also been reported in European countries and Japan. Phylogenetic diversity analysis showed that the mites from Korea were genetically related to those in other countries. The nuclear ITS region sequences were classified into three sequence types. Additionally, one of the ITS sequences was an intermediate type, implying that a hybridization event occurred among the mite populations in Korea. These findings suggested PRMs from Korea showed low genetic diversity with respect to mitochondrial COI gene, but three different populations inhabited in Korea with respect to nuclear ITS region sequences.

소피부사상균이 한우 송아지 경매가격에 미치는 영향 (The effect of bovine dermatophytosis on auction price in Hanwoo calves)

  • 이한규;조아라;정영훈;도윤정;복은영;허태영
    • 한국동물위생학회지
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    • 제46권3호
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    • pp.243-247
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    • 2023
  • This study examined the dermatophytes of calves aged between 6 and 12 months in the Hanwoo calf auction market. Moreover, the research analyzed how dermatophytosis affected the auction price of Hanwoo calves based on their sex and age. The incidence rate of dermatophytosis was found to be 85 cases out of 1,955 calves (4.3%). The major location of dermatophytosis lesions were in the head region. Specifically, the highest prevalence was observed in the forehead (42.4%), followed by the eyes (30.1%), and the ears (18.8%). The auction prices of Hanwoo calves were observed that the average price for normal calves was 2,936,428 won, while calves with dermatophytosis were sold at 2,767,059 won. Comparing auction prices according to gender and age, it was observed that male calves and calves aged between 8 and 12 months had significantly lower auction prices compared to normal calves. The results provided valuable insights into the current situation of dermatophytosis in Hanwoo calves. Moreover, analyzing the impact of dermatophytosis on the auction prices of these calves, it has generated essential data that can serve as a foundation for implementing and enhancing ongoing management and prevention measures for dermatophytosis in cattle.