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보건의료산업학회지 [The Korean Journal of Health Service Management]

간행물 정보
  • 자료유형
    학술지
  • 발행기관
    보건의료산업학회 [The Korean Society of Health Service Management]
  • pISSN
    2093-5986
  • 간기
    계간
  • 수록기간
    2007 ~ 2026
  • 등재여부
    KCI 등재
  • 주제분류
    의약학 > 기타의약학
  • 십진분류
    KDC 517 DDC 613
제6권 제1호 (20건)
No
1

4,500원

The purpose of this study was to investigates the perception on medical technology, self-efficacy, and professional self conception of OR nurses. The data was collected by distributing structured questionnaires to 164 OR nurses in 13 secondary hospitals located in Gyeongsangnam-do and Gyeongsangbuk-do, beginning Apr. 12th to the 24th of 2010, and analyzed by t-test, ANOVA, Pearson correlation coefficient. The correlation between perception on medical technology and professional self conception showed to be positively correlated at r = .222. The correlation between self-efficacy and perception on medical technology showed positive correlation at r = .197. Also, the correlation between self-efficacy and professional self conception was r = .609, showing a relatively high positive correlation. We have observed that the perceptions of nurses on medical technology and their self efficacy have a significant effect in professional self consciousness. Therefore, it is important to develop programs that increase self-efficacy and followed by policies to maintain them.

2

대도시 노인의 주관적 구강증상과 저작능력이 삶의 질에 미치는 영향

류황건, 임현주, 김혜숙, 강현경

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.11-25

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4,800원

The purpose of this study is to examine relations among the subjective oral symptoms, masticatory performance and life quality of aged people residing in some regions of a large city, ultimately providing basic information needed to develop and implement programs oral health project and oral health education programs for the oral health promotion of those people. For the above purpose, this researcher conducted a questionnaire survey of people aged 65 or over from July 14th to 30th, 2011. Among the copies of the questionnaire distributed to the subjects, 318 were recollected. Out the recollected forms, 18 which were deemed as in appropriately filled in were excluded, and the remaining 300 were finally analyzed. The results are as follows. Subjective oral symptoms and masticatory performance have correlation(p<0.001) with aged people's life quality. Factors of influencing life quality were indicated to be gender(p=0.046), age(p=0.008), appearance of living together(<0.001), masticatory performance(p<0.001), and temperature reaction(p=0.018). This study has limitation because of being information that was obtained just with questionnaire survey on subjective oral symptoms. It is considered that there is a need of surveying along with objective data on oral symptoms hereafter.

3

근골격계질환자의 양‧한방 외래 의료이용과 관련요인

김성영, 박재용

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.27-38

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4,300원

This study is to find out the correlation among the predisposing, enabling, and need factors in Anderson Behavioral Model using the data from Korea Medical Panel Survey conducted in the early part (April 1 –October 31) of 2008. The findings are as follows. It was found that the utilization rate of western medical service was far higher. the influential factor to choose western or oriental medical service taking western medical institutions as the reference group, the influential factor to choose oriental medical institution has significantly increased when the patient who have covered by medical insurance has one accompanied disease and their age was between 45 - 74, compared to the people less than 45 years old. It also increased when the age of the patient was between 45-54 years old, and in the event those who are not covered by medical insurance have accompanied disease and that the disease mobility period is 2-4 years. reviewing the several characteristics of the utilization of western and oriental medical services by the patient with musculoskeletal system disorders, the number of accompanied disease is an influential factor for the utilization of oriental medical services. And, disease mobility period is a significant factor for the utilization of both western and oriental medical services together, though it is not identified in this study. Therefore, it is expected that mutual cooperation between western and oriental medical services is more required for the patient with musculoskeletal system disorders as the aging society rapidly develops. In order to foster oriental medicine, it is required to specialize in competitive disease such as musculoskeletal system disorders.

4

노인의 주관적 구강건강상태 및 구강보건행태에 영향을 미치는 요인

이숙정, 김창환, 최규일

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.39-51

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4,500원

The purpose of this study is to provide a set of fundamental data for the oral hygiene education for the elderly as a result of the survey on the oral hygiene and subjective oral health of the elderly in an aged society. For this purpose, 269 elders who dwelled in Gyeongsangbuk-do region were randomly selected in an arbitrary selection process, followed by a survey on their oral hygiene and health. The collected data were coded and processed by using SPSS 15.0 software. As for the analysis of the data, the general characteristics and the basic items concerning the management of the oral health were analyzed for their frequency and percentages, while the general characteristics and the awareness on the oral health were processed with Chi-square validation to show a set of results as follows; Firstly, among the items on the oral health, the satisfaction on the current condition of their oral health was below average. Secondly, concerning the oral hygienic behaviors, the majority of the samples answered that they were brushing their teeth twice a day. And, as for the brushing methods, the largest number of the samples answered that they were brushing their teeth in a 'horizontal direction'. Thirdly, they reported they were having difficulties in getting dental treatments. The implications of this study are that it is necessary to provide sound oral health education to them to correct the inappropriate oral hygienic behaviors.

5

일부 대학생의 외적 이미지와 자기 완벽성에 대한 인식이 우울에 미치는 영향

전상남, 박지은, 황성완, 김선희

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.53-63

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4,200원

The purpose of this study is to examine the influence of external image and self perfectionism on the depression. The survey collected 240 subjects from 3 university students in Seoul, Korea. The research period was from May to June of 2011 and the collected data were analyzed using the SPSS 15.0. As a result of this research, those with lower self image level, those with higher self perfectionism increased the depression level. It is necessary to develop programs for university students considering the fact that external image and self perfectionism influence on the depression. Moreover, it should be developed that solutions can decrease psychological pressure and overcome overwhelming expectation.

6

정신과 외래환자들의 의료이용에 관한 연구

김채봉, 황성완

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.77-86

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4,000원

Objective of the study represents experiences of medical utilization of Psychiatric Outpatients. This research draws on information obtained from the 2008 National-wide sampling study of the Korean Healthcare Panel(KHP) conducted. The results of our study suggest the significance of variables such as the gender(p<.001) in the social demographical characteristics, the medical security type(p<.016), medical institution utilization(p<.012) treatment type(p<.004) in the utilization factors. In the case of medical utilization cost, the financial support factor(p<.018) showed a significant relationship. Depending on the particularities of gender, medical security type, financial support, medical institution utilization, treatment type were determined through a multiple logistics regression analysis. Gender showed that, among Psychiatric outpatient age of 30-59 level was 5.358 times and 60 years and older, their the second medical examination level was 4.490 times higher than Psychiatric outpatients under the age of 29. Health insurance type showed for the others medical allowance was 6.712 times higher than job health insurance and the other treatment was 0.395 times lower than drug treatment. Psychiatric outpatients utilization are rooted in the thoughts and factor levels of the Psychiatric patients and must be understood from the Psychiatric outpatients's perspective. The point is not only to gauge the patients research during Psychiatric medical utilization. The important of social community mental healthcare services levels goes beyond the goal of enhancing healthcare.

7

노인의료복지시설 근무자들의 이직의도 결정요인

오지영, 서영준, 박현숙

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.87-103

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5,100원

The purpose of this study is to investigate the determinants of intent to leave among workers at long-term care institutions in South Korea. The model represents a revision of the Price(2001) model which extends previous research by providing a comprehensive review of the economic, psychological, sociological literature. This study also examined the moderating effects of values toward independent variables on the job satisfaction and organizational commitment. The sample used in this study consisted of 400 workers from 9 long-term care hospitals and facilities nationwide. Data were collected with self-administered questionnaires and analysed using multiple regression analysis and path analysis. The main results of the study were as follows. The variance of job satisfaction and organizational commitment explained by the independent variables used in the study are 74.5% and 76.3% respectively. The results of this study revealed that the following variables have significant negative effects on intent to leave among workers; organizational commitment, job satisfaction, positive affectivity, supervisor support, job significance, job security, job growth. And the following variables have significant positive effects on intent to leave among workers; job opportunity, negative affectivity. This result is same when the moderating role of values were considered in the analysis. Among demographic variables, only age was found to have a significant positive effect on the intent to leave among workers.

8

방사선과 학생들의 학과선택 결정요인과 만족에 관한 연구

여진동, 김혜숙, 고인호

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.105-116

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4,300원

Some radiology majors at three-year colleges in Daegu and Gyeongsangbuk-Do Province were selected for the research. The survey was conducted by explaining its objectives and distributing the self-administered questionnaires from March 7 to 30, 2011; then, the final analysis was carried out on 122 copies, drawing the following conclusions : 1) 31.1% of the radiology majors were motivated to enter their department by good employment after graduation, and 37.7% were getting information from their parents or relatives in selecting their major. 2) The majority of the respondents wanted to get a job in a big city after graduation on the basis of good pay. 3) Department selection was significantly affected by transportation, department and school image, and school facilities, and the effects were higher among females. 4) Department satisfaction was significantly affected by professor satisfaction, prospects for the department, and support for employment activities, and the effects were higher among females. 5) School satisfaction was significantly affected by satisfaction with school selection decision, good selection, and school environment, and the effects were higher among females. 6) Females were found to have higher professional consciousness as a radiologist, showing statistically significant differences: "the occupation as a radiologist will continue to be developed" at 3.97±.837 for males and at 4.55±.663 for females and "the occupation as a radiologist is stable and will be help get a life-long job" at 3.82±.9.08 for males and at 4.41±.787 for females.

9

일개 대학병원의 상향․하향 인사평가결과 비교분석

조성만, 서영준, 강신희, 황슬기, 김장묵

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.117-128

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4,300원

This study purports to investigate the difference between upward and downward feedback and to find out the strategy to enhance the validity and reliability of the multi-source feedback system. Data were collected from 88 middle-level managers working at divisions of nursing, administration, and clinical technology at a university hospital located in north-eastern part of South Korea. Data about multi-source feedback of the year 2008 and 2009 were obtained from the department of personnel management under the permission of hospital top management. The collected data were analyzed using t-test, and correlation analysis. The major findings of the study were as follows: First, the scores of downward feedback were always higher than those of the upward feedback. Second, the scores of downward feedback were always higher than those of the upward feedback in both nursing and administrative staff, while no significant difference was found in technological staff. Third, the upward and downward feedback scores were significantly different in terms of the evaluation factors. Fourth, there were significant correlations between total scores of downward and upward feedback, and evaluation factor scores. In conclusion, the composition and weight of measurement items of multi-source feedback needs to be designed differently in terms of each job characteristics.

10

병원 간호사의 존엄사에 대한 태도

김태경, 정하윤, 민혜숙

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.129-140

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4,300원

The purpose of this study was to identify attitude of hospital nurse’s on death with dignity. The subjects of the study were 516 nurses. The data was analyzed by SPSS PC 19.0 program. 1) 82.8% participants agree to death with dignity, and they and their family will ask death with dignity in actual situations. 2) The average score of overall attitude on death with dignity was 3.13±0.52. 3) With respect to the general characteristics of participants there were statistically significant difference in total score according to age, Marital Status, education level, religion, career, position, and existence of patients with incurable disease around. 4) With respect to the death with dignity related characteristics of participants there were statistically significant difference in total score according to agreement to death with dignity, request to my death with dignity, in case my family member requests death with dignity. Although many nurses had a positive concept of death with dignity, they still have ethical dilemmas in life-sustaining care. Therefore training programs on moral rights are necessary to provide guidelines foe end-of-life care.

11

과거 치과치료의 통증 경험이 치과공포에 미치는 영향

박소영, 원영순

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.141-151

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4,200원

In this study a survey was conducted of a total of 187 insurance sales workers from 10 branches of S Insurance Company located around Korea to gather information on causes of dental fear. Results revealed that the group who had experienced direct dental pain in the past showed higher fear levels than the group without such experience. With respect to indirect dental pain, the group with such experience showed higher fear levels in ‘fear of dental appointments’ and ‘fear of antiseptic smells than the group without such experience. Concerning gender, higher fear levels were observed among females than among males. It was also found that the majority of the respondents seldom go for a regular dental check-up regardless of whether they had experienced direct or indirect pain during dental treatment. In addition, there was positive correlation among all the items in the Dental Fear Survey Scale at a significance level of 0.1%. Twenty of all the DFS items were found to be related to causes of dental fear, meaning that most of the elements involving the dentistry may contribute to the development of dental fear among dentally fearful people.

12

청소년 도박중독의 특성에 관한 연구

류황건, 최이순, 장효강, 김정은

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.153-161

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4,000원

The purpose of this study is to investigate the factors on the characteristics of youth gambling addiction to develop the youth gambling prevention program. The data was collected by using questionnaire, from Oct 2010 to Dec 2011. Of the 2,400 surveys distributed, 2,301 were collected and 2,286 of those were used for analysis after eliminating 15 with insufficient responses. The major findings of this study can be summarized as follows. First, there were some differences on the future gambling intention and the internet addiction by gender, grade, pocket money, experience in the illegal gambling site visits and gambling experience. Students who experience in the illegal gambling site visits were represented relatively higher on the future gambling intention and the internet addiction. Second, the overall experience in the illegal gambling site visits is 6.9%, while 23.2% of the total respondents were found to be the experience of gambling. Third, the future gambling intention, irrational gambling beliefs and the internet addiction were found have positive correlation with each other.

13

4,000원

The purpose of the study were to investigate the effect of laughter program on the stress of nursing college students in clinical practice . The research design is one group pretest-posttest survey. Thirty-eight nursing college students took part in the study. Laughter program was carried out for 1hour 6weeks. Laughter program showed significant change on the state anxiety, mood-emotion, laughter index, subjective stress and self esteem. The acquired data were analyzed with SPSS/win 15.0 using descriptive methods paired t-test, Pearson correlation coefficient. The research producted following results: Laughter program can be effective to decrease the clinical practice stress; anxiety, mood-emotion and subjective stress index. Laughter program can be effective to increase laughter index and self esteem of nursing college students. Based on the study, It is necessary to repeat studies and considering to develop proper methods of clinical practice stress of nursing college students. This study recommends that laughter program coupled with cognitive approaches could affect ways of nursing college students coping with stress and contribute to the improvement from increasing their satisfaction.

14

4,200원

This study is designed to look into the relations between college students' will for the improvement of their health and self-efficacy, happiness, life satisfaction and leisure satisfaction. To achieve this, a survey was carried out from November 2011 to December 2011, targeting 876 college students in 10 different regions in Busan and Gyeongsangnam-do area. From the questionnaires, undependable and inappropriate questionnaires were excluded and 812 questionnaires were used for analysis data in descriptive statistics, variance analysis and simple regression analysis. The results are as follows. The groups with the strong show higher self-efficacy, have more happiness and express better life satisfaction. It has been empirically proved that those college students with a strong will to improve their health love themselves more and value themselves higher, which has positive influences on their happiness, life satisfaction and leisure satisfaction.

15

4,000원

This study is to observe the effect of oral health of elderly on overall health status and social activity to provide basic data for oral health improvement program for the elderly and development of related policies. The survey was conducted from July 25th to July 29th, 2011, and used 145 copies for this research analysis. As a result of correlation analysis, it is observed that all of 4 sub factors of Geriatric Oral Health Assessment Index have significant static correlation with overall health status of elderly and social activity also has significant static correlation with oral health. As a result of regression analysis, the functional limitation out of sub factors showed significant positive effect on health status and psychological effect has significant positive effect on social activity. Based on the above result, it is observed that, at the time of rapidly entering to an aging society, the life quality related to oral health of elderly which is part of overall health and overall health status and social activity areas that are recognized by the elderly have significant correlation. And, it is important to understand the factors of oral health affecting health status and social activity. Based on the result of this study, more researches on the development of oral health program and development of assessment tool that can be easily employed should be made.

16

학교병원 유무에 따른 보건-의료계열 대학생의 임상실습 현황 및 만족도 조사

김수정, 김병곤, 박창희, 박수정, 전권일, 김순구

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.195-203

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4,000원

The purpose of this study was to identify clinical practice (clinical training education) and satisfaction depend on university hospital availability according to a survey with 850 healthcare-affiliated students. The collected data were analyzed with the SPSS17.0 program. The result was shown statistically significant difference depends on gender, major departments and satisfaction of college life. In addition, there were significant differences in satisfaction of clinical training education in the environmental aspects of practice depending on whether affiliated hospital or not. There were no significant correlation found between degree of satisfaction of clinical training education and the need for affiliated hospital (r = .204, p <.01). As a result, Attached to the university hospital can be helpful to healthcare-affiliated students on environmental and educational aspects of clinical training education. Therefore, the effective and practical training programs using university-affiliated hospitals are surely needed to develop and to apply the active support.

17

4,600원

This study aimed to identify influences of depression, anxiety and stress-coping aspect upon smoking desire of undergraduates, depending on their lifestyles. Method had analyzed each measuring item in a way of structural equation of SPSS17.0/AMOS 5.0, then reliability analysis was conducted. The measuring items included health-conscious, fashion-conscious, grade-conscious, physical figure-conscious and convenience-conscious in students' lifestyles had correlation with depression, anxiety and stress-coping aspect. Also it was studied if their depression, anxiety and stress-coping aspect had influences upon smoking desire. The result showed that students health-conscious, grade-conscious, and physical figure-conscious had correlation with depression and anxiety, and among them, those health-conscious, grade-conscious, and physical figure-conscious had led to smoking desire. Conclusion showed that students' lifestyles may accompany depression and anxiety, ultimately causing smoking desire. Accordingly, this study can be consider to develop smoking prevention educational programs and policies.

[사례연구]

18

건강도시 웹데이터베이스 활용방안 연구: 원주시 사례

남은우, 박재성, 최은희, 김경나

보건의료산업학회 보건의료산업학회지 제6권 제1호 2012.03 pp.219-229

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4,200원

The purpose of this study is to introduce the web database for healthy city Wonju that contains healthy city indicators and materials. It has provided diverse information to public officers who are working on healthy city projects and citizens for monitoring and evaluating the projects, effectively. The web database was made on 2006 and was updated on 2009. The new Web database system was designed for supporting that the staffs of healthy city can manage all data update by themselves. The new Web database encompasses more recent information about health city projects. After identifying users' needs and reasons for modifying the fields of data, we added new indicators to the Web database. Some redundant indicators were deleted based on users' requests. The Web database quality evaluations were peformed by using 13 quality evaluations constructs. Through all 13 constructs, less than 20% of study subjects felt that it did not satisfy their needs or expectations. Well developed and verified contents of the Web database for healthy city are very essential and important. The database makes healthy city projects alive by managing and sharing healthy city related data and indicators effectively.

19

4,800원

This study was focused on experience of adult offsprings with disabled perents, and thereby on the evaluation of their family-of-origin environment. Adult offsprings's experience and understanding of the evolution in terms of subjects were explored. This study reviewed the effects of the family-of-origin environment and the analysis of data based on qualititative research depending on Saiki Greig Hill theory. The summary of this is as follows; perception and attitudes about disables parents tended to strengthen the steps 'process of recognition about disabled parents', 'process of escape about disabled parents',' precess of integration about disabled parents'. The alternative programs of the strengthen the steps 'process of integration about disabled parents' should be developed government policy support according to age group, ADL(activity of daily life) support according to disability status and emotional support with a focused on health family support center, public health center, religion meeting. This study was to provided basic material needed to do further research on this issue by identifying the effects of family-of-origin environment on adult offsprings with disabled parents.

[종설]

20

4,300원

Nurses are critical human resources for the hospitals. However, in Korean hospitals, human resource management practices for nurses are not well established, and nurses' turnover rates are very high. Although the causes and tasks for shortage of nurses are analyzed, suggestions for the specific ways of HRM management practices for hospital managers are rare. In this article, the management challenges for nurses are discussed, and high commitment human resources management model for nurses are suggested. And future research directions and topics are suggested.

 
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