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The purpose of this study was to investigate the factors that affect the performance of health insurance review department workers of Korean tertiary hospitals, general hospitals and hospitals. A survey was conducted through structured questionnaire for chiefs and members of health insurance review departments of hospitals, and data from 1,064 respondents were utilized in the final analysis. Survey items included general characteristics of the hospitals and health insurance review departments, job satisfaction and organizational commitment as organizational effectiveness. As multiple linear regression results, in the case of chiefs, the most significantly related factor to job satisfaction was a monthly salary. The other related factor was job stress. In the case of members, the most significantly related factor was job stress. The other related factors were more monthly salary, religious believer, and less complex workplace, in order. As organizational commitment, in the case of chiefs, the most significantly related factor was a monthly salary. The other related factor was more clinical experience. In the case of members, the most significantly related factor was job stress. The other related factors were more monthly salary, tertiary hospitals, more age, and less complex workplace, in order.

In this study, oral health promotion behaviors of employees, daily frequency of tooth brushing, tooth brushing method, brushing time, whether or not to use oral hygiene accessories, and regular dental check-up to investigate oral health status of workers to the workplace and was to provide basic data for the development of oral health program to promote oral health. This study was performed from 2011 May 2 to May 20, 249 industrial workers in Ulsan metropolitan city surveyed and collected data using PASW 18.0 ver, descriptive statistics, Pearson's chi-square test was performed. In the result, the importance of oral health recognition was lacked, in oder to maintain and promote the oral health status of industrial workers, regular dental check-up on oral health counseling and oral health education were conducted together and raising awareness of workers' oral health was necessary to improve level of oral health status.

The purpose of this research is to evaluate the degree of transactions of the electronic commerce in the hospitals. We created well-organized questionnaire to achieve this goal. we did telephone interviews with the hospitals, and then we reached out to the hospitals by e-mail and postal mail. We interviewed 311 hospitals, and 104 hospitals participated in this study. We conducted cross tabulations. The results are following : Among the subjects, male was 77.9%(81) and female was 22.1%(23). 51.0% of the hospitals used electronic commerce in their work purpose. The proportion of the hospitals that started their electronic commerce before 2000 years was 30.2% and after 2000 years was 69.8%. In the major electronic commerce service providers, 30.4% of the hospitals had their contract with auction, 18.4% of the hospitals had their contract with public procurement services. which is running by Korean government, and 11.8% were with EZmedicom and 10.8% were working with Carecamp. Through electronic commerce, the most high usage was office supplies 41.0% and the send area was medical supplies 11.2%. The results of this study suggest that electronic commerce in health care field is a very new area compared to other industries. There may be lots of barriers in the aspects of a way of working and norms of health care field. Electronic commerce system and contracts with their electronic commerce service providing partners.

This study was carried out to identify how a middle-aged woman's consciousness of the death and self-esteem was affected by whether the hospice volunteer's experience exist or not. As a form of descriptive research, this study, which is based on a structured questionnaire intended for the 191 middle aged women doing volunteer work at the non-profit women's organization, had been conducted twice from May 10, 2010, to May 21, 2010. The results of my research work is followed ; First, a middle-aged woman's consciousness of the death and self-esteem showed significant differences depending on whether the hospice volunteer's experience exist or not. Experienced hospice volunteer group showed a lower consciousness of the death and a higher self-esteem compared to non-experienced hospice volunteer group's case. Second, in case that the results show a high self-esteem, the consciousness of death reach at the low stage. Especially, the experienced hospice volunteer group showed an opposite correlation compared to non-experienced group. Third, Anyone's consciousness of death appeared at a low level when she had a religion and higher education background. Anyone's self-esteem oriented sense appeared at low level when she didn't have religion but rather appeared at high level when the health status of the targeted group was in a good shape. As a result, the hospice volunteer activities can be assumed to increase the middle-aged woman's self-esteem, therefore, turn the consciousness of death into a positive attitude.

The purpose of this study was to investigates the Autonomy and Job Satisfaction of the Nurses. The data was collected by distributing structured questionnaires to 317 nurses in 4 secondary hospitals located in Pusan, from July 1 to 31, 2010 and analyzed by t-test, ANOVA, Pearson correlation coefficient. The average autonomy level of nursing professionals was 135.30±8.04 points. The average nurse's job satisfaction was 3.12±.35 points. There was significant difference according to age, career and position in autonomy level of nursing professionals. There was significant difference according to age, marital status, career, position and monthly income in nurse's job satisfaction. The correlation between autonomy and job satisfaction of the nurses showed to be positively correlated at r = .426. Therefore, It is necessary to research into the methods to enhance the autonomy levels of nursing professionals and nurse's job satisfaction. It is necessary to develop education and policy programs for nurse's autonomy and nurse's job satisfaction.

The purpose of this study was to investigate correlation with self-care behaviors and physiological index according to cognitive function of hemodialysis patients. The data were collected from 108 patients on hemodialysis in university hospital. The period of data collection was from January 4 to January 31, 2010. The instruments of research were MMSE, Self-care behavior scale for hemodialysis patients. The 17.6% of patients showed the cognitive disorder. Self-care behaviors of patients showed that normal cognitive function group was significantly higher than dysfunction group. Creatinine and parathyroid hormone of patients showed that normal cognitive function group was significantly lower than dysfunction group. The cognitive function of patients showed positive correlations with self-care behavior(r=.283, p=.003) and Kt/V(r=.214. p=.026), showed significant negative correlations with phosphorus(r=-.223, p=.020) and creatinine(r=-.318, p=.001). The results of this study can be used to develop nursing education program to improve self-care behaviors according to cognitive function of hemodialysis patients.

The purposes of this study were to effect the upper extremities strength and ADL with upper extremities in frail elders. This study comparison upper extremities strength to pre-exercise and post-exercise and ADL with upper extremities. 30 elders who was in C silver hospital in Busan after resistance exercise during 12 weeks using elastic band, It was confirmed that improvement upper extremities strength and ADL with upper extremities after resistance exercise. As a result of study about effect of elastic band based resistance exercise on ADL of frail elders, it seems to have good effect on over all items(eating, dressing, bathing, make-up, go to a rest room). Therefore, it is necessary to find method about rehabilitation exercise for frail or partial disability elders.

This research, which was conducted for student at department of dental hygiene, intended to measure the level of self-efficacy and consciousness on the use of radiation, knowledge and attitude on radiation safety management and got the following conclusions. This study was performed from May 8 to July 7, 2011 for 326 students who study at Department of Dental Hygiene of a three-year course in Busan areas. The result of as follows; 1. As a result of comparing the average of a sense of self-efficacy according to the characteristics of those surveyed, a statistically significant difference(p<0.01)(p<0.001) was found according to grade point average, subjective health condition. 2. As a result of comparing the average level of consciousness about radiation use according to the characteristics of those surveyed, a statistically meaningful difference(p<0.05)(p<0.01) was found according to grade, grade point average. 3. As a result of conducting a correlation analysis among self-efficacy, consciousness on the use of radiation, knowledge and attitude on RSM, the correlation of self-efficacy and consciousness, knowledge, and attitude was r=0.108, 0.203, 0.231 respectively, all of which was a plus correlation(p<0.01). we believe that a variety of programs should be offered to be capable of enhancing knowledge and attitude on RSM, self-efficacy.

The aims of this study were to investigate the relationship of depression, fatigue and quality of life (QOL) in middle-aged adults in Jinju city. This survey was conducted from October to November, 2010 and 230 responses from the survey were used. The data was analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. The average score of the participants' depression was 13.16±8.26 out of 60. the average fatigue score was 21.46±4.79 out of 44. The average QOL score was 85.90±9.49 out of 130. Among general characteristic of the participants level of QOL was statistically significant for gender, educational level, exercise. There was a significantly corrleation among depression, fatigue and QOL. The results revealed that depression, educational level, exercise were the significant predictors to affect the QOL in middle-aged adults. Low level of depression, higher educational background, and active exercise were closely correlated with QOL. To improve QOL in middle-aged adulthoods for the community, the programs which include lowering depression, encouraging exercise should be designed.

This study purposed to analyze the differences of cost, length of stay, and number of visits between patients who referred from clinics to a general hospital and patients who directly visit a general hospital. Study sample included 402 patients (177 patients who were not referred from clinics, 225 patients who referred from clinics) who visited the Dept. of Gastroenterology in a university hospital in Daejeon from January to June in 2007. Cost and patients’ information were collected from Hospital Information System and medical record. SPSS v.12.0 was used for the statistical analysis. Multiple regression analysis found that for inpatients, location variables and malignant tumors of digestive organs had a significant influence on cost variable. For outpatients, a referring hospital type and visiting month had significant influences on total cost, and sex and visiting month (February) had significant relationship with number of visit. The study results help to understand the differences of patient care depending on whether they were referred from clinics or not. Hospital managements could use the results for marketing purposes, and it could provide valuable information for increasing the competitiveness of hospital in a given market.

The purpose of the study were to investigate the effect of the neuro-feedback program which improves brain function and stress reduction effect. The research design is one group pretest-posttest survey. 121 nursing students of a college in the Busan region took part in the study. Training involving the neuro-feedback program was conducted twice a week, 30 minutes per session, for a total of 10 weeks. The collected data was encoded and analyzed using SPSS 12.0 Version. The brain function and stress levels of the subjects were analyzed through the before-and-after results of the training were analyzed using a paired t-test. The results of the study showed that the BQ and SQ were enhanced as a result of the neuro-feedback. In particular, there were significant increases in the SRQ, ATQ, ACQ, and EQ of the BQ. SQ is correlated with the prevalence rate and resistance to disease, meaning not only psychological anxiety, uneasiness and excitement, but also physical anxiety and response to disease. Based on the study, by using the neuro-feedback training as a program for stress reduction, it is expected that nursing students will receive less stress from internal and external factors, and their ability to cope with stress will be enhanced.

This study investigated the difference of the university students’ recognition, attitude, and knowledge level of health by the health education in Daejeon and Chungnam province. First, in the survey analysis result regarding the health related recognition, the students who had attended lectures of health education were surveyed not only to have higher health related recognition than the students who did not have attended the lecture of health education, but also to appear meaningful in statistics by showing significance level p<0.05 in total score. Second, in the research regarding the health related attitude, the attendance or nonattendance of health education lecture were surveyed not to have high effect on the attitude of daily lives of the university students. Third, in the analysis of health related knowledge, the knowledge level between the students who had attended lectures of health education and who did not have attended the lecture of health education showed that the students who had attended lectures of health education got more excellent correct answer rate. In this survey result, the students who had attended lectures of health education showed higher health related recognition and knowledge than the students who had not attended lectures of health education.

This research analyzes on the difference of the management performance in public health care institution, especially between provincial medical center and national university hospital. The meaningful results of this study as follow. First of all, management performance was showed the loss in both of provincial medical center and national university hospital. but national university hospital is superior to provincial medical center in management performance. Secondly, It is noteworthy that social working expenses have influence on national university hospital. Finally, It shows that personnel expenses are the most important factor in the management performance in public health care institution. We hope that these results will be useful in the performance management of public health care institution.

The purpose of this study to know the effects of craft programmes on the visual perceptual development of the children with developmental disabilities. Sixty children were diagnosed with developmental disabilities. They divided into two groups that were the experimental group and control group. The children were subjected at K-Rehabilitation Center and C-child Care Center in Gyeong-Ju for 6 weeks from Feb to Apr (twice a seek, total 12 times) in 2011. The development programmes for the children disabilities are based on occupational therapy, physical therapy, and speech therapy. The intervention of experimental group included occupational therapy based on the craft programmes, physical therapy, and speech therapy. The one of control group included occupational therapy based on function, physical therapy, and speech therapy. The MVPT-3 and K-DTVP-2 were done before and after the therapy to compare visual perceptual development ability and to know the results of the test. Results were as follow: First, there were significant differences of MVPT-3 score before and after the therapy. Second, there were significant differences of K-DTVP-2 score before and after the therapy. The results mean the craft programmes had a positive effect on the visual perceptual development of the children with developmental disabilities.

The objective of this study is to explore the relationship between MBTI personality type and career attitude and career choice of cosmetology university students. Data were collected by self-administered questionnaires. Chi-square test and logistic regression analysis was conducted. The major findings of this study are as follows: In regard to career-related attitude, ISTJ type out of 16 MBTI is higher than other type on the positive attitude. In regard to the relationship of MBTI and career choice, ISTP, ISFP and ENFJ type is more prefer skin care than the other type. And INTP type is more prefer hair design and makeup. And also the psychological functional type and career choice, ST showed the preference on skin care, and SF preferred makeup field. Finally NT and NF psychological functional type showed the preference on hair design.

This study examined market size of private health insurance premium and individual characteristics associated with the market size change in Korea, using wave 1 (2008) and wave 2 (2009) of Korea Health Panel. The market size was 24.4 trillion Korean won in 2008 and 26.9 trillion in 2009. The increase rate of private health insurance premium among those who were the elderly, single, or the poor was higher than that among their counterpart respectively. Health status and utilization were insignificant in determining the increase rate of private health insurance premium. These findings were more obvious among the uninsured in 2008 than among the insured in 2008. The increase of private health insurance premium in Korea imply the increase of willingness-to-pay for health risk through private sector. The authors suggest policy intervention for accessability to health care for the underprivileged and weak through enlargement of Korean social health insurance benefit.

The study thus examined and analyzed 1,478 people aged 65 or older in the Korea National Health and Nutrition Examination Survey of 2010 to investigate the effects of differences in the elderly's general characteristics and depression & suicide ideation and in their subjective health perceptions and quality of life on their depression and suicide ideation. As a result, Significant differences in their suicide ideation were also caused by such quality of life variables as ill in bed, exercise capacity, self-management, daily activity, pain and uncomfortableness, and anxiety. The logistic analysis results of depression and suicide ideation according to the degree of subjective health perception show a significant finding that the better health perception they had compared with their very poor subjective health perception, the lower the odds ratio became. In the category of quality of life, only experience of uncomfortableness caused significant results on suicide ideation and depression. The results of the study will be of great use as basic data to intervene in the suicide route of the elderly and take measures to prevent suicide.

The purpose of this study was to research the opinion and acknowledgement about the clinical chronic disease care system subject to Medical Practitioners that copied the internal medicine and family medicine as a treatment subject and was fulfilled in the purpose of providing a basic data for the improvement and stable establishment of the chronic disease care system and the high blood pressure and diabetes mellitus patient’s promotion of health. Results from the research the internal medicine was 79% and the subject’s average age was 52.3 years, the proportion that the high blood pressure and the diabetes mellitus took was average 28% and the interest about the system was 65.9%. In the chronic disease care system expansion status the opposition was 75.7%, and the detail field knowledge level was 56.9%. In the opinion field about the system, all fields were shown negative. The chronic disease care system is an important government policy enforcing purposed to effectively manage the yearly increasing chronic disease, but the due to the cold attitude of Medical Practitioners that must actively accept it, the stable establishment of the system is being concerned. Therefore even if it's a good policy if it cant gain the support and agreement of the accepter, in the future when trying to implement a system there should be no idleness in the effort to gain cooperation and understanding to relevant involved ones.

This study was conducted to identify prevalence of sexual dysfunction and to determine factors influencing sexual dysfunction in middle aged women. The participants were 285 middle aged women. Data were collected through self-report questionnaires which were constructed to include general characteristics, FSFI (Female Sexual Function Index), sexual knowledge, sexual satisfaction. The mean score FSFI, sexual knowledge, sexual satisfaction were 14.82±5.74, 11.25±2.67, 45.84±8.60, respectively. The score for sexual dysfunction showed significant difference age(F=3.52, p=.031) and health status(F=3.66, p=.013). Sexual dysfunction had significant positive correlation to sexual satisfaction(r=.46, p<001). Age and sexual satisfaction were significant predictor and accounted for 22% of the variance in sexual dysfunction middle aged women. Future sexual dysfunction management program for middle aged women should be considered their emotional, psychological, socio-environmental factors.

To identify health behavior of Peptic ulcer patients among all employees in Korea and examine relevant factors to present basic data for improving Korean adult employees' health conditions and quality of living, 3,515 employees aged 20 to 69 were sampled from the group that responded to the question concerning the presence of Peptic ulcer in the fourth Korea National Health and Nutrition Examination Survey for the third year (2009). After logistic regression analysis was carried out to see the effects of working conditions, harmful factors, shift work, stress perception, and experience of depression on the presence of Peptic ulcer, it was found that unsafe or unpleasant working conditions led to higher risk of getting Peptic ulcer, that flexible workers were more likely to get Peptic ulcer, and that depression or stress perception exerted almost no effect on Peptic ulcer. With the increase in the number of flexible workers, increasingly more interest is taken in the effects of shift work on health; occupational Peptic ulcer tends to become chronic as compared with the condition in the general population and reappear even after recovery in many cases; therefore, it is necessary to take special management measures by estimating the number of those at a risk of getting Peptic ulcer and by finding out its risk factors.