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The objective of this study was to identify the current status of use and respective work scopes of dental hygienists and nursing assistants as perceived by dentists, thereby obtaining a model for how to efficiently use oral health assistance personnel. This study was based on a self-reported survey administered to a total of 126 dentists. The following findings were observed. Where competition among neighborhood clinics was relatively high, nursing assistants tended to be used as a resource to assist dental hygienists, whereas where it was relatively low, they were more likely to be considered to work as full substitutes for regular dental hygienists. Looking at the scopes of practice, dental hygienists were allowed to deal with matters of preventive care, oral health education, and health insurance claims. On the other hand, nursing assistants were allowed to be in charge of taking X-ray pictures from the outside and inside of mouth and keeping medical devices clean and safe. This study is expected to contribute to establishing more reasonable oral heath personnel structure design decisions.

There is growing evidence that substance use such as tobacco or alcohol consumption influences health disparity among adolescents. Previous research papers have shown an inconsistency in the relationship between socio-economic status (SES) and substance use in adolescents. However, little is known about socio-economic differences in unhealthy behaviors among Korean adolescents. The purpose of the present study is to explore associations between SES and substance use in Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey (YRBS), which included a nationally representative sample of middle and high school students. Drinking/heavy drinking and smoking/daily smoking behavior indices were used for dependent variables, and perceived economic status, family affluence score, parents' education were used for independent variables. Chi-square test were used to compare tobacco and alcohol consumption among 3 SES groups. Logistic regression models were used to identify statistically significant socio-economic factors after adjusting other covariates. Higher perceived economic status and higher family affluence were associated with higher rates of smoking, daily smoking, drinking, and heavy drinking, while lower level of parents' education was related to higher use of tobacco and alcohol. Socio-economic status significantly influences health behaviors in adolescents, and it may consequently affect health disparity in their adulthood. Therefore, there is a need of continuous monitoring and follow-up research of health disparity among adolescents.

This study was to identify oral health status, O'Leary index and OIDP for the preventive oral prophylaxis among adults who visited dental hospitals or clinics from 30th September in 2011 to 31th May in 2012. The results are as follows. In DMFT, female(8.79) was higher than male(7.65)(p<.05). Housewife(9.70) and agriculture·fishery industry was higher than others(p<.01). In O'Leary index, male(47.41), over 50 years old and 200~300 million won were higher than others. but these results wasn't significantly different. The majority answer about discomfort feeling in OIDP was during meal(66.7), and period of discomfort was 1~2 time/month(29.6). The discomfort feeling in OIDP effected on meal(40.8)and teeth brushing(50.0). The difficulty in daily life were toothache(21.0), cold feeling(20.8), and crowding(19.3). In conclusion, the negative factor of oral health status didn't effect daily life. These findings are require of development of oral health management program which included the prevention of toothache and cold feeling.

This study sought to provide basic for the establishment of desirable sense of ethics values by analyzing the consciousness of biomedical ethics of freshmen nursing students. The subjects of the study were 420 freshmen nursing students. The period of data collection was from April 1 to 6, 2012 and collected data were analyzed on SPSS/PC 19.0 program. The results is followed; First, the mean score of the consciousness of biomedical ethics was 2.39±0.25. While the mostly high ranked category of biomedical ethics was the right to life of newborn(2.76±0.39), the category with the lowest score was the artificial abortion(2.13±0.39). Second, with respect to the characteristics of participants there were statistically significant difference in total score according to age, religion, and participation in religious activity, experience of hearing for biomedical ethics, sources of information for biomedical ethics, ethical values for biomedical ethics, and in intention to attend biomedical ethics in subjects. As a result, an arbitration program that could promote either changeable or controllable ethical values must be considered with attention to the significant variables that can promote the consciousness of biomedical ethics of freshmen nursing students.

The purpose of this study aim to analyze factors that influence the job satisfaction of physical therapist in working in Elderly Care Facilities. The participants were 173 physical therapist was using a self-administered questionnaire. Data was collected from June 12 to 15, 2012 and analyzed by SPSS 12.0. The average physical therapist's job satisfaction was 3.27±.49 points. There was significant difference according to work motivation in job satisfaction. 83.4% of participants felt pain. The major causes of the pain were 'repeating the same job constantly(25.5%).' There were statistically significant correlations between pain on movement patterns(r=-.163, p<0.01), duration of pain(r=-.174, p<0.01) and job satisfaction. Multiple regression analysis revealed that job satisfaction became significantly high with work motivation is more definitely. It is necessary to develop job satisfaction management program and musculoskeletal pain policy for physical therapist.

The purpose of this study was to propose how to improve and develop the college curriculum of medical record administration, satisfying requirements from hospitals having medical record administrators. For the purpose, this researcher surveyed medical record administrators serving at hospitals located in Busan, Changwon, Masan and Jinju. Finally analyzed were responses from 100 medical recorders. The frequency of searching medical records to support information use was statistically different among hospitals according to the number of sick beds(p=.041), or 3.16±1.75 for fewer than 300 sick beds, 4.28±2.42 for 300 to 500 and 4.86±3.18 for more than 500. The college course that was regarded as most important by most of the surveyed medical record administrators, or 53(37.2%) was medical terminology, followed by statistics by 36 of the respondents(18.5%) and EMR, 25(12.8%) in order. To make EMR truly effective requires reforming the university curriculum of medical record administration and giving more attention and more supports to training for better computerization, realizing that medical record administrators serve as a true manager of health and medical information, not a person who just paper-based medical information. In addition to managing health and medical information, medical record administrators are expected to have more roles in the future, for example, providing high-quality clinic knowledge and medical information that are necessary for efficient hospital management and medical research to survive competition.

The purpose of this study was to examine the impact of the DISC behavioral patterns of health care workers on their job satisfaction, organization Commitment and job stress in a bid to suggest an ideal behavioral pattern of Nurses and Dental hygienist. The subects were 184 health care workers who worked in general hospitals and clinics in Busan and Ulsan for a year or more. The collected data were analyzed using ANOVA and linear regression. As a result of analyzing the relationship of their DISC behavioral patterns to job stress, organizational satisfaction and organizational commitment, there were significant differences in job stress according to their DISC behavioral patterns(p=0.015). In regard to relationship between their DISC behavioral patterns and the subfactors of job stress, there were significant gaps in role conflicts(p=.007), conflicts with subordinates(p=0.001) and conflicts over underpayment(p=0.015) according to their DISC behavioral patterns. As a result of investigating the influential factors of job stress, factors produced significant results(p<.001). The findings of the study illustrated that out of the DISC behavioral patterns, type I was most prevailing among the health care workers, which indicated that the weight of this type was highest among the behavioral styles. There were no significant gaps in job satisfaction and organizational commitment according to their DISC behavioral patterns.

The objective of this study is to analyze the utilization patterns of national health insurance and medical aid inpatients in tertiary hospitals. For the analysis, the study utilize the nationwide data on ‘2010 Survey of Patients’ of Ministry of Health & Welfare. The statistical methodology used in the study is the logistic regression model. This study has three major findings. First, utilization rate of national health insurance inpatients was higher than medical aid inpatients in tertiary hospitals. Second, the significant affecting demographic factors in utilizing tertiary hospitals were sex, age, surgery case, treatment result, inpatients residence region and short length of stay. Third, compared to other disease groups, the inpatients on ‘congenital malformation, deformity and chromosomal abnormalities’, ‘factors influencing health status and contact with health services’ and ‘neoplasm’ groups are more likely to utilize tertiary hospitals. Finally, according to residence region, Seoul residence inpatients in both of national health insurance and medical aid more likely to utilize tertiary hospitals than other region inpatients.

The purpose of this study is to explore the factors that influence employer to rehire the mentally disabled. The participants of survey were 121 of employers' in Busan. Data were analyzed using χ²-test, t-test and logistic regression analysis with SPSS/WIN 18.0. According to this analysis, the results show that employer's rehiring intentions for the mentally disabled is a significantly related to gender, relationship with mental disabled person, industrial classification, experience of disabled employees, period of employment with mentally disabled people, subsidy for employment promotion, employment quota system, benevolence, community mental health ideology. Logistic regression analysis showed that relationship with mental disabled person, industrial classification, experience of disabled employees, period of employment with mentally disabled people, subsidy for employment promotion, employment quota system and benevolence. On the basis of results, program for encouraging employer's intention of rehiring the mentally disabled should be development and establish mediate strategies.

This research analyzes on the factors and difference of the management performance in general hospital. In details, we provide that personnel expenses, materials costs and administrative expenses have impact on management performance in general hospital and these factors have differences by region and sickbed size. The meaningful results of this study as follow. In the first, personnel expenses ratio influence management performance but materials costs ratio and administrative expenses ratio are only partially impact for the management performance. Secondly, in the management performance by region, there are no significant differences between the two groups of the big city and small and medium-sized cities. In personnel expenses ratio, materials costs ratio and administrative expenses ratio, The materials costs ratio is significant difference but ersonne expenses ratio and administrative expenses ratio have no significant difference. Finally, there’s no significant difference between the hospital size and management performance. But this study provide that there is partially a difference between personnel expenses ratio, materials costs ratio and administrative expenses ratio and the hospital size.

This study had collected 171 dental hygienists working in Busan and Ulsan, in order to investigate coaching behavior, job satisfaction and job performance of dental hygienists and find relationship between these. A survey was conducted from July 10 through August 20, 2012, by using structured, self-administered questionnaires. The collected data were analyzed with SPSS 12.0 program. The obtained results were as follows; 1. The mean of dental manager’s coaching behavior was 3.35 out of 5. In terms of sub-domain, accountability(3.36) is the highest, followed by relationship(3.32), and development(3.20). 2. In multiple regression analysis, development factor is most influential factor of job satisfaction, followed by relationship, accountability. 3. The job performance was under the greatest influence of the patient relationship, followed by freedom factor.

The purpose of the study was to identify the mediating effects of health promoting lifestyle in the relationship between life stress and adaptation to college life of health department college students. The data was collected for 10 days form sept. 3 to 14, 2012. Among a total of 351 cases of questionaries, only 342 cases were used. To data were analyzed by frequency, t-test, ANOVA, correlation and a hierarchical multiple regression analysis as suggested by Baron and Kenny(1986) using PASW statistics 18.0. From the analyses, there was a negative relationship between life stress and adaptation to college life but a positive relationship between health promoting lifestyle and adaptation to college life. There was a partial mediating effect of health promoting lifestyle between life stress and adaptation to college life. The results indicate a need to develop programs that effectively promote the health promoting lifestyle of health department college students to decrease life stress and maximize adaptation to college life.

This study analyzes Korea health panel data (2008) (beta version 1.2) of Korea Institute for Health and Social Affairs, and National Health Insurance Corporation to figure out determinants of healthcare expenditure. In result of Multiple Logistic Analysis, in-patents felt burden on the medical expenditure were 70.0%. As to the patients’ payment of medical expenditure, patients over 65 years old had 4.765 times higher than those under 14 years, disabled patients 2.778 than non-disabled patients, chronic patients 1.632 times than non-chronic patients, patients belonging to 12 million won ~ 46 million won and under 12 million won in family income had 1.680 times and 2.168 times respectively than patients with over 46 million won, patients in professional recuperation facility 1.546 times than patients in hospital, patients in private medical institutions 1.700 times than patients in national and public medical institutions, patients using upper grade rooms 1.701 times than patients in non-upper grade rooms. As a health care safety net mechanism to protect people from medical expenditure burden, there is the patients' payment ceiling in the National Health Insurance System. Thus, in order to facilitate the patient’s payment ceiling, it is required that the level of ceiling is to be specified according to the income level, and self-payment items is to be included.

The purpose of this study is to measure IPA(Importance Performance Analysis) of the hospital choice factors between internal and external customers at rural general hospital. This study was used 5 types of choice factor such as physical, human, accessibility, connection, and external image. Also, this study was used IPA which can be applied to identify the strengths and weaknesses quality attributes from customers' viewpoint by simultaneously evaluating importance and performance. IPA was assessed using a sample of 98 patients and 96 internal employees who work at C general hospital in Chunkcheongbuk-do. Data were collected with self-administered questionnaires from February 13 to March 30 in 2012 and analyzed SPSS 18 by using frequency, paired t-test and scatter plot graph. The results of IPA show that "Keep up the good work" quadrant was human factor and "Low Priority" quadrant was physical and connection factors between internal and external customers. The finding of this study will be applied to improve human service quality in administrative department of hospital. Also, this study presents primary data for correct decision making to authorities of local hospitals that have concern about hospital strategy. The implications of this study are discussed and areas for future research are presented.

The purpose of this study was to investigate the relationships between organizational communication satisfaction and organizational conflict for nurses. The research design was correlational survey. Two hundred three nurses recruited from 3 general hospitals in D city. The data collected were analyzed with SPSS/win 18.0 using descriptive methods, t-test, ANOVA, Pearson correlation coefficient, multiple regression. The result of this study reported middle levels of organizational communication satisfaction and middle levels of organizational conflict. There were significant positive correlation for organizational communication satisfaction and organizational conflict in the nurses. Significant factors influencing organizational conflict were organizational climate, media quality and personal feedback. Organizational conflict and organizational communication satisfaction management is very important. Based on the study, recommend the following : It is needed that repeat studies and consider to development and education program of the organizational communication satisfaction for nurses in hospital setting.

This study was done to identify campus life stress, self-esteem and health promotion behavior of university students and to provide basic data for the qualitative improvement of health promoting behavior of young adult. The data were obtained from distributing structured questionnaires to 491 university students in Busan. It was collected from July. 2th to the Agu. 2th of 2012, and analyzed by t-test, ANOVA, Pearson's correlation coefficient and Multiple stepwise regression. The correlation between health promotion behavior and self esteem showed to be positivity correlated(r=.180, p<.001). Also the correlation between health promotion behavior and campus life stress showed to be negativity correlated(r=-.231, p<.001). Life stress(Challenges stress) and Self-esteem were significant predictor and accounted for 13.4% of the variance in health promotion behavior of university students. Therefore it is important to develop programs that increase their self-esteem and is required to prepare a program for the development of health promoting behaviors early adult.

The purpose of this study was to provide basic data necessary for improvement by closely examining factors of having influence upon dental technicians' turnover. Questionnaire survey was conducted of 204 dental technicians who work at dental hospitals, clinics and dental laboratory rooms in Daegu area. The following conclusions were obtained. The satisfaction with job was high in job position in more than co-representative, in the whole and other task, and in less than 9 hours as for working hours. In the satisfaction with working environment, dissatisfaction was high in women, in the working career with 7~9 years, in chief level as for the job position in charge, in being responsible for porcelain in case of the duty field, and in more than 10 people as for the number of employees. The higher satisfaction with job satisfaction and working environment led to the lower turnover intention. Turnover intention was low in case of having ventilation fan & dust collector desk and in case of being well ventilated inside the workshop. As the above results, it is considered to be necessary for arranging institutional device of protecting dental technicians' health and reducing turnover through improving working environment such as forming comfortable environment of using the dust-collecting facilities and the ventilation facilities, wearing suitable individual protective gear and arranging the rest space.

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.

This study aimed to explore influencing factors on the establishment of the network system between public hospitals and to make a process evaluation of it. we analyzed the case of a strategic alliance contracted by a National University Hospital(NUH) and a Community Hospital(CH). Main points of the project were regular dispatch of clinical specialists in the NUH such as gastroenterologist and running teleradiology program. The NUH considered the improvement of it's image as a public hospital as a successful element of the network program. The provincial office which have to manage the CH satisfied with these program in terms of helping CH in need of clinical specialists. Staffs in the CH pointed out the problem of discontinuity for patients who visited the CH. Three institutes argued that continuous support of central government in the relevant institution and budget could play the most important role in the advance of the network system between public hospitals.

This study is aimed to improve future-oriented curriculum by investigating the satisfaction of students from beauty art-related departments on their curriculum and major courses and proposing their basic direction and improvement plan. For this, a survey was conducted against students from beauty art-related departments in Busan (5 junior colleges and 1 four-year university). The following results were obtained: First, according to a correlation analysis on major questionnaire items on the curriculum in beauty art-related departments, statistical significance was observed in ‘curriculum development,’ ‘facility and administrative & financial supports,’ ‘instructor/teacher activities,’ ‘educational evaluation activities,’ ‘academia-industry cooperation activities’ and ‘output evaluation.’ In terms of educational satisfaction, statistical significance was observed in all positive relations. Second, according to regression analysis on the evaluation of curriculum output factors in beauty art-related departments, output factor levels were high as ‘academia-industry cooperation activities,’ ‘age,’ ‘teacher/instructor activities,’ curriculum requirement analysis’ and ‘curriculum development’ were high. In overall, relatively good results (69.0%) were observed. A further study needs to be performed for improvement of satisfaction of students majoring in beauty art on their curriculum in educating students from beauty art-related departments by applying their educational evaluation to optimum standards.

The purpose of this study was to approve the effects of nursing simulation-based education on problem solving process and self-efficacy for nursing students. The nursing students of 244 participated the nursing simulation-based education of 60 hours. The questionnaire survey on problem solving process and self-efficacy were conducted 2 time(before education, after education) to the nursing students. The data were analyzed by the SPSS 12.0 program. The results were as follows; There was a statistically significant increase in problem solving process(t=2.637, p= .012) but no statistically significants self-efficacy(t=0.135, p= .743) effects of nursing simulation-based training in nursing college students. There was a significant positive correlation between problem solving process and self-efficacy(r=0.737, p =.017). In conclusion, the study found that nursing simulation-based education for nursing students may increase problem solving process but no effective self-efficacy.

The purpose of this study was to analyze the service needs and role awareness of military hospital coordinator to provide basic data for establishing the role of military hospital coordinator and facilitating efficient, systematic work performance. Questionnaires were used to survey military hospital out patients for 25 days from July 13 to August 11. 2011. The subjects were 616 outpatients. Research results, the recognition of higher awareness of the military hospital coordinator to perform the work to know if the work performed was low awareness of the present in the generally. High service needs was generally presented among outpatients that perceived the work performed by the military hospital coordinator, and most of the work preformed in the service needs was higher, showed a high needs. The results of this study showed that military hospital outpatients presented low role awareness but high level of service needs for military hospital coordinator. Establish roles of military hospital coordinator and provide for systematic performance if so can military hospital will contribute to improving service satisfaction.

The purpose of this descriptive research is to identify the recognition and attitude of college students towards Complementary & Alternative Medicine (CAM). The subjects of the study were 620 students of a junior college in the D metropolitan city. The data was collected from July 2 to July 31, 2012 and SPSS/WIN 18.0 program was used to analyze the data. From the comparison of CAM recognition between the two groups. There were significant differences for each item of CAM recognition. For the attitude on CAM, there were significant differences between the two groups. There needs to be more follow-up studies based on the current study in order to establish the basic data that can help find specific educational methods for the areas of CAM that lack recognition from the students.

The study compared refractive surgery patients’ hospital selection factors and satisfaction, through this to see the factors influencing patients’satisfaction, aiming at 235 patients visiting two Eye hospitals. The research results are followed. First, target group’s hospital selection factors appeared facilities and environment factor, reliability factor, personal service factor, and accessibility factor in the order. Second, patients’ satisfaction appeared reliability factor, facilities and environment factor, and personal factor in the order. Fourth, in the result comparing patients’ expectation on hospital selection and satisfaction score, all factors of facilities and environment, personal service, and reliability had high satisfaction score than expectation. Third, in the result of factors influencing refractive surgery patients’ satisfaction, in surgery determination period, surgery expenditure, and hospital selection factors among characteristics relating to refractive surgery, facilities and environment, personal service, and reliability appeared as satisfaction influencing factors. In conclusion, the study found that hospital selection factors and satisfaction influencing factors by refractive surgery patients’ surgery type are considered to be able to be used to establish marketing strategy in the fields excluded from insurance application, the researches to improve patients’ satisfaction in patient-oriented medical market should be continuously proceeded.

This study aimed to investigate gender differences in prevalence and correlates of depression and suicidal ideation among Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey. Logistic regression models and Wald chi-square statistics were used to identify the difference in the coefficients between the gender-specific models. Female students reported higher prevalence for depression(42.9%) than male students(31.4%), as well as higher level of suicidal ideation(girls:23.1%, boys:14.7%). Lower school achievement, worse self-rated health status, more conflicts were associated with higher level of depression and suicidal ideation. The impact of school achievement and conflicts with friends on mental health was greater among girls than boys. We suggest that the efficient strategies focusing on the gender differences should be established to improve mental health among Korean adolescents.