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논문검색은 역시 페이퍼서치

보건정보통계학회지검색

Journal of Health Informatics and Statistics


  • - 주제 : 의약학분야 > 예방의학및보건학
  • - 성격 : 학술지
  • - 간기: 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : -
  • - ISSN : 2465-8014
  • - 간행물명 변경 사항 : 한국보건통계학회지(~2003) → 한국보건정보통계학회지(2004~)
논문제목
수록 범위 : 32권 1호 (2007)

보건소정보시스템 BSC관점 평가도구 개발 및 적용

엄흥섭 ( Heung Seop Eom ) , 윤경일 ( Kyung Il Youn )
5,500
초록보기
Objectives: The purpose of this study is to develop a performance measurement tool for public health center information system and to apply the tool in evaluating the information systems currently in operation. Methods: We designed a performance measurement model of public health center information system using IS-BSC conceptual framework which consists of 4 perspectives; Business Value Perspective, User Orientation Perspective, Internal Process Perspective and Future Readiness Perspective. Within the framework we developed a performance measurement tool consisted of 35 questionnaires and examined its validity by administrating a survey to the system users. Results: The validity of the performance evaluation tool was supported by the results of statistical analysis such as factor analysis, Chronbach`s α test and regression analysis. The relative importance of the 4 performance perspective was analyzed by regressing the perspectives` scores on two overall performance indicators; a job performance indicator and an organization performance indicator. The results show that impact of business value perspective to job performance and the impact of future performance were the primary determinant. Conclusions: The public heath center information system performance measurement tool suggested was found to be conceptually sound and methodologically valid. Also, based on the result of performance evaluation on current information system, we suggest more investment to the education and training of heath center personnel of the system utilization.

농어촌지역 만성질환 원격의료서비스에 대한 지불의사금액 추정

김수진 ( Soo Jin Kim ) , 문옥륜 ( Ok Ryun Moon ) , 안무업 ( Moo Eup Ahn ) , 류시원 ( See Won Ryu )
5,500
초록보기
Objectives: The purpose of this study is to estimate willingness-to-pay (WTP) of rural telehealth service for chronic diseases by the contingent valuation method (CVM). Methods: A survey was conducted for 451 peoples with chronic diseases (hypertension & diabetes) who are using trial telehealth services at 20 community health practitioner posts in Gangwon province. Before estimating WTP for telehealth service, reliability was tested by following of NOAA recommendations. WTP was measured and estimated by using a double-bounded dichotomous choice contingent valuation method and survival analysis. Results: We estimated the average WTP for one-time telehealth service as 4,062won, which is larger than normal service charge in health post, in case with covariate by survival analysis. Conclusions: The results of this study means that telehealth services for peoples of chronic disease in the underserved rural area would be effective and valuable in Korea. To be accepted and implemented successfully, there must be more detailed consideration or test about social psychological and cultural aspects, medical safety, disbursement policy, and separation of duty.

의료영상 특성에 따른 효과적인 Q factor값 분석

신인범 ( In Beom Shin ) , 윤경일 ( Kyung Il Youn )
5,500
초록보기
Objectives: The images from patients` medical examination are generally stored as a form of compressed files. The images in compressed format can improve storing skill and transmission speed. However, excessively compressed format may lower the quality of image and reduce the value essential to effective diagnoses. Methods: In this study, the image was classified into computed radiography (CR) and digital radiography (DR) depending on the way of generating the image. These two class of images were classified based on the image sizes, 14 × 17 inch images and 10 × 12 inch images and compared in order to find out the most efficient Q factor of each class of images. Results: The results show that the compression ratio is different depending on the type of image generation methods and Image Plate (IP). Conclusions: Therefore we conclude that, in compressing the medical image, we meed to use the appropriate methods in order to maximize the quality and efficiency of medical image processing.

맞춤형 운동프로그램이 대학생의 건강과 삶의 만족도에 미치는 영향

박복남 ( Boc Nam Park )
6,100
초록보기
Objectives: This study was to identify the effects of the tailored exercise program on the physical health, psycho-social health and life satisfaction of the college students. Methods: The subjects consisted of a total of 53 students of a college in one city. They were divided into two groups; 28 into the experimental group and 25 into the control group. The tailored exercise program was carried out for 10 weeks from Feb. 2006. The collected data was analyzed by the SPSS 11.0 program. Results: Physique and physical strength, there was no significant difference between two groups with the passage of time. Subjective health was markedly improved after10-weeks program. In terms of physical characteristics (Z = -3.18, p =.001), depression (Z = -2.35, p = .019), and anxiety (Z = -3.22, p = .001), all participants of the experimental group showed a significant difference 10 weeks later, while the control group did not show any difference at all. In terms of life satisfaction, the experimental group showed a statistically significant difference with the passage of time (Z = -2.01, p = .045). In the comparison of the mean between two groups, life satisfaction of the experimental group was more improved than that of the control group (U = 203.00, p = .007). Conclusions: The tailored exercise program was effective in improving health habits, psycho-social health, and life satisfaction in college students.

한국인 남성과 여성에서의 Hypertriglyceridemic Waist의 유병율과 관련 요인: 2001년 국민건강 영양조사를 토대로

김종구 ( Jong Koo Kim ) , 남정모 ( Chung Mo Nam ) , 지선하 ( Sun Ha Jee )
5,300
초록보기
Objectives: The purpose of this study was to assess the prevalence of hypertriglyceridemic waist (HTGW) and its association with demographic and metabolic factors in Korean population. Methods: Data were obtained from the 2001 Korean National Health and Nutrition Examination Survey (KNHNE), which was a cross-sectional national health survey. Results: The total study population amounted to 29,506 individuals, aged 15 years and older. The prevalence of HTGW, as defined elevated waist circumference (90cm or greater for men, 85cm or greater for women) plus elevated triglyceride levels (177mg/dl or higher) was 10.2% in men and 7.3% in women. HTGW prevalence was highly associated with cardiovascular risk factors in both genders. After adjusting for independent variables which were age, total cholesterol, HDL-cholesterol, somking status, education, drinking frequency, physical activity, and carbohydrate intake, there was a greater risk of HTGW with an increased total cholesterol, low high-density lipoprotein cholesterol and increased drinking frequency. Education level in women was identified as a factor associated with HTGW. Conclusions: HTGW can be a simple and convenient predictor for the overaccumulation of abdominal fat and cardiovascular risk. Drink style was associated with the prevalence of HTGW in Korean men and women.

성폭력 신고에 대한 요인분석

송주영 ( Ju Young Song ) , 송태민 ( Tae Min Song )
5,200
초록보기
Objectives: Using data from the Violence Against Women in the United States Survey from 1994 to 1996, this research examines those factors related to the probability of sexual assault being reported to the police. The main focus is that the effects of the victim offender relationship on whether sexual assaults are reported to the police. Other characters examined were the demographic status, physical injury of the victim, drug use of offender, and the number of incidents. Methods: We used data from The National Violence Against Women Survey collected in 1995~1996 from a nationally representative sample of 8,000 women and 8,000 men, age 18 and over USA[6]. The data was analyzed by univariate, bivariate and multivariate analysis. Results: The results indicate that the victim offender relationship affect victim reporting. Sexual assaults, particularly, those that involve intimate partners, are less likely to be reported. Other factors that appeared to significantly increase the likelihood of victimization being reported to the police was if the victim sustained physical injuries in addition to the sexual assaults. Conclusions: The findings in this analysis could be used to develop a policy that would increase the reporting of sexual assault to the police.

진료의뢰서 진단명과 퇴원 시 주진단명의 일치도 분석: 부인과 환자 대상으로

원시연 ( Si Yeon Won ) , 호승희 ( Seung Hee Ho ) , 김광환 ( Kwang Hwan Kim ) , 강혜영 ( Hye Young Kang )
5,800
초록보기
Objectives: Assessing the degree of agreement between the initial diagnosis of patient encounters made by referring institutions and the final diagnosis by a referred institution. Methods: Among 505 patients referred to the department of obstetrics and gynecology of one tertiary care hospital in 2003, 291 patients hospitalized with gynecologic problems were selected as study subjects in this study. Medical chart review was conducted to compare diagnostic codes given at the time of referral by the referring institutions and those given at discharge by the referred hospital. To assess the degree of accordance between the two diagnostic codes of the same patient encounter, we developed 5-point scoring system. The score of 5 indicates a perfect accordance of all 4 digits of two comparing diagnosis codes and 4 indicates accordance of the first 3 digits. The score of 3 is assigned if the two codes do not agree on the first 3 digits, but share the common disease area. The scores of 2, 1, and 0 are assigned for the cases of accordance on the first 2 digits and the first digit, and no accordance on the first digit, respectively. To identify factors predicting the degree of accordance, decision tree analysis using CART algorithm as data mining approach was carried out. Results: The average accordance score was 3.14. According to the decision tree analysis results, the type of specialty and health care institutions are primary factors that discriminate referrals with high accordance score from those with low score. Secondary factor was diagnosis group: the score was as high as 3.69 among referrals with diagnosis of benign tumor (diagnosis code: D25-D28) and carcinoma in situ (D00-D09), and 2.92 for other diagnosis groups. Tertiary factor was the type of patient`s occupation. Conclusions: Our study showed that there`s a substantial gap between referring and referred hospital on the diagnosis for the same encounter. Effective communication between the referring and referred hospitals may reduce the gap and consequently prevent medical waste resulting from duplicated procedures and tests.
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