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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 : 34권 2호 (2009)

보건통계학 교육시 R의 활용에 대한 연구(2)

이태림 ( Tae Rim Lee ) , 장대흥 ( Dae Heung Jang )
7,600
키워드보기
초록보기
We can use R package as a statistical package on the health statistical inference education for college students. R is an interactive mode package and graphical presentation tools are powerful in R. The greatest advantage is that R is a general public license package. We need to consider R package as a standard statistical package on the health statistical inference education for college students.

HL7기반 노인장기요양보험 등급판정시스템 모형 개발

곽정수 ( Jeong Soo Kwak ) , 채영문 ( Young Moon Chae ) , 용왕식 ( Wang Shik Yong ) , 김석일 ( Suk Il Kim ) , 이병화 ( Byung Hwa Lee )
5,800
초록보기
Objectives: The purposes of this study were to develop the HL7-based Classification System for the Long Term Care Insurance for the elderly in order to reduce classification errors and to reduce variations in classification among rating doctors. Specifically, the classification system was developed for the elderly who were eligible for the Long Term Care Insurance based on HL7 standards and eligibility criteria developed by the National Health Insurance Cooperative (NHIC). Methods: 38 cases that were actually reviewed by rating committee in May 2009 were selected from the classification data submitted to the long term care insurance unit at the D branch of NHIC on HL7. The system was designed by selecting 46 items from health insurance and NHIC criteria and IPI(Insurance Patient Information) message based on HL7 2.5 in order to transmit messages to other institutes. The system was analyzed and designed by DFD(Data Flow Diagram) and HIPO(Hierarchical Input, Process, Output). The system was evaluated through frequency analysis of system environment and rating data after calculating the 2nd grade by operating each module of HL7 message. Results: The results of this research were as follows: 38 cases submitted by doctors were 22 right cases and 16 wrong cases for the physical condition area; 27 right cases and 11 wrong cases in the area of mental state; and 26 right cases and 12 wrong cases in the area of independence of daily life. The number of cases whose grade was changed was 4: 1 case from 4th grade to 3rd grade, 2 cases from 3rd grade to 2nd grade and 1 case from 2nd grade to 1st grade. The cause of functional disorder for changing grade was 3 dementia and 1 bleeding. Conclusions: The model of the HL7-based Classification System for the Long Term Care Insurance for the elderly was designed to reduce classification errors and to reduce variations in classification among rating doctors. After the use of the model system, its usability was assessed.

구축된 간암 발생 예측 모형의 개선방안에 관한 연구

이혜선 ( Hye Sun Lee ) , 명성민 ( Sung Min Myung ) , 김도영 ( Do Young Kim ) , 한광협 ( Kwang Hyub Han ) , 송기준 ( Ki Jun Song )
5,400
초록보기
Objectives: The statistical prediction models are useful to establishing diagnostic and treatment rule in clinical area. So, there is an increasing interest in building a precise model to predict the probability of diseases for individual patient. In doing that, it is important to reflect the patient`s changeable characteristics for improvement of predictive power. In this paper, we studied the methods for the updating of prediction model that add the information of new patients to the existing model. Methods: To update the prediction model, we used an established model including 7 risk factors such as diagnostic type, hepatitic virus type, age, sex, -FP, ALT, and drinking history and did the re-calibration and shrinkage of intercept and slope of existing one. Results: we considered 4 updating methods, that is, the first one is to use existing model as it is and the second one is to re-calibrate the overall intercept. Also the third one is to re-calibrate overall intercept and slope and the last one is to re-calibrate and shrink overall intercept, and individual slope. Conclusions: Updating methods contain old and new informations. And the model updating method by using many data can be improved predictive power. Especially, the last updating method was found to be the most accurate and useful one.

일 지역 3년제 간호대학 신입생의 학교적응에 영향을 미치는 요인

박복남 ( Boc Nam Park ) , 박종선 ( Jong Seon Park ) , 이정란 ( Jeong Ran Lee )
5,200
초록보기
Objectives: The purpose of this study is to investing factors affecting freshman adaptation to school life within a junior college of nursing. Methods: The subjects were 282 freshmen attending a junior college of nursing within the J-city area. Students were given written consent to participate in this study. Data were collected using the following questionnaires: Rosenberg`s Self Esteem, Shere`s et al. self efficacy scale (SES), Choi`s Stress and Baker & Sirk`s School Adaptation Questionaires. Data were analyzed using SPSS 11.5 for Windows. Results: Subjects` adaptation to school life bears a significant positive correlation with self efficacy and self esteem and a negative correlation to stress. In general, students who chose this major independently, indicated satisfactory relationships with school friends and a higher level of adaptation than those who did not. Conclusion: There is a need to develop programs of self-esteem and bonding for incoming nursing students within the junior college in order to improve and enrich adaptation to school life.

중년여성의 건강과 관련된 식생활 지침 실천정도와 식생활형태에 관한 연구

진은희 ( Eun Hee Jin )
5,200
키워드보기
초록보기
Purpose: The purpose of this study is to research health related action rates of dietary guidelines and patterns of diet in Middle-aged Women. Method: It`s subjects consist of 248 in middle-aged women. Data are got from self-reported questionnaires which they completed from October 1st to 22nd, 2008. Data are analyzed through frequency, ANOVA, Pearson correlation in the SPSS/pc 10.0 statistical program. Result: There is a positive and significant correlation between health related action rates of dietary guidelines and patterns (r=.577, p<.01). Compared action rates of dietary guidelines with general characteristics, there are significant differences in age( F=6.287, p=.002) and exercise( F=3.735, p=.005). Compared dietary patterns with general characteristics, there are significant difference in age( F=3.808, p=.024), BMI( F=3.246, p=.023), and exercise( F=3.735, p=.025) p=.024). Conclusion: The better they practice dietary guidelines, the higher the points of self diagnoses of diet are. Judging from these results, we should educate early middle-aged women more dietary training and the importance of exercise.

신규환자의 재방문에 영향을 미치는 요인분석

황성완 ( Sung Wan Hwang ) , 김선희 ( Sun Hee Kim )
4,500
초록보기
Objectives:This study aims to analyze the characteristics which new outpatients revisit in a hospital. Using this study, hospital managers can make efficient customer relationship. Methods:This is based on the medical record data of patients in the hospital. 9,392 outpatient`s cases were used, that patients visited the first time between August and September in 2003, and revisited till December in 2006. Results:In coefficient of determination of logistic regression, model 1 was 23.4%, Model 2 was 34.7%, model 3 was 23.2% and model 4 was 12.8%. Classification rate of model 1 was 74.1%, model 2 was 73.1%, model 3 was 68.6%, and model 4 was 65.5%. Conclusions:To make more useful model for other hospitals in Korea, each hospital manager needs to understand more of the hospital environment, the patient`s characteristics, and the business process.
4,500
키워드보기
초록보기
Objective: Weight control in obese people have been affected by self perception of body image more than body mass index. We conducted this study to identify the agreement and associating factors between self-perceived obesity and obesity classified by body measure in obese and overweighted adults. Methods: The data were collected from 293 subjects who visited health examination center of a university hospital located in Gyeong-ju between July 7th, 2008 and Oct 31th, 2008 and had body mass index(BMI) ≥23kg/m2 by self questionnaire. Results: One hundred and ninety three(65.9%) participants had the agreement between self perception and measurement of obesity classified body mass index, but the agreement was lower for abdominal obesity with 134(45.7%) participants agreeing. Factors related to disagreement of self perception as obese and obesity classified by body measure were sex, age, family history of obesity. Conclusion: Considerable disagreement was identified between self perception as obese and obesity classified by body measure in obese and overweight adults. We should check disagreement before recommending weight control in these people.
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