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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 : 35권 2호 (2010)

2008년 지역사회건강조사 질관리정도 평가

김종희 ( Jong Hee Kim ) , 박해용 ( Hye Yong Park ) , 김윤아 ( Yun A Ki ) , 강양화 ( Yang Hwa Gang ) , 김정숙 ( Jung Suk Kim ) , 임도상 ( Do Sang Im ) , 탁양주 ( Yang Ju Tak ) , 임현술 ( Hyun Sul Im ) , 김호 ( Ho Kim )
5,400
초록보기
Objective: 2008 Community health survey is an survey to produce health statistics of 253 communities. This study aims to develope quality management`s system and assess the quality of [2008 Community Health Survey]. Method: We reviewed literatures related to health interview survey in and out countries and visited the survey site to get information. We set up 3-step system for managing quality of [2008 Community health survey], which consists of community health center, college and KCDC. We also developed a survey manuals, a quality management system and a quality index. Using quality-evaluation index, we assessed quality of [2008 Community Health Survey]. Result: Out of 231,355 participants which were 101,307 male, 118,941 female, 220,248(95.2%) completed the questionnaire. Spot-replacement, Household-replacement was 0.6%, 7.2%, respectively. Kappa index of answer-concordance was 0.68 which means a good concordance. According to results of survey site evaluation, quality poor items were Questioning order(Insufficiency 45.6%), Question completion(Insufficiency 36.8%), Explanation of survey goal(Insufficiency 31.6%), Probing(Insufficiency 28.1%) orderly. Conclusion: The quality of [2008 Community Health Survey] was fine, but more efforts to improve health-survey quality need in the future.

절 명상프로그램이 중학생의 자아존중감, 자기효능감 및 행복감에 미치는 효과

이정란 ( Jeong Ran Lee ) , 이혜자 ( Hiye Ja Lee ) , 박복남 ( Boc Nam Park )
5,200
초록보기
Objectives: The study investigated the effect of bow meditation program on the self-esteem, self-efficacy, and the happiness of male middle school students. Methods: The subjects were grade one students of a male middle school, consisting of 12 experimental and 14 control subjects. For the experimental group we administered bow meditation program for four weeks, three times a week. Survey questionnaire was used to investigate the students` self-esteem, self-efficacy, and the happiness before and after the program. The data were analyzed using SPSS PC 11.5 Program. Results: In comparison to the control group subjects, the experimental group subjects showed improvement in their self-esteem, self-efficacy, and happiness levels. Conclusions: As bow meditation program proved effective in increasing the male students` self-esteem, self-efficacy, and happiness levels, it will be applied as an useful intervention in promoting mental health and more productive school life.

인구학적 요인, 의학적 요인, 환경 요인을 고려한 뇌동맥류의 파열 예측관련인자 분석

박용성 ( Yong Sung Park ) , 류창우 ( Chang Woo Ryu ) , 김희진 ( Hee Jin Kimm ) , 남정모 ( Chung Mo Nam ) , 지선하 ( Sun Ha Jee )
5,400
초록보기
Objectives: The study find rupture-risk which related to ICAs(intracranial Cerebral Aneurysm). Methods: Three hundred ninety three patients who underwent 3-dimensional angiography with multiple cerebral aneurysm wassubjected without demographic overlap and missing value. Patients with non-ruptured cerebral aneurysm were 193, and patients with ruptured cerebral aneurysm were 200. Factors that related to the causes of rupture of aneurism were found, tendency of the causes were analyzed and classified, and final meaningful factors were distinguished. The medical factors were classified into physiologic causes and morphologic causes. Results: Demographic causes of ruptured cerebral aneurysm are consist of age, residence, weigth(kg). Physiologic causes of ruptured cerebral aneurysm in medical factors are hypertension, CVA, and body temperature. Morphologic causes of Ruptured cerebral aneurism in medical factors are VNR, HWR, hospitalization path and history of parent. Environmental causes were daily wind range(m/s) on period of one day. The final structure which has all three factors includes medical factors. Conclusions: Medical factors revealed as a significant causes of ruptured cerebral aneurism in this study. However, medical factors need cost for medical examinations and invasive, so that it is hard to put these factors to all patients. Therefore, it is needed to find the predictive causes of cerebral aneurism rupture through the continuous research with demographic factors and environmental factors. Consequently, prevention education should be come out.Besides, severe disorder should be reduced through general health check-up or immediate management when unknown onset of symptom such as headache comes in.

한국어판 병원 입원서비스에 대한 환자만족도 평가도구 (H-CAHPS(R))의 신뢰도와 타당도 평가

강민아 ( Min An Kang ) , 우경숙 ( Kyung Sook Woo ) , 오제열 ( Je Yol Oh ) , 신영전 ( Young Jeon Shin )
6,200
초록보기
Objectives: To develop a Korean version of H-CAHPS(R) for measuring the multi-dimensional experiences of inpatient services and to assess the reliability and validity of a translated version of the H-CAHPS(R) instrument. Methods: After the H-CAHPS(R) English version was translated and back-translated, the survey instrument was confirmed with a series of processes including cognitive interviews and pilot testing. The main survey was conducted 606 patients who were discharged from two city hospitals in Korea from June 2006 to October 2006. Results: The results of the item-level and scale-level analyses were all acceptable. Scale-level analysis supported the reliability and validity of following 6 factors. The Cronbach`s alpha coefficients ranged from 0.75 to 0.88. The result of confirmatory factor analysis showed that the dimensional structure model was well fitted. Correlation coefficients between dimensions were significant and the C.R(critical ratio) of all dimensions were all highly significant. Overall, discriminant validity and convergent validity was proven to be acceptable. Conclusions: The H-CAHPS(R) Korean version is a reliable and valid instrument to evaluate patients` experiences of inpatient services in Korea.
6,800
초록보기
Objectives: The purpose of this study was to investigate the causal relationships among quality of care, accessibility, patient satisfaction, compliance, and intention to reuse of telehealth service in the rural underserved area. Methods: The subjects were patients who were experienced telehealth services for chronic diseases (hypertension and/or diabetes) in 24 primary healthcare posts in Gangwon province. Data were collected by telephone survey questionnaire for 8 days from July 18th 2006 to July 25th from 172 hypertension patients. The causal relationships among variables were examined by structural equation modeling(SEM). Results: It was found that the quality and accessibility of telehealth service positively affects to patient satisfaction, compliance, and patient intention to reuse, and affects to patient intention to reuse through patient satisfaction. Patient satisfaction was revealed as a mediating variable from quality of the service and accessibility to intention to reuse. However, patients` compliance, influenced by quality of care and accessibility, does not affect patients` intention to reuse significantly. Conclusions: Telehealth service will contribute to enhancing management and care of chronic disease patients in the rural underserved areas. Therefore, the improvement of accessibility to qualified healthcare services through telehealth system will contribute to enhancing management and care of chronic disease patients in the underserved area.

건강행위단계와 인터넷 건강정보 이용

김구수 ( Goo Soo Kim ) , 김영랑 ( Young Rhang Kim ) , 류시원 ( See Won Ryu )
5,700
초록보기
Objectives: This study investigated the relationship between individual stage of health behavior and Internet health information usage. Methods: Measure items were derived from the previous research including 7 demographic and social factors. Data were collected from employees working in a public and nation-wide organization, and users of two website about health and disease information. The 281 cases were analyzed by using SPSS 14.0. Results: The results are as follows: When respondents feel some symptoms or inconvenience, they search Internet health information for self-care(36.3%) and confirming disease(36.3%). Users in preventive health behavior stage are searching Internet health information are 18.5%. Monthly income was revealed as significantly related with Internet health information search and usage. Internet health information users who have income less than 1 million won per month were more to ``maintain health``, and users with 1-3 million won monthly income were more to ``identify disease``, and users with more than 300 million won per month were to `self-care. Users being in preventive health behavior stage are significantly higher than those of the other stages. Healthy users of Internet health/disease information are active users of Internet information to preparing healthy life. Conclusions: Internet health/disease informations may be retrieved and used to maintain health, identify disease, and self-care. Specifically, we should have attention to the healthy people to be more active and to prevent disease, and make and provide health information to the needs of these people through Internet.

정보경제방법을 이용한 병원정보시스템의 경제성분석

채영문 ( Young Moon Chae ) , 김석 ( Seok Kim ) , 조경원 ( Kyung Won Cho ) , 김혜숙 ( Hye Sook Kim ) , 강성홍 ( Sung Hong Kang ) , 김형회 ( Hyung Hoe Kim ) , 박춘복 ( Chun Bok Park )
5,100
초록보기
Objectives: To perform economic analysis for the newly developed hospital information system (HIS) based on EMR by using information economic (IE) approach and to perform the sensitivity analysis for the hypothetical parameters and the scenarios on the number of hospitals to be disseminated. Methods: We used IE approach in order to quantify intangible benefits in a systematic manner. IE attempts to categorize benefits into five value types: direct benefits, value acceleration, value linkage, value restructuring, and innovation valuation. While actual hospital data were used in most of the analysis, some data were extrapolated from the literature if actual data were not available. Patient waiting time for two outpatient departments were compared for two hospitals (with EMR and without EMR) in order to estimate the time savings from the reduction in waiting time. Results: Benefits to costs (B/C) ratio was 0.47 if only direct benefit was included but it was increased to 0.86 if value acceleration was added; was increased to 0.93 if value linkage was included; increased to 1.50 if value restructuring was added; and was increased to 1.51 of innovation valuation was added. Conclusions: IE analysis showed that HIS was economically profitable project if all intangible benefits were included. Sensitivity analysis showed that B/C ratio was further increased if the same system was disseminated to other public hospitals
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