컴퓨터 기반의 현대무용 연기력 평가도구 개발

강혜영(Hye Young Kang),박진희(Jin Hee Park),황규자(Kyu Ja Hwang),최윤선(Youn Sun Choi) 한국체육측정평가학회 2005 한국체육측정평가학회지 Vol.7 No.2

건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교

신연수,박종연,정상혁,정혜영,강혜영,Shin, Youn-Soo,Park, Chong Yon,Jung, Sang Hyuk,Jung, Hye Young,Kang, Hye-Young 한국의료질향상학회 2006 한국의료질향상학회지 Vol.12 No.1

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10￠¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28￠¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31￠¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

우리나라 당뇨병의 유병률과 관리 상태

김상아 ( Sang A Kim ),박웅섭 ( Woong Sub Park ),오희철 ( Hee Choul Ohrr ),강혜영 ( Hye Yong Kang ),이대희 ( Dae Hee Lee ),이상욱 ( Sang Wook Yi ),곽연희 ( Youn Hee Kwak ),송재석 ( Jae Seok Song ) 대한내과학회 2005 대한내과학회지 Vol.68 No.1

소아 아토피성 천식에서 면역요법 유효군과 무효군 사이의 임상적 특성에 관한 고찰

이영진(Young Jin Lee),김용관(Young Kwan Kim),강혜영(Hye Youn Kang),김규언(Kyu Earn Kim),이기영(Ki Young Lee) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 1996 소아알레르기 및 호흡기학회지 Vol.6 No.2

목적 : 원인 회피가 용이하지 않은 항원에 의한 아토피 천식이나 알레르기성 비염 환아에서 여러 지표 중 혈청 총 IgE치와 알레르기피부시험 반응 정도, 면역치료에 사용된 항원의 수, 기관지천식 및 알레르기성 비염과 결막염 둥의 알레르기 질환의 동반 여부 및 이들 알레르기 질환의 중증도, 운동유발성천식의 동반 여부등이 알레르기 면역요법의 유효성 여부를 미리 예측하는데 도움이 되는지를 알아보고자 본 연구를 시행하였다. 방법 : 기관지천식으로 면역요법을 받았던 환아들 중에서 기관지천식의 추정 진단 하에 시행한 혈청 총 IgE가 증가되어 있거나 알레르기피부시험상 한가지 이상의 항원에 대하여 양성으로 18개월 이상의 면역요법 결과 추적 평가에서 임상 증상의 90%이상이 소실되었다고 한 33명을 대상군(effective group)으로 선정하였으며 이들의 연령과 성별이 같으면서 면역요법의 효과가 없었던 33명을 대조군(ineffective group)으로 하여 이들 유효군과 무효군 총 66명에서의 총호산구수, 혈청 IgE치, 피부반응 검사상 양성인 항원수 등을 비교하였다. 결과 : 1) 기관지천식만 있었던 경우는 면역요법 유효군에서 15.2%. 무효군 9.1%였고, 기관지천식과 알레르기성 비염이 있었던 경우는 유효군에서 39.4%, 무효군에서 36.4%였으며 기관지천식과 알레르기 비염, 알레르기 결막염이 같이 있었던 경우는 면역요법 유효군과 무효군에서 각각 42.4%, 54.5%로 면역요법 유효군과 무효군사이에 유의한 차이가 없었다. 2) 면역요법 유효군과 무효군에서 아토피의 가족력, 운동유발성천식이나 아토피 피부염의 동반 유무 등에는 통계학적으로 유의 한 차이가 없었다. 3) 면멱요법 시행전 혈청 총 IgE치는 면역요법 유효군에서 515±381 IU/ml, 무효군에서 382±318 IU/ml 로 두 군사이 에 유의 한 차이는 관찰할 수 없없다. 또한 면역요법 시행전 총 호산구수치도 면역요법 유효군에서 500±354/㎣, 무효군에서 626±422/㎣로 역시 두 군 사이에 유의한 차이를 관찰할 수 없었다. 4) 알레르기피부시험상 양성인 항원의 수가 면역요법 유효군에서 3.7개, 무효군에서는 4.5개로 두 군사이에 유의한 차이는 없었으며 주요 항원의 알레르기 시험상 양성율은 면역요법 유효군과 무효군에서 유의한 차이가 없었다. 5) 면역요법에 사용한 항원의 수는 면역요법 유효군에서 2.2개, 무효군에서 2.8개로 면역요법 유효군에서 유의하게 적었다(p<0.02). 결론 : 가능한한 면역요법에 사용하는 항원의 수를 적게하는 것이 면역여요법의 효과를 높이는데 기여 할 것으로 사료된다. To predict the effectiveness of immunotherapy, we evaluated the various allergic indices, such as serum total Ige, total eosinopil count, allergy skin test response, number of antigens used for immunotherapy between each 33 patients with atopic diseases of effective and ineffective with atopic diseases of effective and ineffective immunotherapy group. 1) There was no predictive value for the effectiveness of immunotherapy in the pretherapy severity of allergic diseases before treatiment. 2) The level of pre-immunotherapy serum IgE and total eosinophil count were not related with the effectiveness of immunotherapy. 3) There was a significant difference in the number of allergen included in the immunotherapy. : 2.2±0.5 in effective group, 2.8±1.4 in ineffective group It is suggested that as possible as small numbers of allergen should be included for the more effective immunotherapy.

건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교

신연수,박종연,정상혁,정혜영,강혜영 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(•‚=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.