영도구의 생식보건사업 성과분석 : 남자중학생을 대상으로 한 성교육 효과 분석을 중심으로 the Effects of Sex Education on Middle School Students

남은우,강혜숙,박성빈,최재임,민체류 고신대학교 영도발전연구소 2001 영도연구 Vol.3 No.-

The purpose of this study was to reduce the sexual problems of middle school students in Youngco-Gu, Busan. The survey was conducted by content analysis which was related with reproductive healty services such as budget, manpower, etc. This study was also conducted with sex education as the object and to measure the effects of sex education. Questionnaires from 203 students(7th-9th graders) in a male middle school were surveyed on Sept. 12-14, 2001. The statistical analysis used were t-test, paired t-test, one-way ANOVA and χ^2 test by using SPSS/PC+ WIN 8.0 program. The results of this study are summarized as follows: First, 66.2% of the students among the subjects had a religion, and of those 50% were buddhists, 34.4% christians, 9.5% catholic. Religion of sexual related matters showed no significant effect. Of these students 68.1% showed medium interest in sexual related matters, 18% little interest or none and 13.5% high interest. 8th graders seemed to show more interest in sexual related matters than other grades. 41.8% of Students seemed to get information on sexual matters from friends and 27.1% from the internet. 30.9% of the respondents talked about their boy/girl friends with their parents compared to 43.3% who chose to talk to their friends about their sexual related problems. Second, 56.7% logged into lascivious-sites on the internet. Of those who logged onto lascivious-sites 46.1% logged in once or twice a month, 31.9% once or twice a week, and 2.7% logged in daily, 69.2% Felt curiosity, 23.4% felt indecent and 7.5% felt like engaging in a sexual act after visiting one of these sites. Third, the effects of sex education on experimental groups of 7th graders showed a 2.1 point increase(p<0.1), 4 point increase for 8th graders(p<.001), and 9th graders increased by 3.3 points(p<.001). Therefore this showed that it was advantageous for students to have sex education. Fourth, the effects of sex education on the students attitude showed only a little more improvement than before in the controlled groups whereas the experimental groups showed a large increase in good attitude in a good direction. Therefore, the experimental groups showed better results in sexual attitude compared to the controlled groups(p<.01).

K 大學 病院 患者의 病院 選擇 動機 分析

南銀祐,朴昌式,安熙都,徐判洙 高神大學校 保健科學硏究所 1991 보건과학연구소보 Vol.1 No.-

The subject hospital is a Christian health care institution which is a 720 beds university hospitals and has been providing health care services and outpatient services located in Pusan, since its foundation in 1950. The purpose of this study is to develop marketing strategy for this University Hospital by identifying factors associated with the patients' attitudes toward their choice and images, with following objectives: 1) to identify patient choice factors 2) to analyze patients' images toward the hospital 3) to compare above informations with other hospitals in Pusan, and 4) to analyze population served with demographic and economic variables. The survey data retrieved from the samples of 140 outpatients and 100 intelligents were analyzed by Chi-square and Mann Whitney U test with the confidence level at less than 0.05. Major findings from the study were as follows: 1) Hospital choice motivation factors a. fovorable factors toward the choice of hospital revealed: (1) good facilities and equipments (50.2%) (2) large hospital (38.4%) (3) recommended by neighbor (35.0%) 2) Hospital image factors a. favorable factors: (1) modern equipments and technology sufficiency (2) friendliness of office employees (3) kindness of doctors b. unfavorable factors: (1) high cost of care (2) long waiting time for clinic examinations and prescription filling (3) traffic inconveniency 3) Comparisons with other hospitals showed disadvantages in the areas of: (1) inpatients are more favorable than outpatients toward good facilities and equipments, friendly doctors and nursing personnel, compared to the (2) unfavorable attitudes toward the long waiting time and impolite nurses, cleanliness, parking space shortage, etc. In reviewing the marketing information analysis, the hospital should carefully review the result, and endeavor toward the improvement of hospital services as well as image building, in regard to those areas showing negative results, in the marketing and strategic planning efforts with unified supports from the entire staffs and employees of the hospital.

개호보험의 실시가 병원경영에 미치는 영향 : 일본 후라데 니시노병원의 경영사례를 중심으로

南銀祐,徐種範,西野憲一,芭修一 고신대학교 보건과학연구소 2002 보건과학연구소보 Vol.12 No.-

Since the introduction of Long Term Care Insurance (Kaigohoken), the hospital management style in Japan has changed. The experiences of the Japanese can be used by the Koreans to improve their hospital management style. The Case study hospital, The Nishino General hospital, had established an intermediate facility (Rojinhokenshisetsu) which consisted of a home care service center, a visiting nursing center etc. to form a health, medical and welfare mix style management system. For the analysis of the system, how it was established and management, we studied the financial statements of the 2001 Furate (Corporation of Nishino hospital etc.). From the analysis of the financial statements one could see that the Rojinhokenshisetsu had a higher profit margin than the hospital itself. This has to do with the Japanese government's administrative plan in decreasing the number of acute hospitals while trying to increase the number and upbringing of long term care facilities and mixed style welfare service facilities. And the reason for the difference in profit is because of the quick response of the hospitals in following the plan. This conversion of administrative plans and medical management structure has not only decreased the national medical expense but has also given the regional population a comprehensive health care system and can be seen as a desirable model. Owing to the desirable changes from the conversion in administrative plans and medical management structure brought on by the Long Term Care Insurance in Japan, one can see Korea also applying such methods and forming a Long Term Care Insurance in the near future.

거제도지역 아동의 보건위생 및 체력측정 연구 : BMI지수에 의한 중국 연변지역 조선족 아동과의 비교 Comparative Study with Ethnic Koreans in the People's Republic of China by BMI Index

남은우 高神大學校 保健科學硏究所 1995 보건과학연구소보 Vol.5 No.-

The purpose of this study is to compare the health status of Korean and Chosun-jok elementary children. To accurately achieve the purpose, a survey was conducted in Yanbian Area in China and Kojae in Korean during the period of June 15 to 16 in 1995. This survey was performed by using two survey methods. The first was the parents' survey metod. It asked structured questions about their children. The second method focused on the actual health of the children. It used the collection of children's physical records in school. Guided by the school teachres, each child distributed the questionnaires to their parents. We used to analyze the data (666 questionnaires were incomplete and were not used in the analysis). Each questionnaire matched the data of their physical record: Body Weight, Body Height, Chest-Circumstance, Eyesight, Dental Health. Using the data, we compared the BMI(Body Mass Index) the Koreans and Chosun-Jok, the general physique of Chosun-Jok is inferior to that of Korean regardless of age and sex. Meanwhile, the average physical constitution of Korean compared the Chosun-Jok (i.e. eyesight and dental hygiene), revealed that the physical constitution of Chonsun-Jok is superior to that of Korean without concern of age and sex. Average BMI of Chonsun-Jok is lower than that of Koreans. But, it seemed that most of the students in both groups maintain an adequate health level. In the case of children from 10 to 12 years old, females are superior to males through all data contained of the body weight, the chest circumstance, and the body height. It seems that females and males have a different maximum growth age. Most of the parents preferred a good physique as a good health condition for their children. The physique of each child was affected with some variables, including the number of family members, and the educational level of the parents. According to the above results, the student's physique in Korea is superior to that of Chonsun-Jok in China. But, Koreans are inferior to Ethnic Koreans in China in the students' physical constitution. In conclusion, we consider Chosun-Jok in China to maintain an adequate health level in their physique and physique costitution.

한국과 일본의 건강증진정책 비교

남은우,조은주,남정자,Toshihiko HASEGAWA,Yoshi FUJISAWA 고신대학교보건과학연구소 2003 보건과학연구소보 Vol.13 No.-

ASIA지역 의료선교지 선택을 위한 국제보건학적인 연구

남은우,배성권 高神大學校 保健科學硏究所 1993 보건과학연구소보 Vol.3 No.-

The purpose of the study were to: (1) describe the health and related variables among the Asian countries: and (2) to determine the ranking of the medical missionary areas to the Asian countries. For the methods to treat data, 1990 PC Globe. Inc. Tempe. Az. U.S.A. was utilized. The analysis model developed for determining ranking of the medical missionary areas out of the Asian countries selected as variables are as follows: economical, christian proportion, education, ADL, IMR, and life expectancy. The following findings are : (1) According to result of the variables, determined 5 groups to classify for the mission in the 43 Asian countries. Group 1 includes of 13 countries that are Nepal, Bangladesh, Bhutan, Afghanistan, Yemen, India, Cambocia, Parkistan, Oman, Iran, Raos, Lebanon and China. Group 2 includes of 14 countries that are Maldives, Mongolia, Vietnam, Saudi Arabia, Jordan, Iraq, Turkey, Philippines, Myanmar, Indonesia, North Korea, Russia, Thailand and Sri Lanka. Also, Group 3 includes of 9 countries that are Qutar, Malaysia, Syrian, Makao, United Arab Emirates, Bahrain, Cyprus, Israel and Kuweit. Group 4 includes of 4 countries that are Guam, Japan, Taiwan and Singapore and Group 5 includes of 3 countries that are Brunai, Hong Kong and South Korea. (2) Group 1, and Group 2 are the most need to medical missionary in the primary health care(PHC) level. In these Groups need not only community development program and PHC program including child and maternal health, vaccination, and tropical medicine but also curative services. (3) In 1992, 48 medical missionary institutions are operating in Korea. In these institutions need to cooperate inter-institutions, NGOs, and KOICA(Korea Oversea Institution Cooperate Agency). Also, Korean medical missionary institutions are need to cooperate with International institutions, for examples, WHO, and UNICEF. The implication of the major finding for most of the Asian countries indicates the necessary basic needs. They are: primary health care, education, family planning, rural water supply and sanitation. Therefore medical missionary program must development basic needs oriented for the Asian countries.

Rohrer지수에 의한 한국과 중국 연변지역 조선족 아동의 체격비교

남은우,박기만,배성권 韓國學校保健學會 1996 韓國學校保健學會誌 Vol.9 No.1

This paper was performed to comparative study with the children's body strength status of Ethinc Korean in China and Korea. The subjects of this study were the students of each elementary school located in a rural and a urban areas in China. To compared the elvel of their body strength status, we investigated to the students of 2 elementary schools as comparative group on Kojae Area in Korea. We used student's physical record in the school. The contents of the study were the body weight, the chest circumstance, and the body height of the subjects. To make out the level of the students' physique, we measured by Rohrer Index output through above body height and body weight of them. The results of this were as follows; 1. In the case of Ethinc Korean in China, the average body weight(kilogram) is 28.94±6.68 in male 28.51±7.58 in famels. Comparatively, the average body weight in the case Korean is 31.99±7.23 in male and 31.74 ±7.82 in female. The average body height of Ethnic Korean is inferior about 2~5 Kilograms to that of Korean. 2. The average chest circumstance(centimeter) is 63.51±5.21 in male 63.05±5.87 in female of Ethinc Korean, 65.54±6.43 in male and 64.57±7.81 in female of Korean. Compared to between two group, the average chest circumstance of Ethinc Korean is inferior about 2~4 centimeters to that of Korean. 3. The average body height(centimeter) of Ethinc Korean is 135.28±8.96 in male 134.82±9.74 in female, and that of Korean is 136.68±9.12 in male and 136.10±9.92 in female. Like the preceding below results, the average body height of Ethinc Korean is inferior about 2~5 centimeters to that of Korean. 4. Compared to the fullness degree of physique between two group using Rohrer Index, Ethinc Korean is thiner than Korean. 5. Temporary, in case of children from 10 to 12 years old, female is superior to male through the index contained of the body weight, the chest circumstance, and the body height. It seems that female and male had different maximum growth age.

아시아 지역 의료선교지 선택을 위한 국제보건학적인 연구(Ⅱ) : 중국을 중심으로

남은우,배성권 高神大學校 保健科學硏究所 1994 보건과학연구소보 Vol.4 No.-

The purpose of the study is to: 1) describe the health and related comprehensive situation in modern day China, and 2) develop strategy for medical missionary workers with respect to the current day situation in China. Principal source is PC Globe(1991), Inc. Tempe. Az. U.S.A. and supplementary sources are HUMAN DEVELOPMENT REPORT 1992(United Nations Development Programme), ASIAN DATA HANDBOOK 1992(International Centre for the Study of East Asian Development), and WORLD DEVELOPMENT REPORT 1992 (The World Bank). The following findings are: 1. Considering that China is a vast country, there needs to be approciate strategy with respect to medical missionary workers. In the short term, from one year to three years, it would be most effective for medical care to be directed at infectious and chronic disease. In the long term, after five years, it would be most effective for medical care to be centered chronic disease and primary health care. 2. Primary health care would be an appropriative program for rural areas. In the case of urban areas, it would be desirable to provide secondary level or tertiary level medical care which should also include a rehabilitation service. 3. Although, outwardly the Chinese government allows freedom to practice religion, in fact, it operates a policy of limited access to foreign missionary services. Therefore, a "people to people contact program" needs to be developed. 4. Medical missionary workers need to cooperate with community development and health care programs. In addition, in order to carry out a more effective missionary program, teams of medical missionary workers which consist of : physician, nurse, medical technicians, and administrators need to be established. In conclusion, we can wee that for efficient missionary programs, there needs to be more interest in research especially the following areas: selection of fields of research, patterns of disease outbreaks in the fields, and a thorough evaluation of the program.

의약분업 실시 전ㆍ후 영도지역 주민의 약국 및 의료기관 의료이용 양상 변화 분석

南銀祐,朴宰成,M. Nishigaki,T. Hamai 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-

The purpose of this study is to assess the effects of the separation of prescribing and dispensing in Korea and to find how civilians' usage behaviors on medical institutes such as hospital, clinics, drugstore, and community health center are changed due to the policy. To examine the differences of usage behaviors, this study used a before-after design. Using self-administered questionnaires, this study performed survey from June 26 to August 1, 2000. Chi-square test and generalized logit model was utilized in each observation period. Based on the results of each observation period, this study evaluated the effects of the policy. On the basic finings, most civilians did not agree to the separation policy regardless of both observation periods. However, after the separation, civilians' behaviors seemed to be modified as the policy maker had intended. Most of civilians purchased their drugs from pharmacists after receiving physicians' prescriptions. Specifically, males and elder persons had the exactly same behaviors as the intended utilization behaviors. All study subjects agreed to the basic purpose of the policy for the purpose of the reduction of drug abuse and misuses. The implications of this study are two fold: First, how civilians' short-term inconvenience caused by the policy should be alleviated without interrupting well-established usage patterns. Second, a special attention to the elderly is needed.

치매환자관리와 치매수가에 대한 한·일 비교 연구

남은우,박경화,허종,서종범,임부경,西野憲史,芭修一 고신대학교보건과학연구소 2001 보건과학연구소보 Vol.11 No.-

Since increasing number of the elderly, Korean society has discussed needs of long-term care insurance for them. Those Japanese experiences should give lots of implications to manage institutions for caring dementia patients in Korea. In the case of Japan, if hospitals hospitalized dementia elderly patients with strange behaviors (like wandering) over one third of all patients, the hospitals can take higher nursing care fee due to needs of special protective cares. Japanese long-term insurances allow dementia patients to the reconstructive fee of elder dementia wards in short-term intensive cares. This policy encompassed day care fee, hospitalization fee of a serious dementia patient and hospitalization fee for the elderly dementia patients. Long term care coverage of Japan (Kanbyoungin-ryo) reimburses long-term care assistance (a Japanese care manager, or Kaigo hoken staffs) but health insurance coverage of Korea do not have that coverage. As a result, all patients have paid that cost since Korean medical care law did not permit long term care hospitals and did not allow special reimbursement of staffs who work for long-term care. Thus, Korean medical care law should be revised and allow nursing fee (kanbyoungin-ryo) to health care organizations.