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만성환자(慢性患者)의 의료이용양상(醫療利用樣相)에 관한 조사연구(調査硏究)
류호신 ( Ho-sihn Ryu ) 한국보건사회연구원 1989 保健社會硏究 Vol.9 No.1
This study was carried on to describe behavior in seeking medical care services. The data was studied by taking probability proportional sampling on the 1987 National Interview Survey on the Integration of Traditional Medicine into Primary Health Care in Korea, The interview was conducted with a total of 10,527 households members and among them, the total of 775 chronic diseases which lasted more than 3 months were analyzed at this study. The findings of this study were summarized as follows: First, for the analyzing prevalence of the chronic disease by general characteristics of age, sex, education, area, and marital state, respectively, it showed higher prevalence in older age, female, lower education, rural areas, and unmarital state, than those of younger age, male, higher edu-cation, urban areas. marital state. Second, the survey revealed the fact that the longer the duration of illness, the more the source of treatment were changed. Northowrthy, in the case of chronic disease which lasted more than 3 months, the 12.5 % of the chronic patients utilized only one kind of source of mordern medicine such as hospital or clinic treatment. By the above results, it was shown that the management for. chronic disease was conducted with the variety of the behavior by patients themselves respectively. Accordingly, for the establishment and accomplishment of the effective control strategy for chronic disease, it is recommended that the further studies on these kinds of behavior in seeking medical care services should be followed continuously.
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In-Ho Yoon,Ilgook Kim,KwanSeong Jeong,Youngho Sihn,Chan Woo Park,Geun-Ho Kim 한국방사성폐기물학회 2023 한국방사성폐기물학회 학술논문요약집 Vol.21 No.2
The operation of nuclear facilities involves the potential for on-site contamination of soil, primarily resulting from pipe leaks and other operational incidents. Globally, decommissioning process for commercial nuclear power plants have revealed huge-amounts of soil waste contaminated with Cs-137, Sr-90, Co-60, and H-3. For example, Connecticut Yankee in the United States produced approximately 52,800 ton of contaminated soil waste, constituting 10% of the total waste generated during its decommissioning. Environmental remediation costs associated with nuclear decommissioning in the US averaged $60 million per unit, representing a significant 10% of the whole decommissioning expenses. Consequently, this study undertook a preliminary investigation to identify important factors for establishing a site remediation strategy based on radionuclide- and site-specific media- characteristics, focusing the efficiency enhancement for the environmental remediation. The factors considered for this investigation were categorized into physical/environmental, socioeconomic, technical, and management aspects. Physical/environmental factors contained the site characteristics, contamination levels, and environmental sensitivity, while socio-economic factors included the social concerns and economic costs. Technical and management factors included subcategories such as technical considerations, policy aspects, and management factors. Especially, technical factors were further subdivided to consider the site reuse potential, secondary waste generation by site remediation, remediation efficiency, and remediation time. Additionally, our study focused the key factors that facilitate the systematic planning for the site remediation, considering the distribution coefficient (Kd) and hydrogeological characteristics associated with each radionuclide in specific site conditions. Therefore, key factors in this study focus the geochemical characteristics of site media including the particle size distribution, chemical composition, organic and inorganic constituents, and soil moisture content. Moreover, the adsorption properties of site media were examined concerning the distribution coefficient (Kd) of radionuclides and their migration characteristics. Furthermore, this study supported the development of a conceptual framework, containing the remediation strategies that incorporate the mobility of radionuclides, according to the site-specific media. This conceptual framework would necessitate the spatial analysis techniques involving the whole contamination surveys and radionuclide mobility modeling data. By integrating these key factors, the study provides the selection and simulation of optimal remediation methods, ultimately offering the estimated amounts of radioactive waste and its disposal costs. Therefore, these key factors offer foundational insights for designing the site remediation strategies according the sitespecific information such as the distribution coefficient (Kd) and hydrogeological characteristics.
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농촌지역(農村地域) 보건소(保健所)와 보건의료원(保健醫療院)의 진료양(診療量) 및 진료비(診療費) 비교분석(比較分析)에 관한 연구(硏究)
류호신 ( Ho-sihn Ryu ) 한국보건사회연구원 1990 保健社會硏究 Vol.10 No.2
保健醫療資源의 地域的 偏重현상과 住民들의 보건의료 要求度 增大에 따른 문제점을 解消하기 위한 方案의 일환으로 政府는 農漁村地域중 醫療脆弱地域으로 판단된 15個郡 보건소를 1989年부터 보건의료원 體制로 擴大 改編하여 管理運行중에 있다. 본 論文은 農漁村地域 住民들의 보건의료이용 均霑이라는 觀點에서, 지난 1年 중(1989년) 4個月分의 醫療保險 診療費 請求明細書 資料를 基礎로 旣存의 보건소와 보건의료원간의 診療實態를 比較分析 하였다. One of the important issues in the provision of health care has been that of health care equality. For this issue, public health care systems should be strengthened in rural areas where medical facilities were weak. As a part of that program, the function of health centers have been reinforcement by the Korean government since 1989. At that time fifteen health centers out of the 139 health centers were changed to health medical centers in rural areas. This study attempts to compare the level of treatment and expenses of health centers and health medical centers from the point of view of equity in the use of health care services for the rural population. The data were analyzed based on medical insuarance bills at health centers and health medical centers in rural area for four months of 1989. The findings can be summerized as follows: First, the total number of cases treated at health medical centers was much higher (8,624 cases) than those of health centers (5,893 cases). Second, a comparison of the level of medical expenses at health centers and at health medical centers varied according to independent variables including: sex, age, type of medical insurance, treatment division, disease condition, number of visit days, days of medication. In detail, in the case of the average monthly total medical expenses per claim, health medical centers were from 2.0 to 3.1 times more expensive than those of health centers, and in the case of the average monthly amount paid by insurers, health midical centers were also from 2.6 to 5.3 times more expensive than health centers. Third, the effect of independent variables on medical expenses by multiple stepwise regression analysis was: the most predictive power variable of average monthly total medical expenses per claim of health centers was days of medication (R<sup>2</sup>= .78813), and of the average monthly amount paid by insurers per claim for treatment were also days of medication (R<sup>2</sup>=. 29269). In the case of health medical centers, total medical expenses were highly predictive according to the number of visits (R<sup>2</sup>= .4700), but there was little effect by independent variables on the amount paid by insurers.
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중등학교 보건교사가 인지한 보건교과교육 필요성과 자신감
유호신(Ryu, Ho-Sihn),임여진(Im, Yeo Jin),조정현(Cho, Jeonghyun) 한국보건간호학회 2013 韓國保健看護學會誌 Vol.27 No.2
Purpose: The aim of this study was to determine the perceived needs and confidence of school nurses in health education at middle and high schools in Seoul, Korea. Methods: A descriptive survey questionnaire was developed by a research team to investigate the perceived needs and confidence across eight health education areas. A total of 329 school nurses at secondary schools in the metropolitan areas of Seoul participated. Descriptive statistics, the t-test, and ANOVA were conducted to analyze the data. Results: Generally high means in perceived education needs(Mean: 3.8~4.7/5) and health education confidence (Mean 3.3~4.5/5) were reported. However, there were significantly low means of health education confidence related to perceived needs in health education for all areas of health education. While injury prevention and emergency care education were the highest perceived educational needs and were also areas with high confidence of school nurses, mental health, social health, and sexual health were areas where nurses showed a significantly lower confidence. In general, nurses with a longer clinical experience and educational career had a higher confidence in injury prevention, emergency care, and mental health. Conclusions: Multi-level support, including the continuing education and proactive in-service training, for the school nurses needs to be developed to improve their teaching competency.
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중국 연변자치주 조선족의 문화이입정도에 따른 정신건강 비교
신의진,이만홍,이호영 대한신경정신의학회 1994 신경정신의학 Vol.33 No.3
Previous studies on the immigration and acculaturation indicated that the acculturation level of immigrants to the host community affects their mental health. The authors compared the results of Symptom Check List(SCL-90) subscales and Acculturation scale surveyed in Yanbien, both Korean-Chinese and Chinese who reside in the same community. The Korean-Chinese sample was divided into high and low groups of acculturation level, hence three group samples were studied. For Sampling, random multi-stage cluster stratified method was applied. The total of 570 samples were surveyed, both Korean-Chinese and Chineses in Yanbien community. The results showed that : 1) The mean scores of total SCL-90 subscales, somatization, depression, anxiety, phobic anxiety, psychoticism of low acculturated Yanbien Korean-Chinese group were significantly higher than those of other two groups. After demographic variables were controlled, only the mean scores of anxiety, phobic anxiety and psychoticism were significantly higher. 2) The level of acculturation and age are positively correlated and their interacing effect on mean score of SCL-90 was also significant in Yanbien Korean-Chinese group.
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