가정위생

강명근 새가정사 1969 새가정 Vol.- No.-

가정위생

강명근 새가정사 1969 새가정 Vol.- No.-

가정위생

강명근 새가정사 1969 새가정 Vol.- No.-

가정위생

강명근 새가정사 1969 새가정 Vol.- No.-

가정위생

강명근 새가정사 1969 새가정 Vol.- No.-

환자와 의사의 의료에 대한 태도 차이 -한 중소도시의 대학병원과 한의과대학 부속 한방병원을 중심으로-

강명근,박종구,김한중,손명세,김달래,Kang, Myung-Guen,Park, Jong-Ku,Kim, Han-Joong,Sohn, Myong-Sei,Kim, Dal-Rae 대한예방의학회 1998 예방의학회지 Vol.31 No.3

The objective of this study is to identify the difference in attitude toward medical care between patients who visited a university hospital or an oriental medical hospital of oriental medical college, and physicians who engaged in the same hospitals. The subjects of this study were 397 cases who agreed to respond the prepared questionnaire, including 288 patients(146 university hospital utilizers and 142 utilzers for an oriental medical hospital) and 109 physicians(76 physicians and 33 oriental medical doctors). The attitude toward medical care was measured by the structured questionnaire developed for this study, which had high validity and reliability according to factor analysis, item discriminant validity, and Cronbach's $\alpha$ coefficients. On the criteria of mean value of care and cure score, the attitude toward medical care was classified into 4 groups encompassing a group with dependent attitude on medical care, a group with skeptical attitude toward it, a group with cure-oriented attitude, and a group with care-preferred attitude. The results of chi-square test, discriminant analysis, and logistic regression analysis were as follows; patients who visited a univisity hospital, patients who visited an oriental hospital, physicians, and oriental medical doctors included in the group with dependent attitude, the group with cure-oriented attitude, the group with skeptical attitude, and the group with care-preferred attitude, retrospectively. Among the subdomains of care and cure domains, which classified in reference to the result of factor analysis on pilot study, those that patients ranked more importantly than physicians were 'the importance of medical equipment for diagnosis and treatment', 'authority of physician, 'aggressiveness of treatment', 'information giving', 'personal interest' in the case of western medicine. In the case of oriental medicine, those were 'the importance of equipment for diagnosis and treatment', 'aggressiveness of treatment', 'amenities and accessibility', 'coordination of medical staff'. Both physicans and patients put the subdomain, 'physicians' medical knowledge and skillfulness' on the highest rank. The differences in ranking the important attributes of medical care between patients and physicians were apparent in the area of an 'importance of medical equipment for diagnosis and treatment' and so on. It meant that patient had over-expectation on medical care and suggested that the policy on demanad side such as the developement and dissemination of an evidence-based recommendation protocol for health care consumers might be important in Korea. In addition, regarding the attitude of physicians, during the medical education and training it may be neccessary to emphasize the aspect of 'care' of medical care rather than 'cure'. In planning on heath care delivery system, it should be considered that there is a difference in the attitude toward medical care between western medicine and oriental medicine as well as between health care providers and consumers. We expect that more valid measurement tool be developed in this area, which may be major limitation of this study and that this kind of research be expanded into the non-academic settings.

일부 대도시 지역 고등학생의 결혼 및 출산 의도와 관련 요인

강명근,라송주,류소연 한국모자보건학회 2008 한국모자보건학회지 Vol.12 No.2

Objectives: This study was performed to identify the intention toward marriage and childbirth and its related factors among high school students in a metropolitan city. Methods: The study subjects were 1,140 students of grade 1 and 2 in 4 high schools, Gwangju. Using data collected by self-administered questionnaire, this study analyzed intentions toward marriage and childbirth and its related factors including general characteristics, familial characteristics, future plan and psycho-social factors. The used statistical methods were chi-square test, t-test and multiple logistic regression analysis. Results: About 79.4% of boys and 65.8% of girls have intention to get married in the future. And 77.4% and 71.0% in boys and girls have intention to be a parent in the future. The boys show statistically significant higher response both in marriage and childbirth than girls. As a result of the multiple logistic regression analysis, the statistically significant related factors with the intention to marriage in boys were self-cognitive health state, familial type, plans for the job, self-esteem scores. In girls, grade, religion, and self-esteem were significant related with intention to marriage. The related factors with the intention to childbirth were plans for the job, self cognitive health state and self-esteem in boys and mothers' educational background, parental expectations for their child's education, and self-esteem in girls. Conclusions: This study shows that psycho-social factor such as self-esteem have relation with the intention toward marriage and childbirth of high school students. It suggests that the long-term and organized policy which helps high school students to change their recognitions on marriage and childbirth and the programs can reinforce their psychological characteristics will be needed.

Evaluation of Unpreparedness When Issuing Copies of Medical Records in Tertiary Referral Hospitals

강명근,문명모,서순원,박우성,김윤,김성수,최은미,박종,박일순 대한의료정보학회 2010 Healthcare Informatics Research Vol.16 No.2

Objectives: As a baseline study to aid in the development of proper policy, we investigated the current condition of unpreparedness of documents required when issuing copies of medical records and related factors. Methods: The study was comprised of 7,203 cases in which copies of medical records were issued from July 1st, 2007 through June 30th, 2008 to 5 tertiary referral hospitals. Data from these hospitals was collected using their established electronic databases and included study variables such as unpreparedness of the required documents as a dependent variable and putative covariates. Results: The rate of unpreparedness of required documents was 14.9%. Multiple logistic regression analysis revealed the following factors as being related to the high rate of unpreparedness: patient age (older patients had a higher rate), issuance channels (on admission > via out-patient clinic), type of applicant (others such as family members > for oneself > insurers), type of original medical record (utilization records on admission > other records), issuance purpose (for providing insurer > medical use), residential area of applicant (Seoul > Honam province and Jeju), and number of copied documents (more documents gave a lower rate). The rate of unpreparedness differed significantly among the hospitals; suggesting that they may have followed their own conventional protocols rather than legal procedures in some cases. Conclusions: The study results showed that the level of compliance to the required legal procedure was high, but that problems occurred in assuring the safety of the medical information. A proper legislative approach is therefore required to balance the security of and access to medical information.

병원중심 건강증진 서비스의 필요성과 국내현황

강명근,Gang, Myeong-Geun 대한병원협회 2001 대한병원협회지 Vol.30 No.4

고객만족도 조사도구의 차원별 가중치 부여방법 비교

강명근,조우현,이선희,최귀선,문기태 한국의료QA학회 2000 한국의료질향상학회지 Vol.7 No.2

Background : The measuring instruments for customer satisfaction in hospitals are often composed of some dimensions reflecting the conceptive complexity of' them. Then, overall satisfaction would be expected to be equal the 'weighted' sum of scores by dimensions because the importance rated by customers may bedifferent across the dimensions. But the issue of how to weight the dimensions with importance is not yet solved. We examined 3 sets of weighting methods as to make effect on predictive power against overall satisfaction. Methods : We conducted a survey included 483 subjects who had visited or admitted to a university hospital, using the short form questionnaire being developed by The Korean Society of Quality Assurance in Health Care for out-patient and in-patient. By using a multiple linear regression model, we compared among changes of explanatory powers against overall satisfaction as dependent variable after weighting 4 dimensions of the survey questionnaire as independent variables with importance scores of dimensions perceived by consumers. And we compared the feasibility of each weighting, methods by checking missing cases. Results : There were no weighting methods increasing the explanatory power after applying them. The method of absolute scoring was found higher explanatory-power than others, but this finding had no statistical significance. Regarding the number of missing value, method of absolutely scoring had the least cases. Conclusion : Our findings suggested that weighting the dimensions with importance might have little significance in the cases of scales having items highly correlated, such as consumers' satisfaction. Though asking with items to be answered absolutely, customers might be rating relatively in some degree and this method produced least missing cases. Considering these points, in the cases when weighting the dimensions with importance would be required, we suggest that weighting method by absolute scoring might be better than others.