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RISS 인기검색어
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- 저자 : 정효선 ( Hyoseon Jeong ) (검색결과 2 건)
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Doonam Oh(오두남),Hyoseon Jeong(정효선),Jeonghae Hwang(황정해) 한국콘텐츠학회 2021 한국콘텐츠학회논문지 Vol.21 No.6
최근 고령 사회에서는 지역사회중심의료로의 전환에 대한 관심이 증가하고 있다. 이에 일반 노인과 취약계층 노인 각각에 대해 기능중심의 건강상태를 파악하고, 이를 기반으로 의료서비스 이용 경험 및 요구 인식에 대해 살펴보는 것은 필요하다. 본 연구는 2016년 11월부터 12월까지 서울시 일개지역에 거주하는 65세 이상 노인을 방문하여 구조화된 설문을 통해 노인의 건강기능 상태와 의료서비스 이용 행태를 파악하였다. 취약계층 노인은 일반 노인보다 인지기능, 영양, 통증, 낙상 등에서 기능적 건강상태 저하를 더 많이 경험하는 것으로 나타났다. 인지기능, 영양과 같은 기능적 건강문제를 경험한 일반 노인은 취약계층보다 유의하게 의료서비스를 이용하는 것으로 나타났다. 한편 취약계층 노인은 통증 건강문제 영역에 있어서는 일반 노인보다 의료서비스 이용의 필요성을 더 유의하게 인식하는 것으로 나타났다. 이는 지역사회 노인을 대상으로 공공 서비스 확대의 방향과 범위를 설정함에 있어, 일반 노인과 취약계층 노인 간에는 차별화된 정책이 설정되어야 함을 알 수 있었다. 또한 취약계층의 의료접근성 향상을 위해서는 경제적 장벽으로 인해 필요한 의료이용의 장애가 초래되지 않도록 공공의료기관의 적극적인 지원이 이루어져야 하겠다. This study was to investigate the differences of functional health status and medical service experience and needs between general and vulnerable older people in community. This study is a cross-sectional descriptive research. The data obtained through direct visit surveys from November to December 2016. The target population of the study was older people over 65 years old, the final study subjects were 444 older people residing in one district of Seoul. The chi-square test was conducted to confirm the difference in their functional health areas and medical service experiences, and the necessity of medical service utilization in accordance to the social class. In the experience of abnormality in functional health, the vulnerable older people had higher experience in cognitive function, nutrition, hydration, pain, and falling than the general older people. The rate of experience of using medical service to solve the cognitive function problem for general older people was 31.9%, higher than that of the vulnerable older people. In contrast, the medical service utilization needs of the vulnerable older people in the pain management category was significantly higher than that of the general older people. In setting policy of public medical service programs for general and vulnerable older people in community may be differentially developed based on this study. In order to improve the medical accessibility of the vulnerable older people, public medical institutions should be actively supported to overcome obstacles to medical use due to economic barriers.
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이건세 ( Kun Sei Lee ),신은영 ( Eun Young Shin ),정효선 ( Hyoseon Jeong ),이정현 ( Jung Hyun Lee ),김희숙 ( Hee Sook Kim ),임영실 ( Young Sil Lim ),김영택 ( Young Taek Kim ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.4
Background: Regional Cardiocerebrovascular Centers (RCC) were established for the prevention and treatment of cardiocerebrovascular disease and funded by the Ministry of Health and Welfare. The purpose of this study was to develop and validate the measurement tool of public benefits in RCC. Methods: Through the intensive literature review, experts surveys and their repetitive feedback, we selected the 46 items about the public benefits in RCC. Development of measurement tool involved content validity test using Content Validity Index (CVI), construct validity test through factor analysis and reliability test. Results: Thirty-five items were selected by content validity test, which CVI was 0.08 or higher. Through the construct validity test, 32 items in 7 factors were derived. And Cronbach`s alpha was 0.951. Finally, public benefits measurement tool is composed of 32 items in 7 factors which are comprehensiveness of health care services, market complement, emergency care, cost, governance, quality improvement, and government control. Conclusion: Though we developed the measurement tool of public benefits in RCC, it would be utilized to measure the public benefits of various health agencies.
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