在日韓國人의 生活文化의 異質化와 適應過程에 關한 保健學的 硏究

金正根(Jong-Kun Kim),張昌谷(Chang-Gok Chang),林達旿(Dar-Oh Lim),金武采(Mu-Chae Kim),李州烈(Ju-Yul Lee) 한국인구학회 1992 한국인구학 Vol.15 No.2

After world war Ⅱ Japanese life expectancy has been improved remarkably, and reached the highest level in the world around late 1970's. The life expectancy of Korean has also shown tremendous improvement in recent years with about 20 year's gap from the Japanese. The reason of rapid improvement of life expectancy can be explained by changes in the structure of cause of death due to health system, living standard, social welfare, health behavior of individuals and so on. Korean in Japan is placed under different situations from both Korean in Korea and Japanese in these regards, and expected to show different picture of cause of death pattern. The objective of this study is the comparision of changing patterns of cause of death of three population groups, Korean in Japan, Korean in Korea and Japanese, and to investigate the reasons which effect to the structural difference of mortality cause with special emphasis on health ecological aspects. One of the major limitations of the Korean causes of death statistics is the under-registration which ranges about 10% of the total events, and inaccuracy of the exact cause of death. Some 20% of registered deaths were unable to classify by ICD. However, it is concluded that the Korean data are evaluated as sufficient to stand for over-viewing of trends of cause of death pattern. The evaluation is done by comparing data from registration and field survey over the same population sample. Population data of Korean in Japan differ between two sources of data; census and foreigner's registration. Correction is done by life table method under the assumption that age-specific mortality pattern would accord with that of the Japanese. The crude death rate was lowest among Korean in Japan, 5.7 deaths per 1,000 population in 1965. The crude death rates of Korean in Japan and Japanese are increasing recently influenced by age structure while Korean in Korea still shows decreasing tendency. The adjusted death rate is lowest among Japnaese, followed by Korean in Japan, and Korean in Korea. The leading causes of death of Korean in Korea until 1960's was infectious diseases including pneumonia and tuberculosis. The causes of death structure changed gradually to accidents, neoplasm, hypertensive disease, cerebro-vascular disease in order. The main difference in cause of death between Korean and Japanese is high rate of liver diseases and diabetes for both Korean in Japan and Korea. A special feature of cause of death among Korean in Korea is remakably high rate of hypertensive disease, which is assumed to be caused by physicians tendency in choosing diagnostic categories. The low ischemic heart disease and high vasculo-cerebral disease are the distinctive characteristic of the three population groups compared to western countries. Specific causes of death were selected for detailed sex, age and ethnic group comparisons based on their high death rates. Cancer is the cause of death which showed most drama tical increase in all three population groups. In Korea 20.1% of all death were caused by cancer in 1990 compared with 10.5% in 1981. Cancer of the liver is the leading cause of cancer death among Korean in Japan for both sexes, followed by cancer of the lung and cancer of the stomach, while that of Korean in Korea is cancer of the stomach, followed by cancer of the liver and cancer of the lung for male. Causes of infant mortality were examined among the three population groups since 1980 on yearly bases. For both Japanese and Korean in Japan, leading cause of death ranks as conditions originating in the perinatal period, congenital anomalies, accidents and other violent causes. Trends since 1980 for these two population groups in the leading cause of infant mortality showed no changes. On the contrary, significant changes in leading cause of death structure in Korea were observed : The ranking of leading cause of death in 1981 were congenital asnomali

의료환경의 변화에 따른 대학에서의 의무기록 교육

장창곡 동덕여자대학교 2001 생활과학연구 Vol.6 No.-

The purpose of this study was to suggest new curriculum for medical record education in university according to the change of medical environment. This study analyzed curriculums of 3 universities(Dongduk Women`s University, Inje University, Yeonsei University) which educate the students for medical record administrator, and compared it with that of the course of health information administration of Mississippi University in America. Finally, this study suggested new curriculum to educate the students adapt and do their job well for the computerized hospital system.

근로자의 건강검진 시 문진표의 활용도 평가 : 일반검진결과에 의거한 문진항목의 평가 Evaluation of the Items of Questionnaire Based on the Result of Health Screening

조성래,정창곡 동덕여자대학교 2002 생활과학연구 Vol.7 No.-

This study was carried out to evaluate the utility of health interview questionnaire used for workers when they have regular health screening. Data were collected from 1,008 workers (male; 72.82%, female; 27.18%) employed in 6 different industries located in Seoul and Kyounggi area from March 1, 1998 to December 1, 1998. Averarge age of the study population was 31.9 (±6.2)years and age range was 20 to 60 years. Kappa indices were -0.222~0.128 for the items of health recognition and daily life habit and -0.038~0.017 for the items of symptom and sings, negative predictability and positives predictability were 98.52 and 98.5 respectively only for the item on weight change and blood sugar, and there were no items over 60% for both sensitivity and specificity. In conclusion the validity and reliability were very low for the health interview questionnaire and it should be modified to be used for health screening.

國民保健制度 開發에 關한 硏究 : 제2부 학교보건교육의 발전과정과 향후 과제 Part II: Developmental Process and Foremost Tasks of School Health Education

서성제,장창곡,정연강,박인화 韓國學校保健學會 1994 韓國學校保健學會誌 Vol.7 No.1

This study is designed to shed light on the current status of school health education in Korea and identify its problems. The findings of this study among other things pointed out that health education should be awarded the status on an independent subject in a bid to activate school health eudcation and cope with its problems. Thus far efforts focused on the needs for establishing health education as an independent course as well as for enhancing the awareness of its importance. At this stage further efforts are needed to develop in-depth discussions and add greater variety to the curriculum. Firstly efforts should be made to recognize the health status of students at all levels, i.d., from kindergarten through university. Particulary at this stage when the entire society is going through changes in the types of health problems and disease pattern, the outcome of analyses on the types in the types of health problems and health-related behavior can be used as basic data for framing the contents of school health education. Secondly more active efforts are required to single out the contents of health education and develop health curricula assessment based on the findings of surveys on that of health education needs. Thirdly the development of school health education curriculum should be accompanied by that of more effective educational methods and materials. In particular, further efforts should be made to develop educational methods designed to make wider use of audio-visual equipments or apply behavior modification techniques so that school health education will be adapted to changed education environment and the characteristics of health education. Fourthly and most importantly the training and production competent health education teachers is needed. This should be preceeded by the amendment of relevant laws and administrative systems.

학교보건사업의 역사적 고찰을 통한 정책 방향에 관한 연구

김상욱,김윤신,장창곡 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Objectives : The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods : The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results : A. The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the unit model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The unit model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions : It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.

병원의 정보화에 따른 의료정보교육의 방향

장창곡,배미경 한국보건정보교육학회 2000 보건정보교육학회지 Vol.2 No.1

The purpose of this study was to provide a curriculum for the education of medical record technician in school according to the computerization of hospital. The data used in this study were collected between 26 July 1999 and 7 September 1999 from the department of medical record of 44 tertiary hospitals in Korea using questionnaire. The results were as follows; 1) more than 70.0% of hospital were computerized but not sufficient to the needs of department of medical record. 3) most of the hospitals wanted the medical record technicians have qualified with medical informatics, specifically, information retrieval, statistical package, database, spread sheet, word processing, access and approach, power point, and windows. 4) the most important subjects in the education of medical record technicians were medical terminology, chart review, classification of disease and quality assurance. According to the above results a possible curriculum was developed. This model of curriculum can be devided as the field of medical record and medical informatics and the contents can be consisted of several areas such as biomedical science, health care delivery system, health data and structure, information technology, health care statistics analysis and research, clinical quality assessment and performance improvement and medical insurance and legal affairs in medical care.

건강한 학교 만들기 모형 개발

장창곡 韓國學校保健學會 2001 韓國學校保健學會誌 Vol.14 No.1

The aim of this study is to develop a strategy for building healthy schools. For this, the concept of a healthy school was defined and the need for healthy schools was identified and reviewed. This included comparative studies of foreign countries as well. This study found that the elements of a healthy school were physical, psychological, environmental, nutritional, educational, serviceable, and practical. The strategy of building this model was to connect students and teachers, school and administration and parents and community within one circle on the basis of these elements.

우리 나라 여성 건강의 보건학적 고찰

장창곡 한국보건통계학회 2002 한국보건정보통계학회지 Vol.27 No.1

The aim of this study was to evaluate the health status of Korean women with health indices. Study data were obtained from statistical year books published officially by Korean Government and Health Research Institutions. Eighteen health indices were selected and classified into five different categories and the indices were compared with those of men and annual trend to explain women's health in a public health viewpoint. The indices indicated that women's health had been improved for over several decades in appearance, but growing rate of drinking, physician visit and prevalence of disease, high rate of induced abortion among fecund age women, and high proportion of elderly people showed many underlying health problems of women in the future. In conclusion it needed for women develop lifelong health education programs such as sex education at adolescence, health screening test at middle age, and self-care program at old age to improve health.

양호일지를 이용한 학생보건진단

장창곡,최윤경 韓國學校保建學會 1996 韓國學校保健學會誌 Vol.9 No.2

Based generally on the socio-economic status of the surrounding areas of Seoul daily health records from 6 randomly sampled primary schools were analyzed to evaluate the health problems of school children in 1992. Diseases were classified into 11 categories according to ICD. 9. The mean number of visits to health care rooms during school per student wag 0.95 during 215 school days from February to December in 1992 and the mean number of daily visits was 10.12. Female students visited health rooms more frequently than male students. The total spell base incidence rate was 947.3 per 1,000 students in a year; the incident rate from digestive diseases was 342.1; from injuries it was 333.6; and from respiratory diseases, it was 243.9.85% of all diseases were from trauma, gastric symtoms, and common colds. The most frequent diseases for male students resulted from trauma and for female students from gastric symtoms. The average incident rate was highest in the Kangnam area, and the lowest in the Kangbuk area and this result is statistically significant. The incident rates of 5th and 6th graders were significantly higher than the rest. Emergency cases refered to hospital were 140(1.07%), and drugs used for treatment consisted of digestives, drugs for commomn colds, analgesics and antipyretics, eye drops, and external ointments for trauma. In conclusion the above results suggest that the school health service program and health education program should be based on the health status of school children.

교육환경영향평가제도 도입방안에 관한 연구 : 학교정화구역 내 교육환경 사례분석을 통하여

장창곡,김재현,고준환 韓國學校保健學會 2004 韓國學校保健學會誌 Vol.17 No.2

Purpose : The aim of the study is to provide information about selecting school sites for new schools in congested urban areas and to propose a method to manage harmful environments around primary and secondary schools. Method : Four schools were selected around Gilum New Town and Ilsan City. The problems were identified by counting the businesses classified as harmful and prohibited in a school zone through surveying, collecting reports from relevant sources, and asking questions of authorities in school districts. Results : It was found that many harmful businesses prohibited by the Law of School Health were present in the safe zone of schools in both Ilsan city and Gilum New Town. The school site of Bohyun Elementary School was classified as poor because there was a steep ascent at the entrance and the school was surrounded by a dangerous, steep boundary. We suggested that an education and environment assessment system by completed before the school site was selected. Conclusion : There is a urgent need to improve the approval and permission process of harmful businesses as well as regulatory standards of school site selection in the light of the shortage of land.