의료보험본인부담금액에 관한 연구

이은희 대구보건대학 1994 대구보건대학 論文集 Vol.14 No.-

Patients have paid the cost shaving devices of the medical insurance because of protection of insurance public finance as medical cost increase 65.5 percent In the senior nation the cost shaving devices is 0~11 percent but In Korea the cost sharing is 50 percent. These days it is increasing. Insurance public finance has profited since 1986. While people in the lower brackets of income is decreasing medical request because of increasing of the cost shaving devices. The cost shaving devices will be decreased on account of disobedience in medical insurance which pursuits common profited.

피부미용사의 스트레스와 근골격계 자각 증상과의 관련성

이은희,전선복,이무식,김남송,장문정 한국미용학회 2001 한국미용학회지 Vol.7 No.3

The purpose of this study was to examine the relationship of skin beauty artist's stress to musculoskeletal subjective symptom to identify what factors are related to skin beauty artist's musculoskeletal subjective symptom. The subjects in this study were 211 selected skin beauty artists. A survey was conducted from March 11 to 31, 2001, with standardized self-reporting questionnaire to find out the general characteristics, perceived stress level and musculoskeletal subjective symptom. The findings of this study were as below; l. All the skin beauty artists investigated were female. 110 skin beauty artists (52.1%), more than half them, were highschool graduates, 117(55,5%) were unmarried, and the mean career was 52,74 months(four years and four months). The daily mean working hours were 10.61, and the actual daily mean working hours were 7.94. 2. For health habit. 19(9.0%) skin beauty artists were smoker, which indicated that most of them didn't smoke. 136(64.5%) people, more than half them, drank alcohol, and just 72(34.1%) got exercise. 3. In regard to the relationship of general characteristics to stress, the unmarried group was more stressed as they got a score 69.25(SD 12.45), compared to the married group that got 66.30(SD 11.50). The difference between the two group was significant (p<005). The nondrinking group were more stressed out with 69.42(SD 11.50) than the drinking group with 65.87(SD 12.97). The difference between the two was significant(P<0.05). The group that didn't get exercise were more stressed with 70.17(SD 12.11) than the workout group with 64.26(SD 11.27), and the difference between the two was significant(P<0.05). By career, the group that had worked for 34 months or less were more stressed with 70.47(SD 12.38) than the other group that had worked for more than 35 months with 65.87(SD 11.48). And the difference between the two was significant. 4, As for the correlational relationship between musculoskeletal symptom to relevant variables, stress was positively correlated to musculoskeletal symptom and the pain of neck, shoulder, back, arm, hand, wrist, waist and leg. Their stress had a positive correlational relationship with the symptom in every part. The younger people made more complaint of the symptom of shoulder, back and leg, and those who had worked for less period were more stressed out. The findings of this study suggested that there was a relationship between stress and musculoskeletal subjective symptom. To prevent stress and musculoskeletal subjective symptom, there should be an attempt to ease stress. The break time should be offered regularly during working hours, and amicable human relations should be kept. The right health habit should be formed in daily living, and stretching exercise and health care should be done more thoroughly.

광주지역 일반인들의 정신질환을 앓고 있는 사람에 대한 인식 및 태도

이은희,김경자,이신영 大韓神經精神醫學會 2000 신경정신의학 Vol.39 No.3

연구목적 : 본 연구는 정신질환을 앓고 있는 사람에 대한 일반인의 인식과 태도를 알아보기 위해서 실시되었다. 방 법 : 1999년 1월말부터 2월초까지 광주시내에 거주하는 일반인 709명을 대상으로 정신질환에 대한 태도를 묻는 설문 조사를 시행하였다. 결 과 : 1) 정신질환을 앓고 있는 사람에 대한 주관적인 정의를 살펴보면, 심한 스트레스나 정신적인 충격, 마음에 상처를 받아서 마음의 병에 걸린 불쌍하고 약한 사람으로 기술하였으며, 정신질환의 원인으로 생물학적이나 유전적인 측면보다 심리적, 사회적인 측면에 대해 더 많이 응답한 것으로 나타났다. 2) 정신질환을 앓고 있는 사람에 대한 인식과 태도를 살펴보면, 일반인의 76.4%는 긍정적인 태도를 보이면서도 정신질환을 앓고 있는 사람의 결혼 가능성이나 지역사회 내에서 더불어 사는 것에 대해서는 여전히 부정적인 시각을 갖고 있는 것으로 나타났다. 또한, 정신질환은 치료될 수 있다고 생각하면서도 정신병원에서 치료될 가능성에 대해서는 상당히 부정적이며 특히 정신병원에 대한 인식이 매우 부정적이었다. 집단별로 살펴보면, 본인이 직접 정신질환을 경험했던 집단에 비해 주변인 중에서 정신질환을 앓고 있는 사람을 경험하지 않았던 집단이 거의 모든 항목에서 더 부정적으로 응답했다. 3) 선행연구와 비교해보면, 정신질환을 앓고 있는 사람들에 대한 전반적인 인식은 1970년대보다 상당히 긍정적으로 변화되어 있는 것으로 나타났다. 결 론 : 정신질환을 앓고 있는 사람에 대한 인식과 태도가 긍정적으로 변화하고 있으나 실제적으로 자신의 삶에 직접적으로 영향을 미치는 부분에서는 여전히 부정적인 태도를 보이고 있다. 따라서 정신질환에 대한 부정적인 태도를 변화시키고 정신질환을 앓고 있는 사람에 대한 오해나 편견을 줄이기 위해서는 체계있는 대중교육이나 사실에 기반을 둔 대중매체의 노력뿐만 아니라 실제적으로 정신질환을 앓고 있는 사람을 만나서 직접 경험하는 것이 도움이 될 것이다. Objectives : This study was conducted for the purpose of identifying the attitudes of laypersons towards the mentally ill. Methods : From the end of January to the beginning of February of 1999, the 709 subjects who lived in Kwangju were surveyed with a questionnaire regarding their attitude towards mental illness. Results : 1) On the question requiring the subjective definitions of a person with mental illness, the subjects described a person with mental illness is pitiful and weak person who became mentally ill due to severe stress, mental shock, or hurts in mind. And they responded on psychological and social factors move than biological or genetic ones to the question asking the causes of mental illness. 2) Positive attitudes were shown in 76.4% of the subjects on the question of awareness and attitudes towards the mentally ill, while about the possibility of their marriage and living together in the community, quite negative attitude was shown, In addition, even though the subjects considered that mental illness could be cured, they had quite negative thoughts on the treatment effects in psychiatric hospitals, especially, the attitude towards the psychiatric hospitals was very negative. On the examination by groups, the group of subjects who had never experienced mental illness replied more negatively in almost all items than the group of subjects who had direct experiences. 3) Compared with previous studies, it appeared that the overall awareness of the mentally ill was changed in a quite positive direction than the 1970s'. Conclusion : Even though the attitude towards the mentally ill has changed in a positive direction, many people still have negative attitudes if it is related to and affect their lives directly. To change the attitudes and to reduce the prejudice and misunderstanding against the mentally ill, it may be helpful to let people make direct contact with the mentally ill, as well as to make efforts with systematic public education or with the media based upon the facts.

치매환자의 보건정책에 관한 연구 : 가정봉사원서비스를 중심으로

이은희 대구보건대학 2000 대구보건대학 論文集 Vol.20 No.-

These days there are many old people in our society. So we must be interested in increasing suddenly of dementia patient. We must examine him by dynamical method, list are made, medical insurance charge is actualized and we make it individual medical insurance charge. Many family are troubled with dementia patient. so in order to save troubles and stress, a short-term shelter and daytime shelter are used the best. We give them an allowance and teach them the art of nursing. And then supports will look after their patient for themselves. From a clinical perspective, most of the dementia patients need home-maker service-i.e.. receiving various services from a home-dispatched helper First, in order to secure and adequate number of home-maker dispatch offices and place them wisely, the already existing in-home care support centers should be utilized actively and the cooperations of related administrative organizations should be acquired for regional balanced service. Second, in order to establish a proper cost-shaving system for the increasing demand of home-maker service, the expansion for the poverty assistance group, the further specification of the tecipients and types of subsidized service, the improvement of the existing service standards and the adoption of a social insurance system should be considered. Third the evaluation standards for paid home-makers should be more flexibly set to reflect not only the number of elderly people in need of the home-maker service but also the intensity and contents of service demand. Also we construct dementia professional hospital and dementia investigation center We are greatly interested in early treatment of dementia. We'll take precautionary measures.

醫療保護의 現況 및 改善方案

李銀姬 대구보건대학 1992 대구보건대학 論文集 Vol.13 No.-

In 1977 practical application of medical care working began and tageter was 2,095,000, a fact man-days was 1,168,000, the total of service census was 4.632,000, medical examination and treatment rate was 0.542(OPD). In 1989 it was increasing tageter was 3,939,000, a fact man-days was 9,975,000, the total of service census was 50,976,000, medical examination and treatment rate was 1.974. A fact man-days was times of 8.4. The total of service census was time of 11. Medical examination and treatment rate was times of 3.6 But the problems was raising. A increasing of medical examination and treatment rate, a increasing of case-medical examination and treatment payment, excessive medical examination and treatment, a lack of medical care a fund, chronic red let-ters insufficiency. Correspondence of the problem has to establish the management system by computer. It has to establish quality assurance service and medical examination and treatment. It has to concentrate the efficiency management of medical care finances and secure an ample buget of the government therefore medical care will have to solidify.

對抗力 있는 賃借人의 解止權 認定 與否

李銀熙 忠北大學校 法學硏究所 1998 法學硏究 Vol.9 No.1

남녀 성별에 따른 고등학교 3학년 수험생의 정신건강 수준과 그 결정요인 연구

이은희 한국 정신보건 사회사업학회 2003 정신보건과 사회사업 Vol.15 No.-

이 연구는 고등학교 3학년 수험생의 정신건강에 대한 연구로서, 고등학교 3학년 수험생들의 정신건강 수준 및 그들의 정신건강에 중요한 영향을 미치는 요인들과 이들 요인들의 영향력의 정도를 남녀성별에 따라 분석하고자 하는 목적으로 이루어졌다. 이 조사의 대상자들은 울산광역시 인문계 고등학교 3학년들이다. 연구결과를 요약하면 다음과 같다. 남녀 성별에 따른 정신건강 수준에 있어서는 여학생 집단이 남학생 집단에 비하여 정신건강이 유의미하게 나쁘게 나타났다. 그리고 남학생 집단의 24.1%, 여학생 집단의 26.2%가 정신건강상 문제가 있는 집단으로 분류되어 수험생들의 정신건강증진을 위한 대책이 요구된다. 단계별 투입에 의한 중다회귀분석 결과 남학생 집단의 정신건강을 직접적으로 설명하고 예측할 수 있는 요인은 인구ㆍ사회학적 하위변인인 수험생의 '건강'과 '성적', 사회적 지지의 하위변인인 '가족지지', 내구력의 하위변인인 '통제력'과 '도전력', 그리고 대처전략의 하위변인인 '문제해결의 확신', '재정의', 그리고 '감정표출' 대처전략이 남학생 집단의 정신건강에 영향을 미치는 것으로 나타났으며, 여학생 집단에서는 인구ㆍ사회학적 하위변인인 수험생의 '건강', 사회적 지지의 하위변인인 '친구지지', 내구력의 하위변인인 '통제력' 과 '도전력', 그리고 대처전략의 하위변인인 '문제해결의 확신', '적극적 활동', '가족과 함께' 그리고 '감정표출' 대처전략이 여학생 집단의 정신건강에 영향을 미치는 것으로 나타났다. 이러한 연구 결과에 기초하여 수험생들의 정신건강 증진을 위한 사회사업적 개입방안을 제시하였다. The Purpose of this study is investigate the mental health of senior high school students and its predictors. The Study Sample Consisted of 865 high school students in 12th grade from the city Ulsan. The survey was done from October 2002 to November 2002 The result from the research were as follows: 1) The mean score of mental health was 9.23. The 25 percentages of the sample had the problem of mental health. 2) The level of male's mental health was different with female's. The mental health of females was worse than males. this indicates that in terms of predicting mental health, it is effective to study students according to gender than as a whole 3) The result of stepwise multiple regression analysis indicated that factors which predict the level of male's mental health were student's health and school record, the support from the family, the sense of control, and challenge, and coping strategies: ventilating feelings, reframing, confidence in problem solving. The factors which predict the level of female's mental health were student's health, the support from the friend, the sense of control, and challenge, and coping strategies: engaging in demanding activity, solving family problems, ventilating feelings, confidence in problem solving. It is also indicates that it is ineffective to make the same approach in dealing with mental health for students with different gender. The findings give us significant practical implications for social work intervention.

醫療保險 診療費請求·審査·支拂制度의 改善方案

李銀姬 대구보건대학 1991 대구보건대학 論文集 Vol.12 No.-

There are many problems in Medical insurance Among therm. I studied about claim payment and Judge and the way of payment. Current Medical insurance choose the "The 3rd person Payment" as the way of payment and also choose "The Fee-for-service" as assessment of the payment of insurance money. The problem is that insurance company pay the money instead the patient, under the name of the protection of insurance finances, It is paid after a course of Judgement. As a result, Insursnce company adjust the price because of over claim and over treatment. Medical institution insists that a course of judgement invade the doctors rights. So I suggest the Reform First, The way of judgement should be opened to the Public, Second, Simplifying the claim payment affair and expention overlooking jugement Make use of Medical recorder, by public claimer program. Because there are so much complication of claim payment it delays the payment.

금속표면의 식삭이 도재소부용 니켈-크롬 합금과 도재의 결합강도에 미치는 영향

이은희,정현곤 慶北大學校 齒科大學 1990 慶北齒大論文集 Vol.7 No.1

A study of the shear bond strength between dental alloy and porcelain according to the order of etching and degassing was established. Group Ⅰ, as a control group, was degassed only, group Ⅱ was etched and degassed, and group Ⅲ was degassed and etched. The specimens were installed in an Instron universal testing machine and the shear bonding strength was measured. After the specimens were fractured, the fractured surfaces were surveyed with SEM. The obtained results were as follows: 1. The shear bonding strength of the etched and degassed group(group Ⅱ)was the strongest of all, and the shear bonding strengths of group Ⅰ and group Ⅲ were not statistically significantly different(p>0.05). 2. The scanning electron microscopic views of the fractured surfaces showed no dendritic structures in group Ⅰ, many adhering porcelain chips on the roughened surface in group Ⅱ, and partially exposed dendritic structures in group Ⅲ. J. Kyungpook Univ. Sch. Dent. Vol. 7, No. 1,157∼167,1990

간호사의 직무 스트레스와 이직 간의 관련성

이은희,장세진,김현옥,노재훈,박은정,원종욱 대한산업의학회 2007 대한직업환경의학회지 Vol.19 No.2