의약분업 실시 전ㆍ후 영도지역 주민의 약국 및 의료기관 의료이용 양상 변화 분석

南銀祐,朴宰成,M. Nishigaki,T. Hamai 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-

The purpose of this study is to assess the effects of the separation of prescribing and dispensing in Korea and to find how civilians' usage behaviors on medical institutes such as hospital, clinics, drugstore, and community health center are changed due to the policy. To examine the differences of usage behaviors, this study used a before-after design. Using self-administered questionnaires, this study performed survey from June 26 to August 1, 2000. Chi-square test and generalized logit model was utilized in each observation period. Based on the results of each observation period, this study evaluated the effects of the policy. On the basic finings, most civilians did not agree to the separation policy regardless of both observation periods. However, after the separation, civilians' behaviors seemed to be modified as the policy maker had intended. Most of civilians purchased their drugs from pharmacists after receiving physicians' prescriptions. Specifically, males and elder persons had the exactly same behaviors as the intended utilization behaviors. All study subjects agreed to the basic purpose of the policy for the purpose of the reduction of drug abuse and misuses. The implications of this study are two fold: First, how civilians' short-term inconvenience caused by the policy should be alleviated without interrupting well-established usage patterns. Second, a special attention to the elderly is needed.

Rohrer지수에 의한 한국과 중국 연변지역 조선족 아동의 체격비교

남은우,박기만,배성권 韓國學校保健學會 1996 韓國學校保健學會誌 Vol.9 No.1

This paper was performed to comparative study with the children's body strength status of Ethinc Korean in China and Korea. The subjects of this study were the students of each elementary school located in a rural and a urban areas in China. To compared the elvel of their body strength status, we investigated to the students of 2 elementary schools as comparative group on Kojae Area in Korea. We used student's physical record in the school. The contents of the study were the body weight, the chest circumstance, and the body height of the subjects. To make out the level of the students' physique, we measured by Rohrer Index output through above body height and body weight of them. The results of this were as follows; 1. In the case of Ethinc Korean in China, the average body weight(kilogram) is 28.94±6.68 in male 28.51±7.58 in famels. Comparatively, the average body weight in the case Korean is 31.99±7.23 in male and 31.74 ±7.82 in female. The average body height of Ethnic Korean is inferior about 2~5 Kilograms to that of Korean. 2. The average chest circumstance(centimeter) is 63.51±5.21 in male 63.05±5.87 in female of Ethinc Korean, 65.54±6.43 in male and 64.57±7.81 in female of Korean. Compared to between two group, the average chest circumstance of Ethinc Korean is inferior about 2~4 centimeters to that of Korean. 3. The average body height(centimeter) of Ethinc Korean is 135.28±8.96 in male 134.82±9.74 in female, and that of Korean is 136.68±9.12 in male and 136.10±9.92 in female. Like the preceding below results, the average body height of Ethinc Korean is inferior about 2~5 centimeters to that of Korean. 4. Compared to the fullness degree of physique between two group using Rohrer Index, Ethinc Korean is thiner than Korean. 5. Temporary, in case of children from 10 to 12 years old, female is superior to male through the index contained of the body weight, the chest circumstance, and the body height. It seems that female and male had different maximum growth age.

美國과 蘇聯의 學校 保健 事業 比較 硏究

南銀祐,金敬那 高神大學校 1990 論文集 Vol.18 No.2

한국의 당뇨병 관리를 위한 건강증진정책 연구

남은우,사카마키 히로유키,조은주,조혜전 고신대학교 보건과학연구소 2002 보건과학연구소보 Vol.12 No.-

This research is based on the drastically increased occurrence and death rate of diabetes recorded within the past ten years and the analysis of the Korean government's Diabetes Mellitus Management system in Korea in handling this alarming problem. The information used for this analysis is based on documents and statistics from the Ministry of Health and Welfare Statistics(2001, 2002) and also, health insurance statistics and documents from the National Health Insurance Corporation, 2001. The analysis of Health Plan 2010 will also be a key issue discussed in this paper. The Korean government's Diabetes Mellitus Management Plan's aim of increasing the life and healthy life expectancy while decreasing the medical costs at the same time is considered as a vital link in the government's Chronic Disease Management Plan. The main aim is to decrease the death rate, due to diabetes, from 22.6 people in 2000 to 19.0 by the year 2010. Health Plan 2010 plans to increase the role of public health centers. It also plans to form a system that will be used as a device in decreasing chronic diseases such as high blood pressure, diabetes and increasing general health by using the strategies of Health Plan 2010 against diabetes -to increase the government's role in public health. Korea's death rate, due to diabetes, is 2.2 times higher than that of Japan. Korea's being 22.6% compared to that of Japan which is only 10.1%. From now on our concerns should be directed in education and manpower. We need to have more specialized personnel who can be responsible for the nutrition, exercise, prevention and care of the public. Education is the fundamental basis for the control of Diabetes and is known throughout the world as the most cost-effective treatment. From this point on, the Government should concentrate on educating the people on the importance of healthy life styles. To do this it needs to provide the necessary funds needed in Health promotion and health education, and also to provide for professional personnel(eg. health educator).

부산지역 종합병원환자의 흡연실태 및 원내 흡연정책에 관한 인식도 조사

남은우,류황건,박재성,민체류 韓國保健敎育.健康增進學會 2001 보건교육건강증진학회지 Vol.18 No.3

The purposes of this study were to identify patients' perceptions toward regulations of smoking in general hospitals and hazards caused by smoking. Moreover this study also identified smoking behaviors and punishment experience due to in-hospital smoking and education experiences of smoking in general hospitals. Around 88.0% of all respondents regardless of either smokers or non-smokers knew that hospitals are non-smoking area. However, 71.6% of smokers smoked during their hospital visits. For their smoking, only 51.0% of smokers utilized smoking rooms or areas for their smoking. Only 55.1% of smokers experienced punishments or notifications of warning due to their smoking. Around 93.0% of inpatients and outpatients acknowledged hazards toward their health caused by smoking. However, smokers did not realize the dangerous effects of passive smoking to other person. Only 38.1% of smokers said that passive smoking causes hazard of others' health. 63.8% of smokers hoped for secession of smoking but only 42.8% of them sustained their non-smoking periods over 5 moths. Based on these results, this study insists that a more enforced smoking policy in general hospitals be desperately needed for protecting patients' health and controlling smoking at unapproved areas. Moreover hospitals should take proactive actions to prevent smoking in hospitals. A health education program in hospitals should promote patients' self-efficacy to stop smoking and patients' understanding of the hazardous effects of passive smoking in hospitals.

ASIA지역 의료선교지 선택을 위한 국제보건학적인 연구

남은우,배성권 高神大學校 保健科學硏究所 1993 보건과학연구소보 Vol.3 No.-

The purpose of the study were to: (1) describe the health and related variables among the Asian countries: and (2) to determine the ranking of the medical missionary areas to the Asian countries. For the methods to treat data, 1990 PC Globe. Inc. Tempe. Az. U.S.A. was utilized. The analysis model developed for determining ranking of the medical missionary areas out of the Asian countries selected as variables are as follows: economical, christian proportion, education, ADL, IMR, and life expectancy. The following findings are : (1) According to result of the variables, determined 5 groups to classify for the mission in the 43 Asian countries. Group 1 includes of 13 countries that are Nepal, Bangladesh, Bhutan, Afghanistan, Yemen, India, Cambocia, Parkistan, Oman, Iran, Raos, Lebanon and China. Group 2 includes of 14 countries that are Maldives, Mongolia, Vietnam, Saudi Arabia, Jordan, Iraq, Turkey, Philippines, Myanmar, Indonesia, North Korea, Russia, Thailand and Sri Lanka. Also, Group 3 includes of 9 countries that are Qutar, Malaysia, Syrian, Makao, United Arab Emirates, Bahrain, Cyprus, Israel and Kuweit. Group 4 includes of 4 countries that are Guam, Japan, Taiwan and Singapore and Group 5 includes of 3 countries that are Brunai, Hong Kong and South Korea. (2) Group 1, and Group 2 are the most need to medical missionary in the primary health care(PHC) level. In these Groups need not only community development program and PHC program including child and maternal health, vaccination, and tropical medicine but also curative services. (3) In 1992, 48 medical missionary institutions are operating in Korea. In these institutions need to cooperate inter-institutions, NGOs, and KOICA(Korea Oversea Institution Cooperate Agency). Also, Korean medical missionary institutions are need to cooperate with International institutions, for examples, WHO, and UNICEF. The implication of the major finding for most of the Asian countries indicates the necessary basic needs. They are: primary health care, education, family planning, rural water supply and sanitation. Therefore medical missionary program must development basic needs oriented for the Asian countries.

한국과 일본의 건강증진정책 비교

남은우,조은주,남정자,Toshihiko HASEGAWA,Yoshi FUJISAWA 고신대학교보건과학연구소 2003 보건과학연구소보 Vol.13 No.-

지방공사 부산의료원의 경영효율화 방안 연구

남은우,강성권 고신대학교보건과학연구소 1999 보건과학연구소보 Vol.9 No.-

The purposes of this study are to identify and analyze the current state of management and operation of Puasan Medical Center, a local public medical institution, and related- controversial problems, and then to suggest some policies for the improvement of its managerial and operational erriciency. Considering its special role and function as a prblic medical institution, in particular, focusing on medical services in which its private counterpart does not actively engage, the improvement of its managerial and operational efficiency are considered to be a continuously-pursued issue. Recently, as an effort to improve its efficiency, some policies such as the introduction of reservation system for medical service, active compaign for patient attraction, and through monitoring on personal expenses, the costs of material and management expenses are being implementer. However, despite this effort, the current management and operation are still found to be problematic. Thus, this study by conducting the analysis on its current controversial problems, suggests some alternative policies as follows: first, thecurrent operating system is seemingly required to bo maintained for its special role and function as a public medical center. However, the managerial system is suggested to be subject to an innovative change. Furthermord, in case of a continued-unsatisfaction in relation with the improvement of its managerial efficiency, the adoption of managerial system entrusted to private managerial specialists can be an alternative. second, for the improvement ofmedical service quality, increase in the emplyment of distinguished medical specialists, and the expansion and modernization of medical facilities and instruments are required. third, for the increase in its efficiency harmonized with its public nature, the mutual connecting system between the medical center and university hospitals should be reregulated. Fourth, the adoption of a responsible management system is recommended, together with a post management control system in which the actual performance of manager is evaluated expost facto.

개호보험의 실시가 병원경영에 미치는 영향 : 일본 후라데 니시노병원의 경영사례를 중심으로

南銀祐,徐種範,西野憲一,芭修一 고신대학교 보건과학연구소 2002 보건과학연구소보 Vol.12 No.-

Since the introduction of Long Term Care Insurance (Kaigohoken), the hospital management style in Japan has changed. The experiences of the Japanese can be used by the Koreans to improve their hospital management style. The Case study hospital, The Nishino General hospital, had established an intermediate facility (Rojinhokenshisetsu) which consisted of a home care service center, a visiting nursing center etc. to form a health, medical and welfare mix style management system. For the analysis of the system, how it was established and management, we studied the financial statements of the 2001 Furate (Corporation of Nishino hospital etc.). From the analysis of the financial statements one could see that the Rojinhokenshisetsu had a higher profit margin than the hospital itself. This has to do with the Japanese government's administrative plan in decreasing the number of acute hospitals while trying to increase the number and upbringing of long term care facilities and mixed style welfare service facilities. And the reason for the difference in profit is because of the quick response of the hospitals in following the plan. This conversion of administrative plans and medical management structure has not only decreased the national medical expense but has also given the regional population a comprehensive health care system and can be seen as a desirable model. Owing to the desirable changes from the conversion in administrative plans and medical management structure brought on by the Long Term Care Insurance in Japan, one can see Korea also applying such methods and forming a Long Term Care Insurance in the near future.

음악치료 실시가 뇌졸중 환자의 혈압과 맥박에 미치는 영향

남은우,김혜경 고신대학교보건과학연구소 2001 보건과학연구소보 Vol.11 No.-

The purpose of this study was to identify the impact of music therapy on apoplexy patients' blood pressures and pulse. During seven months in 2001, one music therapist gave patients music therapies and one nurse measured blood pressure (BP) and pulse. There were no statistical differences of BP and pulse after music therapy given compared to before music therapy. However, there of BP. Thus, this study concludes that music therapy focuses on patients' emotional aspect instead of physical response of human body such as BP and Pulse.