農村地域主婦의 諸特性이 保健醫療에 미치는 影響

寄老錫,朴贊云 全北大學校 醫科大學附設 看護專門大學 1980 논문집 Vol.6 No.-

A multiple regression analysis was conducted in order to determine the effects of characteristics of rural housewives (age, education, occupation, and number of children), and characteristics of household (economic status, cultural level, and contact of health worker) on health status of family member and utilization medical cares. The data were collected from 533 rural housewives in Jeon-bug area for this analysis. The results summarized are follows : 1. The housewives' age, number of children, and occupation had positive correlation to prevalence of disease of family members, but the educational level had significant negative correlation. 2. Housewives' age, education, number of children and occupation have 16.8 per cent variable explained on health status. Multiple regression coefficients by age, education, number of children and occupation was 0.296, -0.207, 0.096 and 0.319 respectively. 3. Economic status, the frequency of health worker contact and health status have reciprocal positive coorelation. 4. Economic status, frequency of worker contact and cultural level have 19.8 per cent variable explained on health level of family members, Multiple regression coefficient of economic status, cultural status and contact with worker was -0.410, 0.171, and -0.273 respectively. 5. The selected variables on health status by stepwise regression analysis was 5.95 per cent variable explained in contact wit health worker, 10 per cent in economic status, and the contribution proportion of economic status was 4.3 per cent. 6. Health status(Prevalence of disease) and utilization of medical care had significant positive correlation(r=+0.42).

一部 保建診療員의 業務活動에 關한 調査硏究 : 全北地域을 中心으로

奇老錫 全北大學校 醫科大學附設 看護專門大學 1982 논문집 Vol.8 No.-

A study on the Activities of Community Health practitioners (about 70 personnel) in Jeonbug Area was carried out from January 1982 to June 1982, based on analyzing the Running Reports about the managerial state of Community Health clinic. The results were summerized as follows : 1. The age distribution ; Under 35 years old group was 74.3%, over 50 years old group was 5.7% average age was 31.4±9.4 2. The educational Background ; Graduating from Nursing technical school or Nursing Junior college was 71.5%, Nursing High school was 24.3%, only one person had graduated from 4 years course in Nursing college. 3. The Experience of Nursing practice ; Less than 5 years was 60%. 4. The duty section served ; clinic was 51.4%, school or Health center was 24.4%, No pre-experienced personnel was 24.4%. 5. Marrital status ; Married group was 42.9%, single group was 57.1% 6. Non licensed midwife was 70% 7. The locational distribution ; In Ocku, Kimgae, Wanju, Icksan, ordered. Most of them Located in around cities. 8. The Rate of working Activities ; Curative services were 75.4%, preventive services were 24.6% 9. The average Numbers of working Activities According to age groups ; Between them, significant positive relation(p<0.01). In over 40 years of age, they were engaged in vaccination (324.2±124.3), Registration(103.4±37.7) Maternal care (29.8±8.4), Consultation of Tubaligation (23.8±1.6), In 30 years of age, thay were mostly engaged in curative services (970.4±188.6) 10. The average Numbers of working Activities according to Experienee of Nursing practice ; Between them, significant positive relation (p<0.01). over 10 years Nursing practice Experienced group was dominant in the other services except curative services. 11. The average Numbers of working activities according to Licenses of Mid Wife ; Between them, significant positive relation. (p<0.01) Licensed group was engaged in Vaccination (214.7±109.5), Registration (82.7±34.9), Maternal care (29.1±1.6). Non Licensed group was engaged in curative Services (850.0±181.5)

保健診療員 및 保健診療補助員의 勤務時間活用에 대한 調査硏究

黃仁澹(In Dam Hwang),朴榮洙(Young Soo Park),奇老錫(No Suk Ki) 한국인구학회 1980 한국인구학 Vol.3 No.1

A study on analysis of daily activities and time allocations of Community Health Practitioners (CHP) and Community Health Aids (CHA) who assigned to Ocku Demonstration Health Project of the Korean Health Development Institute was conducted for one week from 3rd through 8th December 1979. The purpose of this study was to determine the efficacy including productivity of the community Health Workers developed by KHDI for rural areas. Five Community Health Practitioners and eight Community Health Aids were selected for the studies and their activities and time allocations were measured by designed format for one week. The followings are the summary of the findings. 1. The mean age of the CHPs was 34.4 years with standard deviation 4.8 years, while that of CHAs was 26.9 years with standard deviation 3.1 years. 2. On educational background, all of the CHPs were graduated from Junior Nursing College, six CHAs were from high school and the rest of them from middle school. 3. On marital status, all CHPs were married, meanwhile four CHAs were married and the rest of them were single. 4. On service duration in public health fields, all of the CHPs have worked for less than three years, meanwhile five CHAs for 5 to 9 years and one CHA for more than 10 years. 5. Only one CHP lives in the myon where she works, and the rest of them live in other areas. Three CHAs live in the same myon where they work, and five live in other areas. 6. On types of work, the CHPs have worked on technical areas for 3.6 hours per day and on supportive and administrative activities for 2.7 hours and other activities for 1.8 hours on average. 7. The CHAs have spent 2.9 hours a day on technical activities, 4.2 hours on supportive and administrative activities and 1.6 hours on other activities in terms of time spent on average. 8. The average hours per day spent by CHPs on functional areas were 2.2 hours for clinic activities, 13.7 minutes for maternal health, 30.1 minutes for infant and child health, 13.4 minutes for family planning, 1.1 hours for supporting activities and 1.7 hours for administrative affairs. 9. The average hours per day spent by CHAs on functional areas were 4.1 hours for administrative affairs, 2.6 hours for supportive activities and only 2.9 for maternal health, infant and child health an family planning, and other technical works. 10. The average time spent by CHPs on clinical works were 1.0 minutes for history takings on disease, 2.6 minutes for physical examinations, 1.1 minutes for measurements, 3.8 minutes for administration of medications, 1.5 minutes for educations and 0.9 minutes for others. 11. On the average 92.8 percent of whole working hours of CHPs were spent in the substations, meanwhile 70.4 percent of CHAs were spent in the substations. 12. 17.8 percent of field working hours of CHAs were spent on the roal for their transportations. 13. The average time for unit service performance by CHPs were 10.9 minutes on clinical case, 18.1 minutes on maternal health, 14.8 minutes on infant and child health, 20.5 minutes on family planning and 29.9 minutes on tuberculosis control. 14. The average time for unit service performance by CHAs were 19.4 minutes on clinical work, 19.9 minutes on maternal health, 20.1 minutes on infant and child health, 17.2 minutes on family planning, 22.2 minutes on tuberculosis control.