傳染病 報告의 目的과 그 重要性 (上)

방숙 최신의학사 1960 最新醫學 Vol.3 No.7

農村의 家族計劃 實態調査硏究 : 韓國 農村에서의 避妊 實行도 및 그 效果에 관한 硏究

方琡 대한의학협회 1964 대한의학협회지 Vol.7 No.6

새마을 교육(敎育)과 농촌환경(農材環境) 및 보건위생(保健衛生)

방숙,Bang, Sook 대한예방의학회 1982 예방의학회지 Vol.15 No.1

The Saemaul Undong has brought great improvements tothe life-style environment of rural communities, but it has not been able to focuson a health program. In order to improve rural health, develop human resources, and utilise the nation's manpower, the Saemaul Undong should focus on a community health project. Mobilizing the manpower for such a project can be done by providing opportunities for youth and young adults, especially village women, to betrained as primary health caretakers. This project can be achieved through the joint support of the Ministry of Horne Affairs, the Ministry of health and Social Affairs, and other Ministries. It will take decision and courage by government officials to implement such a grand plan, but it is a very crucial task to promote primary health care throughout the whole nation. This calls for top leader's concern & will to adovocate and support a 'Saemaul Movement for health', giving health asfirst priority to the Saemaul Undong as afresh political drive of the fifth Republic of Korea Government.

가족계획과 모자보건 통합을 위한 조산원의 투입효과 분석 -서산지역의 개입연구 평가보고-

방숙,한성현,이정자,안문영,이인숙,김은실,김종호,Bang, Sook,Han, Seung-Hyun,Lee, Chung-Ja,Ahn, Moon-Young,Lee, In-Sook,Kim, Eun-Shil,Kim, Chong-Ho 대한예방의학회 1987 예방의학회지 Vol.20 No.1

This project was a service-cum-research effort with a quasi-experimental study design to examine the health benefits of an integrated Family Planning (FP)/Maternal & Child health (MCH) Service approach that provides crucial factors missing in the present on-going programs. The specific objectives were: 1) To test the effectiveness of trained nurse/midwives (MW) assigned as change agents in the Health Sub-Center (HSC) to bring about the changes in the eight FP/MCH indicators, namely; (i)FP/MCH contacts between field workers and their clients (ii) the use of effective FP methods, (iii) the inter-birth interval and/or open interval, (iv) prenatal care by medically qualified personnel, (v) medically supervised deliveries, (vi) the rate of induced abortion, (vii) maternal and infant morbidity, and (viii) preinatal & infant mortality. 2) To measure the integrative linkage (contacts) between MW & HSC workers and between HSC and clients. 3) To examine the organizational or administrative factors influencing integrative linkage between health workers. Study design; The above objectives called for quasi-experimental design setting up a study and control area with and without a midwife. An active intervention program (FP/MCH minimum 'package' program) was conducted for a 2 year period from June 1982-July 1984 in Seosan County and 'before and after' surveys were conducted to measure the change. Service input; This study was undertaken by the Soonchunhyang University in collaboration with WHO. After a baseline survery in 1981, trained nurses/midwives were introduced into two health sub-centers in a rural setting (Seosan county) for a 2 year period from 1982 to 1984. A major service input was the establishment of midwifery services in the existing health delivery system with emphasis on nurse/midwife's role as the link between health workers (nurse aids) and village health workers, and the referral of risk patients to the private physician (OBGY specialist). An evaluation survey was made in August 1984 to assess the effectiveness of this alternative integrated approach in the study areas in comparison with the control area which had normal government services. Method of evaluation; a. In this study, the primary objective was first to examine to what extent the FP/MCH package program brought about changes in the pre-determined eight indicators (outcome and impact measures) and the following relationship was first analyzed; b. Nevertheless, this project did not automatically accept the assumption that if two or more activities were integrated, the results would automatically be better than a non-integrated or categorical program. There is a need to assess the 'integration process' itself within the package program. The process of integration was measured in terms of interactive linkages, or the quantity & quality of contacts between workers & clients and among workers. Intergrative linkages were hypothesized to be influenced by organizational factors at the HSC clinic level including HSC goals, sltrurture, authority, leadership style, resources, and personal characteristics of HSC staff. The extent or degree of integration, as measured by the intensity of integrative linkages, was in turn presumed to influence programme performance. Thus as indicated diagrammatically below, organizational factors constituted the independent variables, integration as the intervening variable and programme performance with respect to family planning and health services as the dependent variable: Concerning organizational factors, however, due to the limited number of HSCs (2 in the study area and 3 in the control area), they were studied by participatory observation of an anthropologist who was independent of the project. In this observation, we examined whether the assumed integration process actually occurred or not. If not, what were the constraints in producing an effective integration process. Summary of Findings; A) Program effects and impact 1. Effects o

農 村 의 家 族 計 劃 : 高陽郡 家族計劃 硏究社業을 中心으로 With Emphasis on the Applicability of Various IUD Service Methods in Rural Korea

方琡 대한의학협회 1966 대한의학협회지 Vol.9 No.6

출생증명서 및 사망진단서의 표준화와 그 발전 방향

방숙 대한보건협회 1993 대한보건연구 Vol.19 No.1

This paper is to suggest the policy and program measures in standardizing the birth certificate and in improving cause-of-death statistics in Korea. To standardize the birth certificate, the author suggested that the current birth certificate should be revised to include not only the information concerning the identification of the newborn and its mother but also confidential medical information such as (1) the risk factors for the pregnancy, (2) complications of labor or delivery, and (3) abnormal or congenital conditions of the newborn as practiced in the developed countries. Using this revised birth certificate, a medical birth registry system should be developed by utilizing the medical and health service delivery networks in Korea. It is considered to be timely and a feasible policy measures, because of the following reasons: (1) beginning 1 January 1991, the office of the Supreme Court, Korea revised the Civil Registration Law so that all birth registrations will require the birth certificate to be signed by the attending physicians, midwives, and others at delivery. (2) most of births are now delivered at institutions both in urban and rural Korea(97% in urban and 90% in rural in 1992), and (3) a universal coverage of the medical insurance program including the delivery allowance has been in effect since July 1989. (4) about 95% of live births are reported within one year after birth to the National Statistics Office, Korea. To improve cause-of-death statistics, the author emphasized a need of overcoming two major shortcomings in death statistics; (ⅰ) one third of the death certificates are still recorded by lay persons, while the coverage of death registrations has been much improved; and (ⅱ) many physicians have little understanding on the underlying and contributing causes of death in recording cause of death. Therefore, to improve cause-of-death statistics, this paper suggested the following program measures; (1) unedrgraduate and postgraduate education of the physicians on how to record death certificate based on ICD-10, (2) better quality control program by strengthening their querying activities by the National Office of Statistics, (3) more use of cause-of-death data for both research and policy related purposes at national and local level(despite reported limitations of quality and completeness of the mortality data), (4) computerization of recording and reporting of death certificate; e.g. by adopting a system of ACME(Automated Classification of Medical Entities)as developed in the U.S.A. , (5) evaluative research on its reliability and validity of cause-of-death statistics, and (6) implementation of a model quality assessment program of death certificate to demonstrate the whole process of correct measures in recording, reporting, editing, querying, training, and assessing the cause-of-death statistics.

우리나라 일부 농촌지역사회에서 어린이 건강에 영향을 주는 요인분석

방숙,한성현,김영옥,정혜경 순천향대학교 2002 Journal of Soonchunhyang Medical Science Vol.8 No.4

새마을敎育과 農村環境 및 保健衛生

방숙 순천향대학교 1982 논문집 Vol.5 No.4

The Saemaul Undong has brought great improvements to the life-style and environment of rural communities, but it bas not been able to focus on a health program. In order to improve rural health, develop human resources, and unitize the nation's manpower, the Saemaul Undong should focus on a community health project. Mobilizing the manpower for such a project can be done by providing opportunities for youth and young adults, especially village women, to be trained as primary health caretakers. This project can be achieved through the joint support of the Ministry of Home Affairs, the Ministry of Health and Social Affairs, and other Ministries. It is a very crucial task to promote primary health care throughout the whole nation. It will need decision and courage by government officials to implement such a grand plan. This calls for top leader's concern & will to adovocate and support a "Saemaul Movement for Health", giving health as first priority no the Saemaul Undong as a fresh political drive of the fifth Republic of Korea Government.

보건(Public Health)분야의 세계화 : 대한보건협회에 제언

방숙 대한보건협회 1995 대한보건연구 Vol.21 No.1

우리나라 모자보건의 현황과 발전방향 -모자보건의 역사, 현황 및 과제-

방숙 한국모자보건학회 1996 한국모자보건학회 학술대회 연제집 Vol.1996 No.-