A Study on Affecting Factors to Utilization of a Rural Health Subcenter for Primary Health Care in Korea

위자형,Wie, Cha-Hyung 한국농촌의학.지역보건학회 1988 농촌의학·지역보건 Vol.13 No.1

산간 농촌지역 19개 행정리 1,151세대, 인구 4,591명, 농가비율 78.4%인 경기도 남양주군 수동면에서 면지역사회 표본추출 세대주 284명의 보건지소 이용에 미치는 요인에 대한 설문조사 자료와 1976년부터 1987년까지 보건지소를 이용한 외래 초진 환자의 진료실적을 분석한 결과 다음과 같은 결과를 얻었다. 1) 농촌지역 주민의 보건지소 이용율은 인구 1,000명당 1987년이 900으로 최고율을 보이다가 1979년 846, 1981년 708, 1985년 618, 1983년 594, 1987년 341로 해가 거듭할수록 감소하는 경향을 보였다. 2) 농촌지역 주민의 연령별 보건지소 이용율은 인구 1,000명당 0~4세군이 1976년 1981년, 1986년 공히 2,067.4, 2,402.7, 2,308.2로 최고율을 보였으며 다른 연령군에서는 별차이가 없었다. 3) 조사대상 세대주의 1차진료기관 선정은 보건지소가 43.3%로 가장 높았고 다음이 병원 29.6%, 일반과의원 15.5%, 전문과 의원 11.6% 순이었다. 4) 조사대상 세대주의 92.6%가 보건지소를 가끔 또는 자주 이용한 적이 있으며 보건지소가 좋다고 생각하는 주민은 21.1%에 불과하였다. 5) 조사대상 세대주의 보건지소나 일반과의원 선정기준은 성실하고 친절한 차이 57.8%로 가장 높고 다음이 가까운 곳(24.6%), 시설이 좋은 곳(9.2%), 치료비가 싼곳(8.4%)순이었다. 6) 농촌지역주민의 보건지소 이용율은 보건지소와의 거리가 가까운 마을 주민일수록 자주 이용하고 있는 경향을 보였다. 7) 조사대상 세대주의 59.8%가 일상농사일이 일차진료에 영향을 미친다고 하였다. 8) 조사대상 세대주의 보건지소 발전 방안을 위해 보건지소에 바라는 소망을 보건지소 직원의 좋은 태도가 28.5%로 가장 높았고 다음이 근무시간 준수나 연장개선(10.9%), 시설 및 장비개선(9.5%), 기타(7.1%) 순이었다.

한 농촌 면단위지역 영아의 예방접종실태에 관한 조사

위자형,이보은,Wie, Cha-Hyung,Lee, Bo-Eun 한국농촌의학지역보건학회 1998 농촌의학·지역보건 Vol.23 No.2

In order to find out the status of routine-immunization in a rural area, this study was performed, through analyzing the data which was obtained from the immunization register of infants who was born at Su-Dong myun in 1996 and 1997, managed by Su-dong Myun health subcenter. The results are as follows. 1. B.C.G immunization rate was the highest such as 52.2% within 1 month and next order such 34.8% at 2 month in 1996. In 1997, the highest such as 73.8%, almost all, within 1 month. 2. D.P.T immunization rate in 1996 showed, almost all, the highest at 3 month(79.4%) for 1st dose and at 5 month(78.4%) for 2nd dose. However, the rate for 3rd dose showed the highest at 7 month(51.4%), and next order at 8 month(35.1%) and at 6 month(13.5%). D.P.T immunization rate in 1997, similarly showed the highest at 3 month(81.8%) for 1st dose, at 5 month(71.2%) for 2nd dose and at 7 month(71.4%) for 3rd dose. 3. Hepatitis B immunization rate showed the highest at birth at once or within one week(87.0%) for 1st dose in 1996 and (94.7%) in 1997. The rate for 2nd dose showed the highest at 2 month(51.7%) in 1996 and (50.0%) in 1997, and next order at 1 month(44.8%) in 1996 and (34.4%) in 1997. The rate for 3rd dose showed the highest at 3 month(54.8%) in 1996 and 5 month(54.8%) in 1997, and next order at 5 month(25.8%) in 1996 and at 3 month(26.0%) in 1997. 4. Measles immunization rate was 76.1% in 1996. The rate(76.1%) by the kind of vaccine was the highest with measles-MMR(34.8%), and with MMR(32.6%) and next order with measles(8.7%). The rate by measles immunization time(month) was the highest such as 35.0% at 9 month and 10 month respectively and the rate by MMR was the highest at 16 month(35.5%), and 15 month(22.5%), 13 month (12.9%) and 14 month(12.9%) in next order.

일부 농촌주민의 일차의료이용실태와 그 관련요인에 관한 연구

위자형(Cha Hyung Wie) 한국농촌의학 지역보건학회 1995 농촌의학·지역보건 Vol.20 No.2

일부 농촌지역주민의 보건의식과 일차의료 이용 실태에 관한 조사

위자형(Cha Hyung Wie),곽정옥(Jung Ok Kwak) 한국농촌의학 지역보건학회 1995 농촌의학·지역보건 Vol.20 No.1

한 농촌보건지소에서의 보건관리 실태에 관한 고찰

위자형(Cha Hyung Wie) 한국농촌의학 지역보건학회 1991 농촌의학·지역보건 Vol.16 No.1

일부 농촌지역 노인의 거낭관리 실태에 관한 고찰

위자형(Cha Hyung Wie) 한국농촌의학 지역보건학회 1990 농촌의학·지역보건 Vol.15 No.1

A Study on Affecting Factors to Utilization of a Health Subcenter for Primary Health Care in Korea

Cha-Hyung Wie(위자형) 한국농촌의학 지역보건학회 1988 농촌의학·지역보건 Vol.13 No.1

폐결핵 재발 환자의 약제 감수성과 재발 간격에 관한 단면 연구 - 서울시 일부 보건소 등록 환자를 중심으로

박혜숙,하은희,위자형,강지용,Park, Hye-Sook,Ha, Eun-Hee,Wie, Cha-Hyung,Kang, Ji-Yong 대한예방의학회 1996 Journal of Preventive Medicine and Public Health Vol.29 No.1

The purpose of this study was examine the general characteristics of relapsed pulmonary tuberculous patients (i.e. age, sex, weight, occupation, previous forms of treatment, drug sensitivity, and the frequency of relapse) in order to improve future treatments of tuberculosis as well as to perpetuate health education. The data was obtained from the medical records of 186 relapsed pulmonary tuberculosis patients who were registered for treatment at various public health offices in Seoul during the year of 1994. The major findings obtained from the study were as follows; 1) The male to female ratio of relapsed pulmonary tuberculous patients was about 7:3, more specifically 23.7% of the men and 30.9% of the women were between 20 and 29 years of age. 2) Comparing initial less aggravated states to relapsed states, patients with minimal X-ray findings later proved moderately advanced X-ray findings. Furthermore, patients with negative sputum AFB findings later proved positive sputum AFB findings. 3) Of the 186 patients studied, 91.9% suffered, relapse and 8.1% suffered 2 or more relapses. Of the patients who suffered at least 1 relapse, 54.8% received short-term treatment, 26.9% received long-term treatment, and 18.3% received treatment of an unknown during their initial tuberculosis treatment periods. 4) fifty five point four percent of the patients had no reaction to the drug treatment(not available), 25.9% of the patients had sensitive reaction to the drug treatment, 18.7% of the patients had resistant reaction to the- drug treatment. Drug resistance was higher in patients that exhibited positive X-ray findings as well as in patients that exhibited positive sputum AFB findings. furthermore, patients receiving treatment of an unknown nature(35.5%) exhibited higher drug resistance than those receiving short-term treatment(13.6%) and long-term treatment(17.0%). 5) Of the 160 patients who suffered relapses, 8.8% suffered a relapse within 1 year after treatment and 91.2% suffered a relapse at least 1 year after treatment. Furthermore, our study showed that women, under 30, who received short-term treatment and encounterd complications during their primary treatment suffered relapses faster than any other groups studied. In addition, minimal X-ray findings and sputum AFB findings were not correlated to the time relapse occured. Therefore, the seater efforts are needed to prevent relapsed pulmonary tuberculosis.

서울시 보건소에 등록된 폐결핵환자의 단기치료성적에 관한 연구

박혜숙,하은희,위자형,Park, Hye-Sook,Ha, Eun-Hee,Wie, Cha-Hyung 대한예방의학회 1995 예방의학회지 Vol.28 No.2

This study was performed for the comparison of the therapeutic efficiency between 6-month (2HERZ/4HER) and 9-month (9HER) short-course chemotherapy under the programe conditions for pulmonary tuberculosis in terms of sputum AFB negative conversion rate, remedial interruption rate and cost effectiveness analysis. Two hundreds and ninty three patients treated with 9HER and 641 treated with 2HERZ/4HER had been discharged from 22 health centers in Seoul from May 1, 1993 to April 30, 1994. Seven hundreds and seventeen was subsequently analysed excluding 217 patients due to remedial interruption. The results : 1. Bacteriological negative conversion rate in 9HER regimen and 2HERZ/4HER regimen was 97.8% and 96.4% respectively(p>0.05). But the early treatment period, negative conversion rate in 2HERZ/4HER regimen was very higher than in 9HER regimen(p<0.01). 2. Remedial interruption rate for 9HER regimen and 2HERZ/4HER regimen was 34.1% and 13.6% respectively. The primary reason for the interruption was transfering to other clinics and this interruption was high within 3months. 3. Cost effectiveness for 2HERZ/4HER regimen was higher than 9HER regimen. The difference cost effectiveness ratio was 2.33 at the first sputum test and 1.69 at the last sputum test.

철강제조업 생산직 남성 근로자의 건강행태에 관한 연구

하은희,임현술,위자형,곽정옥,Ha, Eun-Hee,Lim, Hyun-Sul,Wie, Cha-Hyung,Kwak, Jung-Ok 대한예방의학회 1996 예방의학회지 Vol.29 No.1

This study was carried out to evaluate the relations among workers' general characteristics, work-related behaviors and health related behaviors in a steel industry with 1,134 workers in Pohang. The results were as follows; 1. The mean age of workers was 50 years old and working duration was 15 years and over. Most of them were married(94.5%) and had studied beyond high school (53.0%). They performed three shift work and most of them(63.0%) had experienced industial accidents. The frequency of noise and dust exposure was defined by a minimum of 6 hours per day, and workers complained about noise exposure(62.9%) and dust(55.6%). There were current smokers(67.7%), current drinkers(74.3%) and current exercising workers(32.3%) in the industry. The number of cigarette consumption in current drinkers was significantly high $(13.6{\pm}8.4\;pieces/day)$ and the alcohol consumption in current smokers was significantly high$(104.5{\pm}113.5\;g/wk)$. And the number of cigarette consumption of exercisers was significantly low and the alcohol consumption of exercisers was higher than non-exercisers. 3. The ratio of current smokers on frequent noise in exposed workers versus non-exposed workers was not significantly high but the current drinkers in frequent noise and dust exposed workers was significantly higher than non-exposed. 4. The normal levels of SGOT workers in non-smokers were significantly higher than in current smokers, and the normal levels of LFT (SGOT, SGPT, $\gamma-GTP$ workers in nondrinkers were significantly high. The normal levels of SBP and DBP workers in current smokers were not significantly high but were significantly high in non-drinkers. 5. The ratio of current smokers in voters unsatisfied with their job and working condition was higher than non-smokers, but the ratio of current drinkers in workers satisfied with their job and working condition were higher. 6. The significant factors for SGOT and $\gamma-GTP$ were age, the drinking amount and BMI. But the only significant factor for r-GTP was BMI. The significant factors for DBP were age, the alcohol consumption and BMI. And the significant factors for SBP were age, BMI.