한 農村保健支所에 있어서 住民의 一次的 醫療受惠實態에 관한 調査

魏滋炯,崔三燮 최신의학사 1976 最新醫學 Vol.19 No.2

A study on the utilization of a rural health subcenter as the primary medical care facilities during the three years from 1973 to 1975 was carried out through analizing the medical records of outpatients in Su-dong Health Subcenter, Yang-ju Gun in January, 1976 and the following results were obtained: 1. The five major diseases (Classified using I. C. D) among the patients in the health subcenter were Diseases of the Respiratory system [VIII], Diseases of the Digestive System [VII], Accidents, Poisoning and Violence [XVI], Diseases of Skin and Subcutaneous Tissue [XII], and Diseases of Neurous System and Sense Organ. 2. The rates of free payment patients in the health subcenter were 12.0% in 1973, 23.4% in 1974, and 14.2% in 1975 respectively. 3. The range of medicare fee paid by the out-patients was varied from free payment to more than 2,000 Won for each clinic call but 92.5% of the total cases was treated in 1973, 88.9% in 1974 and 67.7% in 1975 with less than 300 won. 4. The annual patient increase rate was 132 in 1974 and 152 in 1975 based on 100 in 1973. 5. The distribution of out patients by age grouped was the highest in 1-6 aged group with 24.8% in 1974 and 25. 5% in 1975 respectively. 6. The annual utilization rate of the health subcenter by Su-dong Myun was 921 per 1,000 inhabitants in 1975.

농촌지역 초·중등학교 학교 비시지 접종 효과에 관한 고찰 : 경기도 남양주군 수동면

위자형 梨花女子大學校 醫科大學 醫科學硏究所 1983 EMJ (Ewha medical journal) Vol.6 No.4

In order to find out the effectiveness of B.C.G. vaccination in rural school children, a study was carried out through analyzing the result of tuberculin test and old B.C.G. scar checking which were done in primary school and secondary school of Su-dong Myun, Nam Yang-ju Gun from 1981 to 1983. And following results were obtained; 1) The old B.C.G. scar rate of primary school children was the highest in 2nd grade children with 99.0% and the lowest in 5th grade children with 64.5% in 1981. 2) The tuberculin positive rate in primary school children was 20.1% and the rate was not different between male and female in 1981. 3) The age specife tuberculin positive rate was shown the tendency of increasing according to the grade such as 8.3% in 1st grade, 14.4% in 2nd grade and 35.6% in 3rd grade children. And the tendency of decreasing was shown such as 30.4% in 4th grade and 13.0% in 5th grade and 16.3% in 6th grade children in 1981. 4) The tuberculin positive rate was shown the tendency of increasing according to the time passing after B.C.G. vaccination such as 21.0% among the children group who are received B.C.G. vaccination one year before and 27.1% among the group received two years before and 31.4% among the group received three years before. 5) The tuberculin positive rate of primary school children was 21.5% in the group with old B.C.G. scar and 13.1% in the group without B.C.G. scar.

LG디스플레이 You Dream, We Display

편집부(편집자) 대한산업공학회 2019 ie 매거진 Vol.26 No.3

農村 마을保健員의 保健醫療傳達에 대한 態度와 實踐度에 관한 調査硏究

魏滋炯,崔三燮,具然哲 梨花女子大學校 醫科大學 醫科學硏究所 1978 EMJ (Ewha medical journal) Vol.1 No.2

A study on attitude and practice of village health workers organized and supervised by Su-dong health subcenter was carried out with the analizing data collected through interview with 18 village health workers and village health worker's daily activity records during five months from October 1970 to Feburay 1987.

1개 농촌지역의 노인 건강 실태와 일상생활 행태에 관한 조사

위자형 梨花女子大學校 醫科大學 醫科學硏究所 1988 EMJ (Ewha medical journal) Vol.11 No.4

In order to find out the status of Health Care and Daily life of Aged Peaples in rural area, a study carried out, through analyzing the datas of health screening examination for 304 persons and questionaired survey for 242 persons out of 586 old persons in rural community, Su-Dong Myun, Yang-Ju Kun, Kyung-Gi Do, Korea during the September of the year of 1987 and the October of the year of 1988. The following results were obtained: 1) Out of 242 respondents in 1988 survey, 67.4% of them was complained of suffering sickness and out of 304 old persons nealth examined in 1987, 68.1% of them also nad suffered from more than one kind of illness, in the other words two-thirds of old persons in study rural area are complaing their health problem to-day. 2) Th disease order of old persons, found through health examination was degenerative joint disease(30.8%), chroinic gastritis(13.5%), diabetes mellitus(7.2%), hypertension(6.3%), anemia(5.8%) and chronic bronchitis(4.8%) respectively. 3) The rate order of receiving treatment or care by first choice in sick old persons was drug stores(73.1%), medical facilities(16.1%) and just waiting unitil getting well without any medical care(9.1%). 4) The rate of favorite foods for old persons were 50.4% in greens and 38.8% in meats in total, and 53.6% in meats among males and 70.0% in greens among females. 5) The food order of the favorite taste for old persons was suitable taste(23.1%), hot taste(15.3%), sweet taste(14.5%), hot and salty taste(10.8%) and hot and sweet taste(9.9%) respectively. 6) The habitually smokling rate was 76.8% in male and 50.0% in female and the drinking rate was 74.1% in male and 38.5% in female. 7) Out of 242 respondents, 77.3% of them are living with son and grandson together within same family, 17.3% of them are living with wife or husband and 5.4% are living alone. 8) In the religion of respondents, the rate order of belirever was buddist(38.9%), christian(13.2%), and catholic(2.1%). 9) The satisfactory rate for daily life circumstance was 59.1% out of 242 olol personus. 10) Out of 242 responodents, 83.1% of them are still working in the farms and houses around every day. 11) The place order of rest for daily pleasure was own house(54.5%) and "No-In-Jung" or old aged people hall(31.3%) in male, and own house(73.9%) and friend's house(20.8%) in female.

농촌가정경제가 주민 보건지소 이용에 미치는 영향

위자형 梨花女子大學校 醫科大學 醫科學硏究所 1982 EMJ (Ewha medical journal) Vol.5 No.4

In order to know the relationship between rural economic status nd utility of health subcenter, a study was carried out through analyzing the medical records of outpatients in Su-Dong Health subcenter during 10 yars from 1972 to 1981, the average medical fee per visit of patient in Health subcenter during 7 years from 1975 to 1981 and the average income of the hoseholds in Su-Dong Myun during 6 years from 1976 to 1981, which is considered of 5,187 population and with 1,105 households(78.4% Farmer), Nam-yang ju Gun, Kyung-gi Do, and the following results were obtained: 1. The annual utility rate of Health Subcenter of Su-Dong Myun was increased until 1978; such as 314 in 1972, 459 in 1974, 685 in 1976 and 1,033 ni 1978 per 1,000 peoples. However after 1979 the rate was shown decreasing tendency such as 846 in 1979, 774 in 1980 and 723 in 1981. 2. The annual average medical fee of Su-Dong Health Subcenter was increased such as \368 in 1975, \496 in 1977, \ 1,100 in 1980 and \1,860 in 1981 and the annual raised rate was the lowest in 1976(2.5%), and the highest in 1979(76.6%). 3. The covered rate of the Community Health Organization in annual average medical fee was the highest with 30.1% in 1981, and the lowest with 18.5% in 1975. 4. The avarage annual income of the Su-Dong Myun household was increased rapidly until 1978, such as \ 1,108,000 in 1976, \ 1,352,000 in 1977, and \1,989,000 in 1978(with 46.0% the highest rate, annually). However after 1979 the income was shown the inereasing curve down and the descasing such as \ 2,022,000 in 1979, \ 2,211,000 in 1980 and \ 2,180,000 in 1981. 5. The average visiting times to Health Subcenter was 1.86 times; the highest in the groups of National Medicaid program(2.22 times) and next order in the group of medical insurance(2.09 times) and the lowest in groups of Community Health Organization member(1.81 times). 6. It seems that there is the relationship between economic status of the rural households and utility of health subcenter as shown in number of patients and average visiting times pf patiemt according to the source of medical fee payment.

농촌지역 보건조직이 주민보건지소 이용에 미치는 영향

위자형 梨花女子大學校 醫科大學 醫科學硏究所 1981 EMJ (Ewha medical journal) Vol.4 No.3

Through analizing the medical records of 33,656 outpaitients in Sudong Health Subcenter and the payment rate of Community Health Organization membership fee during the nine years from 1972 to 1980 in the area of Sudong Myun, which is consisted with 12 Rie, or 22 villages, Namy angju Gun, the following results were obtained; 1. The annual utility rate of healthh subcenter of Su-dong Myun was increased until 1978 such as 314 in 1972 (started), 459 in 1974, 685 in 1976, and 1, 033 in 1978 per 1,000 people. However, since 1979 the rate was shown decreasing tendency such as 849 in 1979 and 774 in 1980. 2. The annual utility rates of health subcenter according to the source medical fee payment were the highest rate of 1,875 per 1,000 in the group of medical insurance, and 794 in the group of national mdeicaid program and 782 in the group of community health organization member. 3. The membership fee of the community health organization (annual and family base) was raised from \480 in 1974 (starting year) to \6,000 in 1980. And the payment rate was also incrased from 58.8% in 1974 to 72.9% in 1980. 4. It seems that the utility rate of health subcenter by villiage people is co-related to both of the living distance from the health subcenter and the level of payment rate of membership fee of each village base.

일개 면단위 지역에서의 가정상비약 활용실태에 관한 고찰 : Su Dong-Myun

위자형 梨花女子大學校 醫科大學 醫科學硏究所 1991 EMJ (Ewha medical journal) Vol.14 No.4

In order to find out status of household medicine usage in a rural community, a study was carried out, through analyzing the survey data regarding to household medicine usage of 188 household sampled from the 19 towns with 1. 186 families and farm house of 80% in a rural community. Su Dong-Myun, Nam Yang Zu-Gun. Kyung Gi-Do. Korea. The following results were drawn: 1) The 80.9% of 152 respondents answered that they prepared household medicine. Only the 5.3% of them answered that they did not. The rest, 13.8% answered that they were not sure. 2) The preparation rates of oral medicine are as follows drugs for indigestion 80.3% of the highest rate, drugs for headache : 57.9%, drugs for common cold 46.7%, antibiotics: 44.1%, drugs for gastrointestinal pain and drugs for nutrition each 43.4%. and drugs for back and joint pain : 22.4% of the lowest rate. 3) The preparation rates by effect-specific kind including sanitary materials were as follows external ointment: 83.6% of the highest rate, drugs for indigestion 80.3%, antiseptic solution : 73.0%, adhesive plaster : 61.2%, drugs for headache : 57.9%, and guez and thermometer each : 15.8% of the lowest rate. 4) The preparation rates by the number of effect-specific kind of oral household medicine were as follows; three kinds 21.0% of the highest rate, five kinds : 16.4%. four kinds and two kinds : 14.5% each and seven kinds and over: 6.6% respectively. 5) The purchase-routes of household medicine were answered as follows : drug-stores : 85.5% almost all, medical facilities, shops and market each : 4.6% and peddlers : 2.0% respectively. 6) The sources of information about the household medicine were answered as follows : personnel of drug store or pharmacy : 49.3% of the highest rate. T.V. or radio: 27.0%. medical personnel : 15.8%, paper and magazine : 3.0% respectively. 7) The reasons for preparing the household medicine were answered as follows : for preventing disease and promotion of health : 37.5% of the highest rate, for convenience of home care: 26.3% for relief from preparation itself: 20.4%, and for emergent care before special treatment : 15.1% of the lowest rate. 8) The opinions about the necessity of drugs are distributed as follows ; necessary : 86.8% of the majority, not necessary : 1.3%, and not sure : 11.9% respectively.

일부 농촌지역 주민의 면보건지소 이용도에 미치는 영향요인에 관한 고찰

위자형 梨花女子大學校 醫科大學 醫科學硏究所 1988 EMJ (Ewha medical journal) Vol.11 No.2

In order to find out affecting factors to utilization of a rural health subcenter for primary health care, a study was carried out, through analyzing the specific survey data of 284 out of 1,151 total householders in a rural community, Su Dong-Myun, Nam Yang Ju-Gun, Kyung Gi-Do, Korea, and the medical records of total outpatients of the health subcenter in the district during 1976-1987. The following results were obtained: 1) Since 1977, the annual utilization rate showed decreasing tendency such as 900 per 1,000 inhabitants in 1977, 846 in 1979, 708 in 1981, 618 in 1985, 594 in 1983 and 341 in 1987. 2) The age specific utilization rate showed the highest in the group of age of 0-4 with 2,067.4 per 1,000 inhabitants in 1976, 2,402.7 in 1981 and 2,308.2 in 1986, respectively. In the other age groups, no any significant difference was found in the specific rate. 3) In the choice rate of medical facillities for primary health care, health subcenter was the highest(43.3%), and hospital (29.6%), generalist clinic (15.5%) and specialist clinic (11.6%) were in decreasing order. 4) Among the householders surveyed, 92.6% experienced to visit the rural health subcenter more than once. However, 21.1% of them said that the health subcenter is not proper medical facillitics for their situation. 5) In choice reasons of the health subcenter for primary health care, dominent priority factors were sincerity and kindness of health personnels containing staffs(57.8%), near distance from living place (24.6%), proper medical facillities(9.2%) and lower medical cost(8.4%) 6) The utilization rate of health subcenter in the district, revealed a tendency that the nearer distance from the health subcenter, the more patients visit health subcenter. 7) More than half (59.8%) of the householders surveyed, answered that primary health care was interfered mainly with the daily farm work in the district. 8) For the enhancement of utilization rate, the householders surveyed demanded the health subcenter to have good attitude of health subcenter personnel (28.5%), to observe the time and/or extend the duty hours(10.9%), to provide proper medical facillicies (9.5%) and the others(7.1%).

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.