한국의 보건지표 체계 개선에 관한 연구

윤치근 ( Chi Keun Yoon ),윤병준 ( Byoung Jun Yoon ),이준협 ( Jun Hyup Lee ),김윤신 ( Yoon Shin Kim ) 한국보건행정학회 2003 보건행정학회지 Vol.13 No.2

Ⅰ. Background and Purpose Health indicator system and measurement of health status are an important fields in national health fields. This study reviewed the overall concepts of health and health indicators, health indicator system. The purposes of this study are to build the conceptual health framework, and suggest a health indicator system, in order to correspond to the situation of national health and the demand of international organizations. Ⅱ. Scope and Contents The scope of this study; - Review of the conceptual health framework, health indicators, and health indicator system - Selection and development of the new individual health indicators - Suggestion of the revised health indicator system Ⅲ. Results of Study This study intented to build the conceptual framework of national health and provide the measurement tools of health status. This study developed the health indicator system through the conceptual and hierarchial approach to national health. The health indicator system contains 6 concern areas and each sub-areas. The major concern areas are health state and behavior, death·disease·disability, health care utilization, health resources, health expenditure and finance, other affecting factors on health. This health indicator system is corresponding to the situation of health status patterns and the demand of international organizations. And this health indicator system is considering the present health data production system and the availability of health data.

선진제국(先進諸國)의 국민의료비수준(國民醫療費水准)과 증가억제방안(增加抑制方案)

윤치근 ( Chi Keun Yoon ) 한국보건사회연구원 1988 保健社會硏究 Vol.8 No.2

Health Care Expenditures have been one of the largest and fastestgrowing social expenditure items in all the OECD countries. But much of the growth occured in the expansive economic climate of the 196Os, as many countries implemented national health insurance systems, provided public coverage to specific population groups, or enhanced already established na-tional health system. Following the high inflation and low economic growth engendered by the oil shocks of the 1970s, most OECD countries began to face serious health care financing problems. These problems will be continued in the future as changing medical technologies and ageing of populations place substantial new cost pressures on both the public and private health care financing system of OECD countries. This study describes the polices taken in 5 developed countries(France, Sweden, United States, United Kingdom, Germany) to restrict the health care expenditures in period 1975 up to 1984. The summary of this study is as follows; From the mid 1970s, most developed countries began attempts to restrict the growth of health care expenditures through various intervention programs. The intervention programs have varied from country to country, in line with the institutional framework. The object of these polices, however, has been indentical; to restrict the growth of national health expenditures to the growth of GDP. Polices to restrict expenditures on health care have been aimed at various combinations of controlling (1) nation budget (2) changes of financial system (3) utili-zation of health services (4) prices of health service (5) premiums of health insurance (6) payment system for medical services. Expecially speaking, Germany has actually introduced a formal Cost-containment law-the Federal Health Care Cost Containment Act of 1977. From the experience of the abroad, we can take considerable lessons.

우리나라 복지통계의 현황과 발전방향에 관한 연구

윤치근 ( Chi Keun Yoon ),이승욱 ( Seung Wook Lee ),윤병준 ( Byoung Jun Yoon ) 한국보건정보통계학회 (구 한국보건통계학회) 2006 한국보건정보통계학회지 Vol.31 No.1

회귀모형(回歸模型)을 통(通)한 보건지표(保健指標)와 그에 영향(影響)을 미치는 요인(要因)에 관(關)한 연구(硏究)

윤치근 ( Chi Keun Yoon ),김정근 ( Jong Kun Kim ) 한국보건사회연구원 1987 保健社會硏究 Vol.7 No.1

The main purpose of this study is to discuss the relationship between health indicators and health affecting factors. Regression analysis is employed to detect the relationship between a health status indicator and eleven health affecting factors. 1. All the pairs of variables varied in accordance with our expectations for the interrelationship between pairs of variables. 2. Infant mortality rates showed a high interrelationship of over 0.95 with life expectancy. This result partly justified the hypothesis that, in developing countries, high infant mortality rates have largely contributed to lower life expectancy. It also means that we could choose one of them as a health status indicator instead of combining them. 3. From the results of the stepwise regression of overall countries, two equations for infant mortality and life expectancy were selected. These were: LYI=9.2001-0.2623LX7-0.5662LX9-0.4178LXII (Infant mortality) Y2=40.1727+0.1126X4+0.2328X9 (Life Expectancy) These two equations illustrate that infant mortality had a comprehensive correlation with the health services variables, and with socioeconomic variables and the life expectancy was most closely correlate! with socioeconomic variables. 4. The most striking relationship is the degree of correlation between health status and the adult literacy rates. Three possible explanations are offered. a) We can simply assume that the literacy rates represent the general level of education which in turn reflect the level of socioeconomic development. b) The adult literacy rates are presumably associated with cleanliness and hygiene, improved child care. The connection between literacy and health status is not immediately evident. The obvious link is the spread of health knowledge through health education. Both children and adutls may be taught to children at school and adults at adlut education courses. c) There seems to be a vicious circle between low level of education, poor-health and low incomes. Low incomes may limit educational opportunities, therefore, it is unlikely that productivity rates will rise. This low, productivity, in turn, will ensure incomes remain low. It brings a lack of food and adequate sanitation, so that poor health will prevail. In developing countries, the earnings difference between people with highest and lowest education levels would be expected to be greater since the totally uneducated have been even lower productivity levels than those of the primary school graduates. 5. The strong relationship between the number of physicians and health status is to be expected. One possible way to explain this high association may be simple. In theory, each country trains physicians to meet the medical problems of people and their activities are directly concerned with controlling physical and mental diseases. In spite of their direct effect on people`s health, physicians showed lower correlation with health status than did adult literacy rates. A tentative explanation might be a) The health training programes, especially in developing countries, are frequently irrelevant to local health problems, needs and demands, physicians prefer to perform highly sophisticated curative hospital work instead of primary health care services. b) In some countries, the private profit-making and urban oriented market for health services employs high proportions of physicians and this serves a comparatively small, selected client who can afford to pay for relatively sophisticated treatment. This is the most serious and pervasive deficiency in the geogr aphical maldistribution of physicians, which occurs widely in developing countries. The heavy concentration of physicians in the urban areas creates several problems. 6. The results of the analysis for the developed and developing countries are very different. The selected health affecting factors do not explain well the health status of the developed countries, in particular the physicians and the adult literacy rates show the greatest explanatory power for health status in developing countries. These results imply the suggestion that, in developed countries, the selected health services and socioeconomic factors generally have little effect on health.

건강관심도, 건강행위 및 주관적인 건강인식과의 연관성 연구

윤치근 ( Chi Keun Yoon ) 한국보건정보통계학회 (구 한국보건통계학회) 2004 보건정보통계학회지 Vol.29 No.1

미국 의료서비스시장에 있어서 관리의료의 도입과 영향에 대한 고찰

윤치근(Chi-Keun Yoon) 한국보건복지학회 1998 보건과 복지 Vol.1 No.-

Managed Care represents a wide array of approaches to organizing the delivery of health care. Every American with private health insurance has come into contact with some form of managed care. Health Maintenance Organizations(HMOs) and Preferred Provider Organizations(PPOs) are two dominant types of managed care organizations in the United States.<br/> Managed care supporters argue that managed care plans provide higher quality of care than any individual physician can offer. However, managed care constitutes a grave threat to the quality of medical care. Manage care as a bureaucratic system that diminishes choice for all and forces doctors to place saving money before saving Jives, severely undermining the trust between physicians and their patients.<br/> Finally, Managed Care has either a positive or negative effect on health care market in United States. Accordingly, we have to review on managed care in detail, in order to take a lesson from managed care in United States.

일부지역 대학생들의 자아존중감과 정신건강간의 관계

유은영(Yu, Eun-Yeong),윤치근(Yoon, Chi-Keun),양유정(Yang, Yu-Jeong) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.1

본 연구는 대학생의 자아존중감과 정신건강과의 관계를 파악하여 대학생활에서 자아존중감을 향상시키고 건 전한 정신건강을 유지 향상시킬 수 있도록 효과적인 교육 및 상담 활동을 위한 기초자료로 활용하고자 본 연구를 시 도하였다. G시에 소재한 2개 종합대학, 3개 전문대학 재학생을 대상으로 2010년 10월 2일부터 12월 2일까지 설문조 사를 실시하여 468부를 최종 분석하였다. 연구결과는 첫째, 일반적 특성과 인지적 자아, 평가적 자아 및 자아존중감 간의 관계에서는 유의하지 않았다. 둘째, 일반적 특성과 정신건강과의 관계에서는 경제상태, 입학동기, 학과 만족도, 교우관계, 건강상태에서 정신건강 하위영역과 유의한 결과를 보이고 있다. 셋째, 인지적 자아, 평가적 자아 및 자아존 중감 간에는 순상관관계를 나타내고 있다. 인지적 자아, 평가적 자아 및 자아존중감은 강박증, 적대감, 대인예민, 신체 화, 불안, 편집증, 정신증에서 역상관관계가 있은 것으로 나타났다. 결론적으로, 본 연구결과를 기초로 하여 대학생들의 자아존중감을 증진시키고 정신건강을 완화할 수 있는 정규적인 건강교육 프로그램의 개발과 적용이 요구되며, 그에 따른 효과를 검증할 수 있는 후속 연구가 필요하다. This study investigates the relationship between self-esteem and mental health of college students. The data collected is to be utilized to promote effect methods of education and consultation that will improve the self-esteem and mental health of college students. There were a total of 468 questionnaires were distributed and collected from 2 universities and 3 community colleges between October 2nd and December 2nd 2010. The results of data analysis were as follows: First, there were no significant differences in the relationships between general characteristics and the perceptual self, the evaluative self, and self-esteem. Second, there were significant differences in the relationship between general characteristics and mental health according to economic situation, the year of entering college, satisfaction with your department, relationship with fellow classmates, and health status with regards to low mental health. Third, there was a partial correlation between perceptual self, evaluative self, and self-esteem. Perceptual self, evaluative self, and self-esteem were inversely related to obsessive compulsiveness, hostility, interpersonal sensitivity, physical, anxiety, delusional disorder, and psychosis. In conclusion, the results of this study would be used as the foundation for improving the self-esteem of college students and easing mental health with the development and implementation of a formal education program. It is also recognized that follow studies should be conducted to understand additional effects.

1차 보건의료사업의 비용-효과분석을 통한 보건소 기능의 확대 방안 연구

김종인 ( Jong In Kim ),윤치근 ( Chi Keun Yoon ) 한국보건행정학회 1995 보건행정학회지 Vol.5 No.2

병원에서 환자안전에 대한 간호사의 인식 조사 연구

이안생 ( An Saeng Lee ),윤치근 ( Chi Keun Yoon ) 대한보건협회 2010 대한보건연구 Vol.36 No.2

Study objects: This study is to investigate nurses` perception to the patient safety in hospital, in order to provide the patient with the more safe medical care services. Methods: This study method used the Hospital Survey on Patient Safety Culture developed by AHRQ(2004) to investigate nurses` perception to the of patient safety in hospital. This survey was conducted to the 359 nurses in university hospital. Result: The result of this study are as follows. First, nurses` perception to the patient safety culture in hospital shows generally on the average score(3.16±.29). Among three categories, Patient Safety in Ward(Work Area/Unit), patient safety within hospital and reporting procedures on error related to the patient safety, patient safety within hospital was the highest score(3.37). Second, the correlation between patient safety in ward(work arealunit), patient safety within hospital and safety perception, safe and reporting system showed positive relationship. The relationship between safety perception, reporting completeness and openness on communication within hospital was most positive relation. Third, nurses` recognition to the patient safety Is very different by respondent`s characteristics. Conclusion In order to improve the patient safety in hospital, the active measures were developed in efficient communications within hospital.

농촌 노인 입원환자의 질병유형과 의료이용실태 분석 (군단위 종합병원을 중심으로)

유은영 ( Eun Young Yoo ),윤치근 ( Chi Keun Yoon ) 한국보건정보통계학회 (구 한국보건통계학회) 2006 한국보건정보통계학회지 Vol.31 No.2