노인장기요양보험제도 시행에 따른 지역사회 중심의 방문물리치료의 인프라 측면의 현황과 과제

윤태형,김윤신,김희라,Yoon, Tae-Hyung,Kim, Yoon-Shin,Kim, Hee-Ra 대한물리치료과학회 2008 대한물리치료과학회지 Vol.15 No.2

Background: This article reviewed the current status of home-based physical therapy infrastructure in long term care insurance and then solved the problem. Method: We used two forms of data that were acquired from ⅰ) the Ministry of Health & Welfare and the Family and National Health Insurance Corporation, ⅱ) a home-visiting health care program, and ⅲ) evaluation data from the Korea Health Industry Development Institute. The home-based physical therapy program was then analyzed. Results: The role and concept of home-based physical therapy was not clearly established. There were few home-based physical therapy programs in the community. The manpower of home-based physical therapists in the home-visiting health care program was very low. The role between home-visiting nurses (caregivers) and home-based physical therapists was mixed. Research and promotion regarding home-based physical therapy was poor. Conclusion: To establish a system of legal, long-term care insurance, we must increase the manpower of home-based physical therapists and the amount of research pertaining to the demand for home-based physical therapy.

노인장기요양보험제도에 있어 방문물리치료서비스에 대한 보건소 방문사업팀의 인식도 조사

윤태형,김희라,박래준,Yoon, Tae-Hyung,Kim, Hee-Ra,Park, Rae-Joon 대한물리치료과학회 2009 대한물리치료과학회지 Vol.16 No.3

Background: The purpose of this study was to investigate the perception of home care team's home based physical therapy in public health center Method: We surveyed 11 questionnaires for hone care team in health center from 1st to 30th, November in 2008. Results: The person who recognized the exclusion fact of home-based physical therapy in long term care insurance was 64.2% in whole 109 people. About necessity of home-based physical therapy, "absolutely necessary" as the person answer was 43.1%. Home-based physical therapy in the insurance must come to be provided with a precedence was 81.3%. About starting time of hereafter home-based physical therapy "after 1 years" the opinion which was 60.7%. Opinion about operation institution of home-based physical therapy "the pubic hospital or health center" was 52.3%. In composition form of the home-based physical therapy team "with the physical therapist and occupation therapist come together" was investigated with 37.4%. Conclusion: As long term care insurance will be developed, discussion about quality- of-service must be continuous and depth. Relates hereupon, the academic, researchers, and the persons concerned must consider the best quality of life improvement of the citizen and prepare the ground which systemic, rational, and actual on starting of home-based physical therapy in long term care insurance.

기후변화에 따른 고삼저수지의 환경유량 영향평가

윤태형,강호영,김종석,문영일,Yoon, Tae Hyung,Kang, Ho Young,Kim, Jong Suk,Moon, Young Il 한국농공학회 2016 한국농공학회논문집 Vol.58 No.6

This study conducted a quantitative assessment on the environmental flows associated with climate change in the Gosam Reservoir, Korea. The application of RCP 8.5 climate change scenario has found that the peak value of High Flow Pulses has increased by 36.0 % on average compared to historical data (2001 ~ 2010), which is likely to cause disadvantage on flood control and management but the increase in peak value is expected to make a positive impact on resolving the issue of green algal blooms, promoting vegetation in surrounding areas and encouraging spawning and providing habitats for native species by releasing a larger amount of landslides as well as organic matters than the past. However, the decreasing pattern of the peak value of High Flow Pulses is quite apparent with the trend of delay on the occurrence time of peak value, necessitating a long-term impact analysis. The peak value of Large Floods shows a clear sign of decrease against climate change scenario, which is expected to lead to changes in fish species caused by degraded quality of water and decreasing habitats. A quicker occurrence of Small Floods is also expected to make an impact on the growth cycle of aquatic plants, and the reduction in occurrence frequency of Extreme Low Flows is to contribute to increasing the population of and raising the survival rate of native fish, greatly improving the aquatic ecosystem. The results of this study are expected to be useful to establish the water environment and ecological system in adapting or responding to climate change.

양.한방협진에 대한 지역주민의 인식 - 일부 보건소 이용자를 중심으로 -

윤태형,박해모,Yoon, Tae-Hyung,Park, Hae-Mo 대한예방한의학회 2010 대한예방한의학회지 Vol.14 No.1

Objective : The purpose of this research was to provide basic data for developing the collaborating care of Korean traditional medicine and western medicines by analyzing the perceptions of residents visiting local health centers on the collaborating care. Method : To this end, a self-administrated questionnaire was surveyed to 417 participants from March 10 to March 19, 2005. The questionnaires were regarding medical preferences, effectiveness, co-operative treatment types, and the demographic characteristics of the study population. The main statistical methods employed for analysis were frequency chi-square test analysis, using SPSS system 12.0 software for Windows. Result : First, the perceptions of collaborating care, such as preference and effectiveness, were better for residents who had experienced Korean traditional medicine(p < 0.05). Second, the most favorable collaborating care type was the neuromuscular disease and rehabilitation, and in particular, the preference of the patient who had experienced Korean traditional medicine was much higher than those who had not experienced it(p < 0.05). Third, as for recognizing the future of collaborating care, respondents insisted that collaboration care has to be conducted under evidence-based research. The reasons why collaborating care has not been active were reported as "difference in solving disease problems between oriental medicine and western medicine." The most important role of the Korean traditional medicines in the public sector was to provide specialized service for the elderly and low income households. Conclusion : Most respondents expected the positive effects of the collaborating care and wanted it to develop, particularly for neuromuscular diseases. As for the health promotion program in health centers, it was more popular than the home visiting program for the elderly and preventive rehabilitation for stroke. Now we must plan to balance between the need of the community and the medical provider on collaborating care.

노인들의 건강행태와 삶의 질 수준

윤태형(Tae-hyung Yoon),천승철(Seung-chul Chon),이충휘(Chung-hwi Yi) 한국전문물리치료학회 2009 한국전문물리치료학회지 Vol.16 No.3

The purpose of this study was to assess the level of quality of life and related factors among the elderly in Korea. In particular, we focused on factors affecting the quality of life of the elderly in long term care. We used the third Korean National Health and Nutrition Examination Surveys (KNHANES) from 2005. We sampled a total of 3,571 (10.5%) elderly from the national survey. We compared the mean of quality of life to socioeconomic status, Activities of Daily Living (ADL), health behavior, and disease variables. We used EuroQol-5D among KNHANES to assess the quality of life. In this study, the mean score of the quality of life among the elderly was 2.57. Logistic regression showed that the elderly who were male, with spouses, with health insurance, and with good ADL levels enjoyed higher quality of life scores and odds ratios than those who were female, divorced, uninsured, and with low ADL levels (p<.05). The quality of life of the elderly was affected by socioeconomic, ADL, health behavior and disease variables. To improve long term care and the quality of life among the elderly, we need detailed research to clarify the effects of these factors.

수도권 소재 일부 대학병원 일반직 근로자의 노조몰입과 조직갈등의 경험에 관한 연구

윤태형 ( Tae Hyung Yoon ),박연희 ( Yeon Hee Park ) 한국병원경영학회 2010 병원경영학회지 Vol.15 No.3

The aims of this study were to analyze affecting factors on labor union commitment among university hospital employees and provide basic data in two general hospitals. The subjects of this study were 357 hospital employees in one university hospital in Seoul and the other university hospital in Gyeong-Gi province from May 21 to June 10, 2010 through survey questionnaires. The main results of this study were as follow: First, labor union commitment level among subjects was increased as 40 years old, lower educational level, lower job position and union leader. Second, organization conflict level among subjects did not statistical differ significantly regarding age, education level, wedding, and job position, but job year. Third, correlation between labor union commitment level and organizational conflict increased. Finally, from the results of multiple regression analysis to identify major affecting factors of labor union commitment level, it depends on lower educational level, high conflict, and union leader between individual and group but not significantly. Therefore, it was necessary to continued to be supported for labor union. New research was required regarding organization culture and commitment.

고등학생들의 컴퓨터 작업환경, 휴식과 근골격계 자각증상에 대한 연구

윤태형(Yoon, Tae-Hyung),차태현(Cha, Tae-Hyun),황상희(Hwang, Sang-Hui) 한국산학기술학회 2012 한국산학기술학회논문지 Vol.13 No.7

본 연구는 일부 지역의 고등학생들을 대상으로 휴식, 컴퓨터 작업 환경과 근골격계 증상과 위험비을 알아보 기 위한 조사연구이다. K지역의 고등학생들을 대상으로 자기기입식 설문지를 배부하여 최종 685부를 최종회수하여 자료분석을 하였다. 본 연구결과 컴퓨터 사용시 통증부위는 허리, 어깨, 목의 통증을 가장 많이 호소하였다. 통증부위 별 통증유무에 따른 작업자세 및 환경평가점수의 차이는 통증이 없는 사람이 통증이 있는 사람에 비해 유의하게 높 았다. 통증부위와 작업환경과 음의 상관이 보인 것은 책상(어깨), 의자(목, 어깨, 허리, 무릎, 발목/발), 모니터(어깨, 허 리), 키보드(목, 어깨, 엉덩이/허벅지, 발목/발) 등의 결과가 나타났다. 작업환경과 근골격계 자각증상의 위험비(odds ratio)는 목은 모니터, 무릎과 발목/발은 의자의 환경이 좋을수록 통증이 완화되는 것으로 나타났다. 따라서, 컴퓨터 작 업환경과 근골격계 증상이 관련성이 있으며 컴퓨터 사용이 증가함에 따라 컴퓨터 작업환경을 개선해줌으로써 근골격 계 증상을 완화시킬 수 있는 예방프로그램이 필요하다. This study is the investigation research to look into rest, computer work environment and muscle and bone symptom of high school students in some area. With high school students in K area as the object the questionnaires of self-writing type were distributed and the final 685 copies were collected and material analysis was carried out. In the differences between work posture and environment evaluation score following whether or not of pain existing of the each part of pain, the score of the persons who do not have pain was significantly higher than the score of the persons who have pain. The negative correlation between the part of pain and work environment was in desk(shoulder), chair(neck, shoulder, back, and ankle/foot), monitor(shoulder, back) keyboard (neck, shoulder, and ankle/foot) appeared as the result. Controling monitor and chair environment is help to alleviate neck pain and ankle/foot pain respectively. Therefore, computer work environment and bone and muscle symptom have relations and as the use of computer increases, prevention program which can relieve muscle and bone symptom by improving computer work environment is necessary.

기후변화 다중모델앙상블 전망을 통한 한강유역 댐 유입량 불확실성 분석

윤태형(Yoon, Tae Hyung),최지혁(Choi, Ji Hyeok),김종석(Kim, Jong Suk),문영일(Moon, Young Il) 대한토목학회 2016 대한토목학회 학술대회 Vol.2016 No.10

작업치료사의 직무만족에 영향을 미치는 요인에 관한 연구

윤태형 ( Tae Hyung Yoon ) 경희대학교 경영연구원 2011 의료경영학연구 Vol.5 No.2

The purpose of this study was to analysis factors that influence the job satisfaction of occupational therapists working in hospitals. we surveyed using self-administered questionnaire associated with job satisfaction, which was completed by 115 occupational therapists working in Seoul and Kyunggi province. A cross-sectional design was conducted with a sample of 115 occupational therapists randomly selected from hospital in Korea. In this study, the average of job satisfaction score was 2.91. Job satisfaction of subjects showed statistically significant differences with regard to differences in year of total career(p<0.05). Job satisfaction was correlation with age(r=0.19), year of total career(r=0.25). Factor influencing job satisfaction in occupational therapists were identified as none religion(β=0.61), general hospital employee(β=0.46), clinic employee(β=0.68). This factors explained 25.0% of job satisfaction reported by occupational therapists. Therefore, the findings from this study suggest that it is necessary to increase occupational therapist`s job satisfaction for enhancement on quality of rehabilitation medical services.

물리치료사의 직무만족에 영향을 미치는 요인

심재훈,윤태형,Shim, Jae-Hun,Yoon, Tae-Hyung 대한물리치료학회 2011 대한물리치료학회지 Vol.23 No.1

Purpose: This study aimed to analyze factors that influence the job satisfaction of physical therapists working in hospitals. Methods: The study was done using a self-administered questionnaire associated with job satisfaction, which was completed by 352 physical therapists working in hospitals. Results: The average job satisfaction score was 3.16. Sub-items scores for job satisfaction were higher for overall satisfaction (3.21) and lower for job satisfaction of achievement (3.12) than the average score. Job satisfaction of subjects showed statistically significant differences with regard to differences in sex, marriage, type of hospital, year of total career, type of patients and motivation level (p<0.05). The average job stress score was 2.38. The sub-items of job stress consisted of problems pertaining to physical environment (2.28), job demand (2.54), job autonomy (2.31), social support (2.14), job instability (2.36), organized management system (2.44), inner motive (2.24), and job culture (2.26). Multiple regression analysis revealed that job satisfaction became significantly lower with increasing levels of job stress. Conclusion: These results suggest that the job stress of physical therapists is closely related to their job satisfaction. An effort to reduce job stress may be helpful in improving the health and quality of life of physical therapists who work in hospitals.