각국의 보건지표체계에 대한 비교 고찰

김윤신,윤병준,이준협,윤치근 한국보건통계학회 2003 보건정보통계학회지 Vol.28 No.1

Health indicator system and measurement of health status are an important fields in national health fields. In order to promote the national health level and measure health status, the national heath authority must rebuild the present health data and indicator production system. This study reviewed the overall concepts of health and health indicator, health indicator system. The scope of this study ; - Review of the conceptual health framework, health indicators, and health indicator system - Comparative analysis on the present health indicator system of developed countres and international organizations. This study suggested the new health indicator system corresponding the health state situation and national health components. The results of this study are appiled to the conceptual framework establishment of national health components, the development of national health policy a health status measurement tools. And the national health authority will apply the results of this study to the promotion of health indicator system and the demand of international organizations. Finally, although this study suggest the desirable health indicator system will be reduced in the functions and characteristics of health indicator and health indicator system.

韓國人의 平均有配偶餘命에 關한 硏究

윤병준 한국인구학회 1988 한국인구학 Vol.11 No.2

This study was conducted in order to compare the sequential changes of marital partnership and average marital life expectancy in Korea using Korean marriage life table for 1970. 1980. and 1985. The marriage life table was constructed by the Wolfbein-Wool method of constructing a working life table. Data used in this study was obtained from the Population Census Reports of Korea and the Korean Abridged life Tables. Some of the finding may be summarized as follows: 1. The marital partnership findings showed that males in the 40-44 age group in 1970 and in 1980 and those in the 45-49 bracket in 1985 have the highest rates of any other age interval, the percentages were 97.5%, 97.3% and 96.9%, respectively. The highest marital partnership rates for females were those aged 30-34 in 1970 and in 1980 and 35-39 in 1985:these were 94.6%. 94.3% and 93.3% respectively. 2. The marital rate of the youngest age group has decreased due to the increasing amount of people marrying at older ages. On the other hand. the marital rates of the elderly has increased slightly due to the decreasing mortality rate. 3. The enterance rate of marriage at the 15-19 female age group ad the 20-24 male age group has decreased. 4. The secession rate of marriage has gradually decreased due to the decrease in the mortality rate. The main reason of secession for males is his own death. For females, the main reasons are divorce and the death of her spouse. 5. Korean average marital life expectancy has improved in general. In 1985 the average marital life expectancy for males was higher by 4-5 years than for females. The average difference of marital expectancy and life expectancy is about 1.4-1.5 years for males and about 11-14 years at the age groups below 60 years for females.

다환방향족 탄화수소에 오염된 토양에서 분리한 Pseudomonas sp. KK1의 생리학적 특성

윤병준,강형일,오덕철 제주대학교 생명과학연구소 2001 제주생명과학연구 Vol.4 No.-

Strain KK1 was isolated from soil contaminated with polycyclic aromatic hydrocarbons and able to mineralize anthracene, naphthalene, and phenanthrene. In this study, strain KK1 was tested to evaluate carbazole-degrading potential using radiorespirometry. When KK1 was pre-grown on phenanthrene the cells were able to mineralize carbazole much more rapidly, suggesting a possible close linkage between the pathways for catabolism of carbazole and phenanthrene. Such an increase in carbazole degradation was not appreciable when KK1 was pre-grown on naphthalene. Strain KK1 was identified as the genus Pseudomonas with over 90 % confidence based on BIOLOG system and FAME analysis. Analysis of PLFAs extracted from kk1 cells on carbazole medium revealed that lipids 10:0 3OH, 17:0 cyclo, and 18:0 were representatives produced or significantly increased in response to carbazole. Tests for antibiotics provided the data that strain KK1 was resistant to antibiotic ampicillin, but susceptibile to chloramphenicol, gentamycin, kanamycin, streptomycin, and tetracycline. Strain KK1 demonstrated strong resistance to most heavy metals such as Ba, Cd, Fe, Hg, Pb used in this study.

病院級以上 醫療機關의 醫療人力에 관한 分析

윤병준 서울保健大學 1991 論文集 Vol.11 No.1

The purpose of this study is to provide useful information for management of medical personnel in the hospital. Optimum level of medical personnel is important to hold hospital cost and to provide of good care to the paitients. 478 hospital data were obtained from officially registered to the Ministry of Health and Social Affairs. Number of medical personnel per 100 beds was computed by bed size, type of function, location and status of apprentice doctor training. Models for estimation of needed number of medical personnel were developed by job through multiple regression analysis. The results of the study are as follows 1. Average number of total medical personnel per 100 beds is 83.5 persons at 20-59beds hospitals, 70persons at 160-289beds and 108.0 persons at 500beds over. At type of foundation, the average of total medical personnel in corporate hospitals is 81. 7, private hospitals is 77.2 and national or public hospitals is 68.0 persons. At status of apprentice doctor training, 66.0 persons in intern apprentice hospitals, 98.0 persons in intern and resident apprentice hospitals, 75.5 persons in non-apprentice hospitals. At the degree of urbanization 84.9 persons in metro-city hospitals, 78.4 persons in urban hospitals, 68.2 persons in rural hospitals. 2. According to job, Average number of doctors is 14.7 nurse and aid-nurse 48.4, pharmacists 1.9 and medical technicians 12.0 each in average. 3. Mode1s for estimation of medical personnel were developed through multiple regression analysis. Models for medical personnel are as follows. Doctor : Y_(1) = -16.24+0.31X_(1) + 0.03X_(2) - 12.87D_(1) - 33.60D_(5) Nurse : Y_(2)= -3.81 + 0.41X_(2)+ 0.01X_(3) - 22.00D_(4) - 11.16D_(5) + 36. 54D_(6) Pharmacist : Y_(3)= -1.19 + 0.03X_(1) + 1.48E - 0.3X_(2)+7.71E - 0 4X_(3) - 0.78D_(1) +0.09D_(2)+ 1.64D4-2.46D_(5) Medical technician : Y_(4) = -3.39 +0.10X_(1) + 6.15E - 0.3X_(2)+ 4.29D_(2)+ 4.74D_(4) - 6.54D_(5) X_(1) ; No. of beds X_(2) ; No. of out-paitients X_(3) : No. of in-paitients D_(1), D_(2) ; Dummy variables of urbanization D_(3), D_(4) ; Dummy variables of foundation D_(5), D_(6) ; Dummy variables of apprentice doctor training

건강행위 실천이 건강상태에 미치는 영향에 관한 연구

윤병준,김영훈 서울保健大學 1995 論文集 Vol.15 No.1

This study was carried out to help an efficient health educational strategy for health promotion. The sample consisted of 5,199 persons aged 20∼59. We select 5 social-demographic variables, 6 health behavior variables, 3 health status conditions and used multiple logistic analysis for the arrangement of results. The analysed results are as follows : 1. The percentage of keeping normal body weight was 60.9% in male and 54.8% in female, for that of physical exercise, male 27.7%, female 13.6%, for that of smoking, male 71.6%, female 5.2%, for that of drinking, male 78.9%, female 24.2%, for that of adequate sleeping, male 72.1%, female 73.2%, for that of regular meals, male 67.6%, female 62.2%. 2. Sex and marital status were significantly associated with normal body weight. Sex, educational level and living standard for physical exercise, Sex, educational level and marital status for smoking, Sex, educational level for drinking, Marital status, living standard for adequate sleeping, Sex and marital status for regular meals were associated respectively(p<0.05). 3. Normal body weight, physical exercise, adequate sleeping were associated with short-term morbidity. Normal body weight, physical exercise, smoking, adequate sleeping were associated with the occurrence of long-term morbidity, and Normal body weight, physical exercise, regular meals were associated with self diagnosed health status(p<0.05).

주관적 건강상태에 영향을 미치는 관련요인 분석

윤병준 서울保健大學 1998 論文集 Vol.18 No.1

This study was carried out to analyze the relationship self-evaluated health status, usual health status evaluated by a member of household with social-demographic levels and health related behaviors. I obtained the health consciousness and behavior survey data which Korea Institute for Health and Social Affairs conducted national-wide interview in 1995. The sample consisted of 5,330 persons aged 20~69. I select following independent variables residence, sex, age, educational level, marital status, standard of living among social-demographic variables and smoking, drinking, physical exercise, adequate sleeping, regular meals among health behavior variables and I select self-evaluated health status, usual health status as the dependent variables. The results were as follow 1. Self-evaluated health status was significantly associated with residence, sex, age, educational level, marital status, standard of living respectively(p<0.001). 2. Self-evaluated health status was significantly associated with smoking, drinking, physical exercise, regular meals, adequate sleeping respectively(p<0.001). 3. Self-evaluated health status was highly correlated with usual health status evaluated by a member of household (r=0.6916). 4. The result of multivariate analysis of variance was that physical exercise and adequate sleeping had an effect on self-evaluated health status significantly(p<0.001). 5. The health behaviors explained 0.5 percent of self-evaluated health status variance, but covariate variables of age, educational level, sex, standard of living, residence explained 11.2 percent of total variance.

양·한방 협진병원 이용환자의 상병상태 및 의식조사

윤병준,김영훈 서울보건대학 1996 서울보건대학 부설 병원경영연구소 논문집 Vol.2 No.1

This study was carried out to analyze patents' disease status, their satisfaction with hospital service, the consciousness of co-operative treatment, and the consciousness of doctors on co-operative medical treatment of western and oriental medicine. We investigated 386 patients utilizing three oriental medicine hospitals in co-operation with western medicine hospitals and surveyed 30 doctors in these hospitals. We made use of frequency analysis for general characteristics of the object cases and t -test for distinctions among groups by spss-pc program. The results of this study were as follows. 1. As to general characteristics of the group, 55.2% were female and 44.8% were male. 64% were in the 30-59 age group and 18% were over 60.78% of the patients lived in the city of Seoul. The percent for housewives was 27.7%, professionals were 17.4%, and the unemployed were 17.1%. The percent of those for university graduates was 43.3% and highschool graduates was 33.9%. 36% of the patients had an average family income per month 1.5-2.9million. 2. In regards to disease status for inpatients, 67.5% were in the heart related disease group, and 16.9% in the locomotive organ related disease group. In the case of outpatients, 33.0% in the locomotive organ related disease group. And 18.2% in the heart related disease group. The kind of diseases which received co-operative treatment of western and oriental medicine was cerebrovascular disease or musculoskeletal disease. As the age increases, the number of inpatients for cerebrovascular disease was higher, but the percent of musculoskeletal disease was the highest(47.4%) for the age group between 40~59.

성남시민의 상병상태 및 의료이용에 관한 연구

윤병준 서울保健大學 1992 論文集 Vol.12 No.1

This study was conducted to examine status of prevalence and utilization of medicare in Sungnam area. Total 639 persons of the 172 households in Sungnam area were inquired about status of prevalence and utilization of medical institution for 15 days from July 1, 1991 to July 15, 1991. Conclusion was as follows; 1. Prevalence rate for 15 days was 18.9%, Acute disease was 11.3% and chronic disease 7.9%. Average prevalence duration of patients was 5.18 days. 2. Prevalence rate of acute disease was significantly high in the 0∼4 year age group and over than 60 years old group. The rate was 36.7%, 25.0% respectively. As it grew older, Prevalence rate of chronic disease was much higher. 3. Type of acute disease showed that digestive system disease and common disease was 22.2% respectively, respiratory system disease 15.3%. In chronic disease respiratory system disease was 28%, vascular system disease 24%,musculoskeletal system disease 16%. 4. Socio-economic factors which affect disease were sex, age, vocation, income in acute disease and age in chronic disease. R square of the model for acute disease was 11.1 % but that of the chronic disease was 5.6%.

알레르기성 비염 진단에서의 MAST CLA 결과

박윤근,류준선,윤창배,김기식,하경임,고병원 東國大學校 2000 東國論叢 Vol.39 No.-

Multiple allergosorbent test chemiluminescent assay (MAST CLA) is a simple method for in vitro measurement of allergen-specifie IgE antibodies. Total 125 patients was evaluated with Korean inhalant panel in diagnosis of allergic rhinitis. Overall positive rate was 53.6% and high incidence of allergen is house dust mite, house dust, cow's milk, mugwort, rye and brich. The results was slightly different from the results of large cities and the problem is absent item of domestic common trees. MAST CLA needs further improvement to be used as a primary screening test for allergy in Korea.

의무행정과 교과과정 개발을 위한 선행연구

신종연,윤병준,김영훈 서울保健大學 1993 論文集 Vol.13 No.1

This study was carried out to develope the educational program of medical administration department, Seoul Health Junior College. For this study, educational subjects were derived from the job division analysis of a hospital(1200 beds teaching hospital). Questionaires were sent to the 150 numbers of graduates who finished the course of the above department from 1983 to 1992, and who are now employed in hospitals. Also other questionairs were sent to the chiefs of medical record, medical insurance, and hospital affairs departments in 120 numbers of teaching hospitals accredited by Ministry of Health & Social Affairs. The answers from 109 graduates and 86 department chiefs have been actually surveyded. 1. General characteristics It was found that female respondents were 77%, the respondents under 30 years of age were 81.6%, and 67.9% of the 109 respondents were employed in hospitals with over 300 bed capacity. The largest number of respondent(34.9%) were employed in the hospitals run by educational foundations, the smallest numbers(10.1%) were in national & public hospitals. The classification by the working period showed that the workers under two years of period had the higest rate(40.4%) and the workers over 6 years of period had the second rate(27.5%) Their major working fields in the hospitals were the departments of medical record(32.1%), hospital affairs(27.5%), and medical insurance (21.1%), respectively. 2. Degree of job difficulty When the difficulties of the job performed by the respondents were categorized into difficulty, moderate, easy, the proportion of the moderate job in which more respondents were actually working was found to be much larger that of moderate job classified by job analysis. Job difficulties classified by working fields were not statistically significant. 3. The utilization of professional knowledge 68.8% of respondents think that their professional knowledge is practically utilized. The utilization of professional knowledge classified by difficulty of job, the more difficulty the job is, the more utilized the professional knowledge is. The utilization of professional knowledge by working period, it is statistically significant for the respondents of over 5 years of period compared with those of under 5 years of period. 4. The satisfaction with professional knowledge When the utilization of and the satisfaction with their professional knowledge were compared, their patterns(the percentage of respondent) appeared to be almost the same in bed capacity, working-fields, degree of job difficulty, the duration of work period, but the satisfaction was considered to be lower than utilization in all above variables. 5. Subjects of study needed in fields Professional knowledge in medical terminology, practicum of medical insurance, and ICD coding were necessary in carrying out their works. Also graduates wanted to study more about practicum of medical insurance, computer science, and clinical pharmacology respectively. The graduates in hospitals wanted to study more about the subjects such as hospital planning, hospital marketing, employer & labor relations, purchasing management, but these subjects are excluded from the curriculum of medical administration department as a single subject. 6. Training & QJT after graduation 60.6% of respondents had the intensive training to make themselves familiar with the professional work after graduation. Computer fields commomly required more training(40.9%) and the training period was usually 2~3 months(46.9%). 36.7% of the surveyed graduates were job-trained and the larger the bed capacity was, the more OJT was given. The subjects most frequently studied in OJT were firstly the reimbursement of medical insurance and secondly computer science. The effect of OJT is positive in recognition of facts and rules, in behavior changes, in cost reduction and improving job practice. 7. Continuing education Korea air and correspondence university was preferred in order to continue education but this educational experience was not much useful for their professional jobs in general. So the need of continuing education in connection with their practical jobs was very high(74.8%) and 76.2% of surveyed graduates intend to participate in program if the above continuing education program is provided in the junior college. 8. Evaluation of hospital practicum The effect of hospital practicum in college according to the graduates' opinion was moderate degree and the first negative reason against hospital practicum was the unfaithful behavior of the hospital personnels toward the students. 44.2% of department chiefs in hospitals think that practicum period(3~4weeks) was not adequate. 23.2% of chiefs think that the practicum season(summer vacation) was not adequate, because they are very busy due to the summer vacation of hospital personnels and the increase of hospital patients. So they don't have enough time to teach students in that season. 82.6% of chiefs gave job orientation to students and 71% of them trained the students according to systemic teaching schedule including all the aspects of works of departments and only 58.1% checked the reports submitted by students at the end of their practicum. 9. Extending of hospital practicum period The opinion about extension of hospital practicum period to 2∼3 months was recognized positively by 47.7% of departments chiefs. The reasons for the extension were that hospitals should have enough time for their educational responsibility and through their adequately long training course can choose the capable personnel. The preliminary requirement for the extension of hospital practicum period are the development of practicum programs and evaluation devices, the consideration of hospital top manager about the educational function of practicum, and the question of practicum fee. 10. The systems of promoting the efficiency of hospital practicum suggested by department chiefs were: 1) to change the 2 year course of the medical administration department into the 3 year course, and make the hospital practicum of the last term an obligation. 2) to give the credits of hospital practicum in current educational system. 3) to extend the current practicum period. 4) to consider the internship in the certain hospitals after graduation. As a result of the study, the educational program of medical administation department should be devised to promote the followings: 1. In order to meet the satisfaction of professional knowledge, quantitative & qualitative chance for studying the subjects necessary for practical job should be strengthened. 2. In the revision of the curriculum, the inclusion of the subjects the respondents want to study as a single subject should be considered. 3. In order to promote the efficient continuing education for the graduates, the chance of education program for further study should be provided in junior college. 4. The actual problems arising in the current hospital practicum should be recognized, the alternative improvement should be sought. 5. In stead of depending upon the partial changes of curriculum, the total educational program should be reformed to get rid of current problems and forecast the future need.