미국 노인의료보험 제도에 관한 고찰

류황건 한국보건복지학회 1998 보건과 복지 Vol.1 No.-

In contrast to medical security system in Korea, most of developed countries have been administrating the medical security for the elderly exclusively. At present, the necessity of a financial resource for medical insurance for the elderly is increasing.<br/> This study was intended to analyze the medical security for the elderly putting emphasis on medical insurance in U.s<br/> The main findings of this study are summarized as follows;<br/> 1. The charge for financial resource of medical security for the elderly is divided by public sector and private sector.<br/> 2. A comprehensive medical service system for the elderly and an appropriate reimbursement system have been established.<br/> 3. An method for cost containment is being developed continuously.<br/> 4. The insured's utilization pattern is changing from medical care in hospital to medical care in nursing home or home care.<br/> A limited benefit of medical insurance system in Korea is dissatisfaction factor both the elderly and the supplier. To meet the old's need for medical service are necessary for the method of activating private insurance.

日本의 老人保健制度에 關한 硏究

류황건 高神大學校 保健科學硏究所 1993 보건과학연구소보 Vol.3 No.-

This paper is a study on analizing of Japanese Health facility system for the old ages. The Japanese Aging health care system is consist of Aging hospital, Aging health facility and Home visit nursing services. The number of Aging health facility is 522 and 42,071 old man cared by their facilities in 1992. Their establishment types are of medical corporations(70.7%), welfare corporations(19.3%), and national publics(10.0%).

응급의료체계의 효과적인 운영을 위한 현황 분석

류황건,송현경 고신대학교보건과학연구소 2003 보건과학연구소보 Vol.13 No.-

The major issue with emergency medical system today involving the emergency medical center is that emergency center is being overcrowded with nonemergent patient. It is necessary to analyze the problems associated with our emergency medical system and to establish a compatible solution. For the optimization of emergency medical system, every effort should be made to enhance the role and ability of EMS personnels in patient triage and selection of transported hospital and to develope Well-functioning ambulance destination policies as soon as possible.

공공근로사업 참여 실직가구의 보건 ·복지실태에 관한 연구

류황건 고신대학교 영도발전연구소 1999 영도연구 Vol.1 No.-

The purpose of this study is to survey social and financial conditions of unemployed families and to use them as basic data necessary for the development of unemployment policy. The subjectgs of this study were the unemployed residing in Youngdo-Gu(District). Pusan. The period of the survey was from July 16 to July 25, 1999 through questionnaires. The data were collected from the applications for the public labor project and the interview with participants in the project. The number of subjects whose data were used in statistical analysis was 184. The subjects were divided into white collar and blue collar. The results of this study are as follows. First, most of the subjects had much trouble in keeping livelihood in family life after unemployment. Second, most unemployed families were living by income earned in the public labor project and by another family member to keep their livelihood. Third, for assessment of the government unemployment policy, most subject did not recognize loan project and life support project by government and thought that they were not be actual helps as the application procedure was not simple. Fourth. there was a change in medical utilization by unemployment and most subjects changed from a general hospital to a pharmacy. It was found that the unemployed families from both white collar and blue collar both had much financial trouble. But many unemployed subjects did not know the government reemployment project and did not participate in the project. For health care problems. there was a change in the use of a medical institution and in the type or period of medical care. The basic reasons of the change were medical costs and hardships of life. Therefore, it is considered that medical service and sufficient support for medical costs for the unemployed are required.

老人入院患者의 特性과 老人醫療서비스 利用意思에 關한 硏究 : 釜山地域 3 次 醫療機關을 中心으로

柳滉建 高神大學校 保健科學硏究所 1992 보건과학연구소보 Vol.2 No.-

This study was evaluated demographic variables and medical service needs for the over 60 years old in-patients at tertiary care hospitals in pusan. The results of this study are summarized as follow. (1) The bathing was the most needed for them in daily living. (2) Sixty-five percent of them were cared by themselves and their life partners. (3) They, who had more experiences of the in-hospital, more desired to utilize the system of nursing home. (4) They prefered more to use the special hospitals for the elderly than home health service systems and the nursing home systems. (5) They wanted that the nursing home was managed by the government. (6) They prefered that the nursing home was located in around or near urban instead of rural area. (7) Seventy percent of them were hospitalized through first and second medical care facilities.

미국의 노인복지제도와 지역정부의 정책사례 고찰

류황건 高神大學校保健科學硏究所 1998 보건과학연구소보 Vol.8 No.-

Though aging welfare administration has been established in each state and local government of United States, the aspect of their policy is very complex. And within each government and several departments operate aging welfare program on the basis of related laws. So each state government makes efforts for efficient administration and control on aging policy programs. The case of this study is the policy used by UAI and Case management.

영도지역 고등학생의 흡연률과 흡연 행태에 관한 연구

류황건 고신대학교 영도발전연구소 2000 영도연구 Vol.2 No.-

The purpose of this study is to identify smoking behaviors of students. The study population was students who are attending at high schools in Youngdo-Gu. The random sampling based on stratified clusters was performed. The basic clusters were women high schools, males high schools, general high schools and vocational high schools. 1,200 questionnaires were distributed and 1,161 questionnaires were returned. Seven questionnaires among the returned questionnaires were truncated since there were inappropriate response patterns. Finally, 1,154 responses were analyzed. Using SAS, this study performed frequencies, percentages, chi-square tests, and correlation analyses for identifying the relationships between smoking rates and other variables related with smoking. The results are five fold: First, 25.1% of the respondents are current smokers since 279 out of 1,112 respondents smoke cigarettes either frequently or rarely. In other words, one quarter of students are smokers. Smoking rate of male students was 25% higher than the rate of female students. Second, in the analysis of the smoking rates by school types, males vocational high schools showed the highest smoking rate (57.8%). The smoking rate of women vocational schools was 18.0%, the smoking rate of males general high school was 16.5%, and the smoking rate of women schools was 7.9%. Generally, the vocational high schools showed higher level of smoking rates than the general high schools did. Third, this study found that the smokers, on average, committed their first smoking at 14 years old that was the first year of their middle school periods. Fouth, in the question of intention for smoking secession, 53.8 % of smoker students want to quit their smoking behaviors in either one or six months. 36.2% of the smoker students, however, answered that they want to smoke continuously. Thus the smoker-students in high schools showed passive attitudes toward smoking secession compared to that of adult smokers. Fifth, the family history of smoking influenced significantly the students smoking rates. The students with smoker fathers showed 10% higher smoking rate than the other students (p<.001). The students with smoker brothers and friends had significantly higher smoking rates than other students. Furthermore Parents education levels and job categories influenced significantly the students smoking rate (p<.001). Sixth, this study assessed students' general perceptions of knowledge, attitudes, and regulation about smoking. The smoker students had significantly lower scores in all aspects than the non-smoker students did. In conclusion, all students had generally lack of knowledge about smoking. Especially, the smoker students had lower level of knowledge about any physical damage caused from smoking. Based on these results, this study insists that well-organized and systematic health education programs are essential for the students' health. Considering smoker-students the first smoking experience at 14 years old (the first grade of middle school), health education and health promotion programs in elementary school can result in a tangible result of those programs since prevention is better than treatment.

부산지역 노인대학 수강생의 건강인식과 수강현황에 관한 연구

류황건,김혜숙 한국보건복지학회 2004 보건과 복지 Vol.7 No.-

전문병원의 역량과 경쟁전략이 성과에 미치는 영향과 경영환경의 조절효과

류황건,장원혁 보건의료산업학회 2015 보건의료산업학회지 Vol.9 No.4

Objectives : This study explored ways to identify factors that have competitive advantages and achieve high performance by investigating the influence of competence and competitive strategy on the performance and moderating effect of the business environment within special hospitals. Methods : A total of 80 specialized hospitals participated in the study. A multiple regression analysis was carried out by configuring sub-factors for each factor, and a hierarchical regression analysis was conducted with interaction terms as independent variables. Results : Among the competence factors of special hospitals, the competence of hospital staff and business management had a significantly positive (+) effect on the internal performance, and the competence of the marketing management had a significantly positive (+) effect on the external performance. Conclusions : The findings of this study suggest that in the rapidly changing health care environment, special hospitals should select and focus on competitive strategies and competency factors required to ensure competitiveness and achieve high performance, and based on this, need to seek integrated strategic management measures.

한 지역 권역 응급의료센터 내원환자의 이용 행태 분석

류황건,송현경,김혜숙,김태곤,Ryu, Hwang Gun,Song, Hyun Kyung,Kim, Hye Suck,Kim, Tae Gon 보건의료산업학회 2007 보건의료산업학회지 Vol.1 No.1

Currently, we have seen sudden increase of demand for emergency medical services by reason for high-speed economic development increase of traffics, etc. in this society. Consequently the government enforced & operated emergency medical system in 1991 as a link of more positive countermeasure against it, but many problem; still remain in reality. In particular, the regional emergency medical center designated by the Ministry of Health and Welfare falls short of our expectations for its essential role by the reason of such as insufficiency in professional manpower and institutions concerned in small-scale hospital, matters with transportation system, preference of large hospital, etc. Therefore, this study was conducted grasp for the actual conditions of emergency medical system based upon literature research & the preceding studies and interview research the motive of coming hospital, satisfaction & understand to the subject of 150 persons of patients and their guardians who used regional emergency center of Pusan National University Hospital, thereby examining & analysing the cause of emergency room overcrowding by non-emergency cases, one of the problem; enumerated from preceding studies. The main result of this study is as follows. First the actual condition of non-emergency patients coming hospital for examining overcrowding of emergency medical center showed that, of the patients who used the emergency medical center, non-emergency patients accounted for 49.3%, which acted as the main cause of delaying medical care for emergency cases, cases of which medical person or first-aid man decided to come hospital accounted for 36.1 %, thereby suggesting essential need for re-education & wide public information to even the professional manpower besides patients & guardians for their using emergency medical system. Second, as the result of researching patient acknowledgement with reference to their using emergency medical center, the rate of their giving right answer is no more than 60%, which means that non-emergency cases' using as such is due to the shortage of their knowledge of the said emergency medical center, which suggests us that wider P.R for emergency medical system to common people who may be one of the patients of it at any time is still in need. Third, the result of researching for finding out a future remedy of emergency medical system showed that the users who know well of the way of using emergency medical center had relatively high satisfaction of it, ones who have lesser knowledge of it lower satisfaction and users who feel in need of emergency specialized manpower feel the necessity of public information of emergency medical information center(1339) at the same time. The finding of examining the subject of study, in conclusion, showed that the degree of the patients & their guardians' understanding of emergency medical system is lower and the medical persons concerned also had no distinct difference in their understanding of it from the common people's, which suggests us for extensive enforcement of systematic education and public information in aspect of the government via various media for the purpose of effective operation of emergency medical center.