일 지역 만성질환관리 건강포인트사업이 고혈압 및 당뇨병관리 지식에 미치는 효과

오대규,김윤미,임지영,정원,Oh, Dae-Kyu,Kim, Yun-Mi,Lim, Ji-Young,Cheong, Won 한국가정간호학회 2012 가정간호학회지 Vol.19 No.1

Purpose: The aim of this study is to evaluate the effects of community based chronic disease management program for managing hypertension and diabetes mellitus. Method: The subjects of this study were 1,000 clients, who participated in a city community based chronic disease management program. The data were collected by a phone survey directly, and selected from DB of community based chronic disease management program, indirectly. The data were analyzed by the STATA program, using descriptive statistics, t-test, and Multiple regression analysis. Results: The mean score of knowledge of hypertension was 4.33 and diabetes mellitus was 2.52. The affecting factors of knowledge of hypertension were the clinic visiting point and blood sugar. However, the affecting factors of knowledge of diabetes mellitus was core lab point, diastolic blood pressure, and blood sugar. Conclusion: the results of this study showed that knowledge of hypertension increased with higher level of education, and younger ages, while knowledge of diabetes mellitus increased with higher level education, more core lab point, younger ages, and in males. Therefore, to control the chronic diseases more effectively in a community, it is important to develop a more systematic education and self- managing programs, using collaboration of health centers and local clinics.

범국가.범세계적 보건분야에 대한 기회와 도전 - 정부의 보건부문

오대규,Oh, Dae-Kyu 대한예방의학회 2006 예방의학회지 Vol.39 No.4

To inform choices about the future of people who study public health and preventive medicine, the current status of public health is examined in terms of the public health sector in government. After tracing the major achievements of public health in the modern era, this paper explores the potential of public health and its core functions, which is realized by public health professionals working in the government sector. Finally, this article highlights the international dimension of public health, which is becoming increasingly important and therefore attracting many people who would like to take part.

진료비 자체심사 실시전후의 진료양상변화

오대규,Oh, Dae-Kyu 대한예방의학회 1983 Journal of Preventive Medicine and Public Health Vol.16 No.1

To identify the changes in professional services pattern after introducing the deligated system of claims review started in 1982, a university hospital under this system was examined. For comparison, claims of the hospital to Federation of Korean Medical Insurance Societies, where this system is not accepted, were reviewed. A total of 600 cases each were studied operated at the Departments of General Surgery & Orthopedic Surgery in 1981 and 1983. The results are summarized as follow: 1. Percentages of hospital charges for basic care was decreased by 10.2% and that for medical service increased by 8.4% in 1983. 2. After the introduction of the deligated review system, percentages of cutting off the claims was decreased by 12.4% for basic care and increased by 3.8% for medical services. 3. Percentage of testing liver function, and the frequency of administering high cost intravenous fluid injection, applicating Robinul as anesthetic premedication were decreased respectively after introducting the deligated services system.

건강포인트제도가 건강관련 생활습관에 미치는 영향

오대규 ( Dae Kyu Oh ),이혜숙 ( Hea Sook Lee ),임준 ( Jun Yim ),정원 ( Won Cheong ),윤미경 ( Mee Kyung Youn ) 경희대학교 동서간호학연구소 2012 동서간호학연구지 Vol.18 No.1

Purpose: The purpose of this study was to verify the influence of health point system on the lifestyle among the patients with chronic diseases listed in iCDMS, a project of the Incheon Metropolitan Center for Chronic Disease Control and Prevention. Methods: The data were collected 1,000 persons among the patients listed in iCDMS from March 16, 2009 to December 21, 2010 by telephone survey. The data were analyzed by descriptive statistics, χ²-test, odds ratio and logistic regression with the SPSS 18.0 program. Results: The higher the percentage of the accumulation of the points of necessary medical examinations they have, the better the lifestyle the participants practice moderation in drinking, exercise, and diet (p<.05). Also the higher the percentage e accumulative points of education and visit, the stronger the intention to improve the lifestyle such as for example, receiving the guidance of no smoking, giving up drinking, or being conscious of nutrition and obesity (p<.05). Conclusion: This study suggests that the motivation through an incentive system can increase self-care make an effect on the care of patients with chronic diseases.

국가 의료정책의 방향과 대학병원에 대한 요망

오대규(Dae Kyu Oh) 한국의학교육학회 1989 Korean journal of medical education Vol.1 No.2

우리나라 일본뇌염유행(日本腦炎流行)의 추이(趨移) -과거(過去) 20년간(年間)을 중심(中心)으로-

이주원,오대규,Lee, Chu-Won,Oh, Dae-Kyu 대한예방의학회 1987 예방의학회지 Vol.20 No.1

The following facts have been identified as a result of epidemiological trend and characteristic of Japanese Encephalitis in Korea for the last 20 years. First: The Epidemiological period which was ten-year and three-year in the past has been disappeared following the start of immunization program at 1970. Second: The Incidence rate was much higher in the south and West areas than northeast area of Korea. City and Province with the highest incidence rate was Chungcheong Nam Province and Cholla Buk Province. Third: Regardless of scope of prevalence, the main season that 90 percent of total incidence occurrs in one month from mid-August through mid-September. Fourth: The number of case by age was that 80 percent of total patients is children aged $3{\sim}15$. Recently there is an increase in the number of patients who are elderly people. Fifth: The study on the ecological conditions of mosquito including wintering and effectiveness of immunization for Japanese Encephalitis and duration on antibody should be done. Sixth: There has been no case of Japanese Encephalitis for the last three years since 1984 mainly due to disinfecting to eradicate mosquitos, immunization for vulnerable group of people aged $3{\sim}15$, individual precaution not to be bitten by mosquito, improvement of environment sanitation. While there has been no case of Japanese Encephalitis during last three years, there is possibility that Japanese Encephalitis becomes prevalent again anytime since its virus has been isolated continuously from the natural reservoirs.

인천 지역에 거주하는 고령인구에서의 건성안 유병률 및 위험인자

정훈석,임정수,오대규,지미정,백혜정,신경환,김균형,Hoon Seok Jeong,Jung Soo Lim,Dae Kyu Oh,Mi Jung Chi,Hye Jung Paik,Kyung Hwan Shyn,Kyun Hyung Kim 대한안과학회 2011 대한안과학회지 Vol.52 No.10

Purpose: To investigate the prevalence, clinical manifestations, and risk factors of dry eye syndrome (DES) among people over 50 years old in the Incheon area. Methods: A cross-sectional prevalence study was performed on 462 people over 50 years old in Dong-gu, Incheon. DES was defined as the constant or frequent presence of symptoms of both dryness and irritation. Symptoms and past medical history were assessed by a survey. Eye examination included slit lamp examination, Schirmer test, and tear break-up time (T-BUT). Age, sex, living habits, systemic and eye diseases were also analyzed to determine the risk factors of DES. Results: The prevalence of DES was 26.2%. The major symptoms were as follows in descending order: dryness (77.9%), tearing (75.2%), and sandiness (72.7%). An average of 12.1 ± 6.0 mm in the Schirmer test and 6.7 ± 2.4 seconds in the T-BUT were significantly different in the DES group from the normal group (<em>p</em> < 0.001). Variables such as age, sex, living habits, and eye diseases were not related to the diagnosis of DES, whereas diabetes was the only risk factor of DES with statistical significance (<em>p</em> = 0.03). Conclusions: In the present study, the prevalence of DES among people over 50 years old in the Incheon area was 26.2%. Schirmer test and T-BUT were considered to be helpful tools for the diagnosis of DES, and diabetes was a significant risk factor of DES. J Korean Ophthalmol Soc 2011;52(10):1135-1141

자각증상 평가를 위한 예측치공식의 이용성에 대한 연구 -모 공장 유기용제 취급자를 중심으로-

천용희,문영한,오대규,Cheon, Yong-Hee,Moon, Young-Hahn,Oh, Dae-Kyu 대한예방의학회 1983 Journal of Preventive Medicine and Public Health Vol.16 No.1

For the study of the applicability of predictive equation of subjective symptoms of workers using organic solvents, 67 male workers using organic solvents were selected. The predictive equation was quotated from previous Cheon's study. All the datas of necessary variables were gained. The predictive values and observed values were compared. The results were summarized as below; 1. The difference between predictive values and observed values were characteristically large. The coefficient of determination between the two values was 0.0024. 2. The $R^2$ value of multiple stepwise regression equation derived from present study was 0.2827.

의료보험환자와 일반환자의 재원기간에 관련되는 요인분석

유승흠,이태용,오대규,Yu, Seung-Hum,Lee, Tae-Yong,Oh, Dae-Kyu 대한예방의학회 1983 예방의학회지 Vol.16 No.1

In order to determine the factors affecting the length of stay by pay status, a total of 961 in-patients medical records with appendectomy. cholecystectomy and Cesarean section discharged from the January 1979 to December 1981 from the University hospital were reviewed. Average length of stay showed no statistically significant difference by year between the insured and the non-insured patients, however multiple diagnoses and surgical complication were significantly different from single diagnosis and non-complicated cases. Surgical complication explained the length of stay mostly, and physician in discharge, multiple diagnoses, and accommodation in order for insured patients. Surgical complication, admission route, physician in charge and age in order explained the length of stay for non-insured patients.

신규 고혈압 환자에서 치료지속성이 고혈압 조절에 미치는 영향

한진욱 ( Jin Ok Han ),오대규 ( Dae Kyu Oh ),임준 ( Jun Yim ),고광필 ( Kwang Pil Ko ),이희영 ( Hee Young Lee ),박종헌 ( Jong Heon Park ),임정수 ( Jeong Soo Im ) 한국보건행정학회 2014 보건행정학회지 Vol.24 No.2

Background: This study is to research on how hypertension control is associated with adherence in newly diagnosed hypertension patients. Methods: The study is based on 255,916 patients who were diagnosed with hypertension in 2009 and didn`t have any previous medical history of hypertension or associated complication for the past year using data collected by National Health Insurance Corporation. Newly diagnosed hypertension patients are divided into two group by visiting medical center numbers (more than 300 days was adherence group, if not non-adherence group). Patients are considered to have successfully controlled their hypertension based on blood pressure measured by health examination. Chi-square test and logistic regression, repeated measured analysis of variance was used to analyze. Results: The relations between adherence and hypertension control show that 1.12 times of patients in adherence group was able to control their hypertension. The additional analysis proves that adherence group are more decreased level of blood pressure than non-adherence group except for patients who are over 70. Comparison of the average of systolic blood pressure and diastolic blood pressure between adherence and non-adherence groups shows that the blood pressure has been significantly among the adherence group. Conclusion: The study proves that constant treatment for hypertension could control the blood pressure and encourages patients to put more effort for persistent treatment. It also shows that hypertension treatment are more effective in younger patients than the elderly and strategies of approaching are different depending on age.