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Volume 10(6); June 1989

To know the perception about family medicine and medical delivery system among families resided in Song Pa Gu Apartment area, A questionare survey was conducted to the 190 familes which were randomly selected.
The results of this survey were as follows;
1. Among 659, male population was 54.1% and female population was 45.9% respectively.
2. Four numbers-family was 44.2% and three numbers-family was 20.2% respectively.
3. Status of medical institution's utilization was revealed as follows;
Utilization of local clinic in above population was 43.5% and that of drugstore was 25.3%.
4. Favorable pictures of doctor showed that 40.4% of the answered person thinks that the reliability of doctor was important and 38.7% thinks that the speciality of doctor was important.
5. 76.8% among families has known or heard of family medicine.
6. 53.2% showed that family medicine is necessary for community society.
7. On nedical delivery system, 61.1% of population has heard of it but does not know very well and 16.8% does known well.
8. On medical delivery system, 48.4% was favorable to that system due to correction of long waiting time for utilization of medical institution appended to university, and 33.2% was unfavorable to that system respectively.
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가족요인의 차이에 따른 대학생의 흡연양상 -일부지역 대학생을 중심으로-
J Korean Acad Fam Med 1989;10(6):11-21.   Published online June 1, 1989
To Find out the difference in smoking behavior among university students according to family factors, a study was performed at 3 universities in Seoul and 4 universities in provincial cities including 1,241(821male, 420female) students from september 1st 1988 to september 15th 1988 using questionarre.
Following results were obtained.
1. Total smoking rate of participants were 43.0%, where male smoking rate were 59.8%, female smoking rate were 10.2%
The rate of which, those whom their parents smoked, those without any oposition to smoking by family members, those with free atmosphere in the family, turned out to be 52.4%, 79.2%, 51.0% respectively.
2. The psychological reasons to motivate smoking revealed to be highest rating 45.1% and, curiosity 25.7%, attraction by friends 9.6%, reason for socialization 8.4%.
The motivations of smoking in group of participants whose parents smoke showed psychological reason 44.9%, attraction by friends 11.1%, which is higher than group whose parent do not smoke. However, reason for socialization rated 6.9%, which is lower.
3. 60.5% of total smokers began smoking after graduation of high school, 32.6% began smoking during high school, 6.9% began smoking earlier than middle school. It was obvious that the smoking began earlier when, their family strongly opose, they have free atmosphere, they have low income.
4. 51.9% of total smokers smoked less than 10 cigarrettes a day, 36.0% of total smokers smoked 11~20 cigarettes a day, 12.2% of total smokers smoked more than 21 cigarettes a day.
The amout of smoking were higher when, their family did not care, they believed in catholic and their income is higher.
5. 10.1% of total smokers planned to quit smoking, 49.3% would like to quit if possible, 40.6% did not have any plan.
Smokers had strong affincity to quit smoking when, their parents did not smoke, their all family members opose, they had rigid atmosphere, and when they had low income.
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일부 젊은 직장인들의 건강관리 프로그램 관심도에 관한 조사
J Korean Acad Fam Med 1989;10(6):22-27.   Published online June 1, 1989
To perform Health Maintenance Program successfully, it is important to know the consumer's degree of concerns about "H.M.P. It is basic data for performing & developing H.M.P.
To know this, a study was done for the 248 young office workers employed in big enterprise in Seoul.
The results obtained are as follows :
1. Only 15 men are told about the content and necessity of H.M.P. by Doctors.
2. 215 men(87.8%) are willing to participate in H.M.P. and the willing grougs show no significant difference when divided into subgroups as age, sex, farmily, monthly income.
3. The wanted costs are below twenty thousands won per one nisit(67.3% of men want).
This cost is appropriate for the program, only when this program is covered by Insurance(depending on the Lifelong Health Maintenance program cost developed recently by "S.N.U.H. Family Medicine)
"H.M.P.=Health Mainteanace program
"S.N.U.H.=Seoul National University Hospital
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환자진료에 대한 의사의 만족감에 관한 연구
J Korean Acad Fam Med 1989;10(6):28-35.   Published online June 1, 1989
To investigate the physician satisfaction and variable with patient encounter, We, utilizing the Questionnaire(1) of "Shore and Frank(1986)", have analyzed the collected 52 questionnaires by mail-inquiry, reconsidered the validity and reliability, and studied the application possibility. Also, making use of the reconsidered items, We surveyed the frequency of each item which has a positive effect on physician satisfaction and the frequency of each item according to the characteristics of both patient and physician.
The outcomes are as follows ;
1. It was valid that physician satisfaction with patient encounter was consisted of two factors, that is, patient-related factor(Eigen value=l.22362) and contextual factor(Eigen value=1.88436).
2. The reliability of the questionaire was proved ; of the total 14 items, 11 were reliable. The value of reliability on the six items of patient-related factor was 0.78(percent), the value of reliability on contextual factor was 0.877 and the total value on all the items was 0.83, and also it was shown that physician satisfaction with patient encounter was more influenced by contextual factor than patient-related factor.
3. This study also represented ; Physician satisfaction with patient enconter was little influenced by physician's technical respect, but was a great deal influenced by physician's emotional condition, for example, anxiety(instability), fright, and stress by any other things.
4. And the more the economical level of patients was high, the patients were chean and the patients were not first visiters, the more the frequency of physicians' positive response attitude showed a growing tendency.
5. The frequency of physician's positive response attitude showed different aspects according to physician's age and hope for further-training. That is, the frequency was higher when the physician were older and didn't hope for further-training than when not.
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궤양 치료의 새로운 장 -취침전 1일 1회 요법-
J Korean Acad Fam Med 1989;10(6):36-40.   Published online June 1, 1989
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월경전 증후군을 가진 여성에 있어 혈소판 monoamine oxidase B의 활성도
J Korean Acad Fam Med 1989;10(6):41-41.   Published online June 1, 1989
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골조송증을 일으키는 위험인자
J Korean Acad Fam Med 1989;10(6):42-42.   Published online June 1, 1989
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수술후 통증 처치에 있어 Fentanyl 의 경피 투여
J Korean Acad Fam Med 1989;10(6):42-43.   Published online June 1, 1989
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노인에 있어서 심야 하지 경직
J Korean Acad Fam Med 1989;10(6):43-43.   Published online June 1, 1989
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노인에 있어서 심야 하지 경직
J Korean Acad Fam Med 1989;10(6):43-43.   Published online June 1, 1989
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건강한 노인에 있어서의 요실금
J Korean Acad Fam Med 1989;10(6):43-44.   Published online June 1, 1989
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소아에서의 이물흡입
J Korean Acad Fam Med 1989;10(6):44-45.   Published online June 1, 1989
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고혈압 환자에 있어서 심혈관계 위험인자의 감소
J Korean Acad Fam Med 1989;10(6):45-45.   Published online June 1, 1989
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