Purpose This study aimed to develop and refine competency-based qualification standards for school health teachers in Korea by reflecting recent changes in the school health environment, the 2022 revised national curriculum, and teacher certification policies.
Methods This methodological study used a comprehensive literature review of domestic and international policies and professional standards, analysis of school health teacher education curricula, expert panel consultations, and a public hearing. Data were analyzed using inductive qualitative content analysis and synthesized to restructure and systematically refine the qualification standards.
Results The revised qualification standards were structured as a competency-based framework consisting of eight domains, twenty qualification standards, and eighty detailed criteria. The eight domains were professional attitudes, understanding of learners, subject knowledge, health education, health counseling, health management, general teaching competencies, and professionalism and leadership. The framework was developed to enhance coherence between teacher education curricula and the teacher recruitment examination system.
Conclusion The updated standards provide a standardized, competency-based foundation that reflects the dual identity of school health teachers as educators and school nursing professionals. They may guide teacher education programs, recruitment examination criteria, and continuing professional development, thereby strengthening coherence across teacher preparation, selection, and professional development systems.
Purpose This study aimed to classify patterns of Personal Assistant Service (PAS) among adults with disabilities in Korea using latent class analysis (LCA) based on the Behavioral Model for Vulnerable Populations (BMVP).
Methods A cross-sectional descriptive study was conducted using data from the Disability and Life Dynamics Panel (2018-2023). The most recent observation per individual was selected to ensure analytic independence, yielding 482 adults. LCA was performed using six service use domains. Multinomial logistic regression examined factors associated with class membership, and modified Poisson regression assessed associations between latent classes and five health behaviors.
Results Three classes were identified: Comprehensive Support (36.3%), Physical and Social Support (36.1%), and Household Support (27.6%). Compared with non-users, service users showed greater socioeconomic and health vulnerability, including more severe disability, lower income, living alone, lower social support, and higher depression. Women and individuals with greater disability severity and daily-living limitations showed higher odds of belonging to the Comprehensive Support class. After adjusting for covariates, the Comprehensive Support class showed a significantly lower prevalence of physical activity and alcohol consumption compared to the Household Support class, while previously observed differences in fast food intake were attenuated.
Conclusion PAS is associated with health behaviors among adults with disabilities, although current service structures may not fully address health enhancing behaviors. Expanding PAS to include tailored physical activity support, health management, and psychosocial care may help reduce health disparities among adults with disabilities.
Purpose This study explores the relationship between types of usual source of care (USC) and health behaviors.
Methods It used the 2019–2021 Korea Health Panel Annual Data (Version 2.2), including 11,498 adults aged 19 and older. The dependent variables were three health behaviors: smoking cessation, alcohol abstinence, and engagement in regular physical activity.
Results Individuals with a usual physician offering either comprehensiveness or coordination (Type 4) were 1.24 times more likely to quit smoking than those with no regular care (Type 1) (p=.047). Those whose physicians provided both functions (Type 5) were 1.25 times more likely to quit smoking (p=.038). For alcohol abstinence, individuals who regularly visited a facility but did not have a usual physician (Type 2), as well as those with a partially functional physician (Type 4), were 1.16 times more likely to abstain than Type 1 (p=.027 and p=.042, respectively). Regarding physical activity, individuals in Types 2 and 4 were more likely to exercise regularly, with odds ratios of 1.24 (p<.001) and 1.23 (p=.001), respectively.
Conclusion This study highlights that having a usual source of care (USC)—especially one that offers core primary care functions such as comprehensiveness or coordination—is positively associated with healthier behaviors, particularly smoking cessation. These effects may be strengthened by recent government-led incentive programs that support behavioral change. These findings suggest that expanding both access to and the quality of USC may be key to improving population health behaviors.
Purpose Local government public health nurses (LG PHNs) in South Korea deliver integrated community health and welfare services. However, their professional identity is often challenged within welfare-centered administrative structures, and the structural barriers to their role performance have not been fully explored.
Methods An exploratory qualitative study using focus group interviews was conducted. Seven LG PHNs from various local government divisions participated. Data were analyzed thematically to identify key challenges in role performance.
Results Three main themes emerged: (1) Systemic unreadiness and structural support gaps in deployment, characterized by inadequate orientation and ambiguous role boundaries resulting from rapid policy implementation; (2) Challenges in professional identity negotiation within integrated welfare-health frameworks, where the underutilization of nursing expertise and overlapping responsibilities within administrative settings led to role confusion and professional marginalization; and (3) Institutional isolation and absence of clinical governance, resulting from a lack of systematic clinical supervision and institutional backing. Participants reported significant difficulty prioritizing specialized nursing tasks due to limited resources and structural hierarchies.
Conclusion LG PHNs’ effectiveness is hindered by fundamental structural limitations and governance gaps. To prepare for the 2026 nationwide implementation of integrated care, a transition toward nursing-led care management is essential. Policy measures should include establishing a legal role framework, implementing dual-reporting systems for clinical supervision, and promoting inter-professional education (IPE) to empower LG PHNs as proactive community health leaders.
Purpose The government has implemented a pilot project for community care for older adults and the integrated visiting nursing center in Bucheon-si operated by public fund of government to provide visiting nursing service for older adults. This study aimed to analyze the outcomes of the utilization of visiting nursing service at the integrated visiting nursing center in Bucheon-si.
Methods This study linked the personal data from the pilot project for community care with the National Health Insurance data. The final subjects comprised 30 participants and 110 of the matched control group. The length of home stay, hospitalization, and the admission for long-term care facilities or convalescent hospitals were measured. Statistical analysis was performed through difference-in-differences analysis using generalized estimating equation and Cox proportional hazards model.
Results The results indicated an increase of 28.2 days for length of home stay and a reduction of 69% in hospitalization from medical institutions and 81% in admission of long-term care facilities or convalescent hospitals among participants compared to the control group.
Conclusion The visiting nursing service of the integrated visiting nursing center was effective in extending length of home stay and lowering the hospitalization of medical institutions and admission of long-term care facilities or convalescent hospitals.
Purpose To support implementation of comprehensive, person-centered healthcare, this study aimed to explore immigrant women's public health center (PHC) service experiences and needs while considering Photovoice's feasibility for this purpose.
Methods: This qualitative study included 15 marriage-based immigrant women.
Participants were recruited from churches and multicultural family support centers using purposive and snowball sampling. Data were collected through four focus group interviews and were subjected to inductive content analysis.
Results: Five categories of experiences were identified: language barriers, hectic environment, affordable and practical primary healthcare, feeling ignored and discriminated against, and feeling frustrated. In addition, five categories of needs were identified: language assistance services, ease of access, healthcare across the lifespan, expansion of affordable healthcare, and being accepted as they are. This study provides preliminary evidence that the Photovoice approach can facilitate the interview process in a qualitative inquiry involving participants with limited ability to express their perspectives in the researchers' language.
Conclusion: Study findings highlight the need to implement institutional policy and procedural changes within PHCs and to provide culturally competent, personcentered care for South Korea's marriage-based immigrant women and other ethnic minority populations. The findings also provide evidence-based direction for PHC service planning.
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Methods: This study used secondary data from the 2014~2015 Korean Health Panel survey. The subjects of this study were 21,495 people aged 20 or older, and of them, there were 16,227 people aged 20 to 64 and 5,268 people aged 65 or older, which were surveyed between 2014 and 2015. The association between unmet healthcare needs due to financial reasons and catastrophic health expenditures was analyzed through logistic regression.
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Conclusion: A greater percentage of the elderly repeatedly faced both catastrophic health expenditures and unmet healthcare needs due to financial reasons compared to the non-elderly.
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Purpose This study was to review the previous studies on the ‘Willingness to Pay (WTP)' for healthcare services and suggest future implications for nursing research. Methods Using the scoping review method, we used RISS, KISS, KMbase, Koreamed, PubMed, EMbase, CINAHL as searching engines. According to the selection and exclusion criteria, 40 appropriate studies were selected and analyzed. Results 24 studies were categorized into medical service field among medical, public health, and nursing service fields. A total of 16 studies were related to healthcare system (policies), 13 studies were to the healthcare intervention, and 11 studies were categorized into the health management. Most of the methods for eliciting WTP (70%) were about a contingent valuation method (CVM), and the use of double bounded dichotomous choice (DBDC) tended to increase. In the nursing field, five WTP studies were identified: two studies published in the early years of 2000, which were conducted on hospital-based home health visit services. Recent studies were mostly about counseling and education by advanced practice nurses (APNs). Conclusion WTP studies on healthcare services were largely published from the medical fields and health policy areas with the CVM method. In the field of nursing, studies have been conducted on the subject of limited service areas. More active exploration of research topics is required, particularly under the current policy setting, where discussion of the public health insurance fee for nursing practice is essential.
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