• Title/Summary/Keyword: 검진

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Income-related differences in cancer screening in Korea : Based on the 6th(2014) Korea National Health and Nutrition Examination Survey (소득수준에 따른 암 검진 이용현황 분석: 2014년 국민건강영양조사 자료를 중심으로)

  • Lim, Ji-Hye
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.329-338
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    • 2017
  • This study aims to identify factors to affect cancer screening utilization and differences in cancer screening by household income. This research selected 3,393 adults aged ${\geq}40years$ among surveyees from the 6th(2014) Korea National Health and Nutrition Examination Survey. We analyzed state of cancer screening utilization according to general characteristics, life style, health status, income level using descriptive statistics. Logistic regression analysis was used to examine the factors associated with cancer screening utilization. In result, cancer screening rate was significantly different according to household income. And the significant factors associated with cancer screening utilization were sex, age, marital status, education level, economic activity, private insurance, smoking, presence or absence of high physical activity, number of chronic diseases, and household income. This indicates that the effective cancer screening program on the low household income, chronic disease patients is needed, suitable for digital age. We believe that these results will be used positively for the equity of cancer screening utilization, providing the basic materials for the further research on the establishment of the health-related policy.

Estimating the Value of Statistical Life by Analysing Disease Protective Behavior: Focusing on Medical Examination of Cancer (질병예방행위 분석을 통한 확률적 인간생명가치 추정: 암 검진 행위 분석을 중심으로)

  • Shin, YoungChul
    • Environmental and Resource Economics Review
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    • v.17 no.4
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    • pp.845-873
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    • 2008
  • This study estimates the VSL(value of a statistical life) as well as the WTP(willingness to pay) for mortality risk reduction using sample selection model with data on liver cancer examination which is associated with little possibility of multi-purpose(i.e. joint production) in averting behavior. The marginal benefits of mortality risk reduction are estimated by applying for household production function model with medical expense and the time required for medical examination of liver cancer. Individuals are more likely to take liver cancer test if they are male, older, higher educated, those with spouse, smoker, more income of household, and more anxious about their health. The costs of liver cancer examination are statistically significantly affected with expected signs by size of mortality risk reduction, sex, period of eduction, those with spouse, and household income. The marginal effect of mortality risk reduction owing to taking liver cancer examination is estimated at 321,097 won. The costs of liver cancer examination are increased by 905 won with more one year of education period and by 1,743 won with more one million won in household income. On liver cancer examination, male spends more 12,310 won than female and those with spouse pay more 7,969 won than those without spouse. Therefore the VSL from mortality risk reduction due to liver cancer examination is 321.10 million won at mean size of mortality risk reduction and mean cost of liver cancer examination. The results of sensitivity tests on costs and effects of liver cancer test shows that the VSLs are estimated in a range from 160.55 million won to 642.19 million won.

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Sex Workers' Satisfaction and Intention to Use Sexually Transmitted Disease Examination Service in Korea (성병검진서비스에 대한 성매매 종사자의 만족도와 이용의도)

  • Lee, Jung-Whan;Lee, Ju-Yul
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.27-39
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    • 2009
  • Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using STD examination service provided by local public health centers. Sex workers' perceptions to STD examination service and their intention to use the service were measured with multiple items adapted from the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues. Results: Most sex workers are satisfied with the current STD examination service provided by local public health centers and they have a strong intention to use the service. In predicting general satisfaction and intention to use STD examination service, few socioeconomic variables play a significant role. Among specific dimensions of STD test service, technical quality and accessibility of the service affect both general satisfaction and intention to use the service in a positive direction. The most important determinant of sex workers' intention to use STD examination service is their general satisfaction with the service. Conclusion: With the existing laws that still officially justify STD examination programs, the demand and need for STD examination service by sex workers further the current STD examination programs. Health authorities which aim at health maintenance, health promotion and health protection for the people, thus, need to continue their STD control programs actively and effectively regardless of the Special Law on Sex Trade.

National Oral Health Screening for Infants and Children: A Survey on its Perception, Requirements and Accuracy of Parents and Dentists (영유아 구강검진에 대한 부모와 치과의사의 인식과 요구도 및 정확도 조사)

  • Nayoung, Kim;Ik-Hwan, Kim;Je Seon, Song;Jaeho, Lee;Chung-Min, Kang
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.2
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    • pp.217-227
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    • 2022
  • This study aimed to investigate parents' and dentists' perceptions of the national oral health screening for infants and children (OHS), and evaluate the dentists' accuracy of analyzing the results of OHS. A questionnaire survey was conducted, face-to-face or online, for 90 parents of children who received OHS in the Department of Pediatric Dentistry at Yonsei University Dental Hospital and 100 dentists working at local clinic or university dental hospital from May to October 2021. Most parents and dentists were aware of the importance of OHS, and approximately 96.7% of parents were satisfied with OHS. The requirements of parents and dentists about OHS were different. The reasons for having difficulties in explaining parents after OHS and the opinions on appropriate period and number of OHS were disagreed between pediatric dentists and general dentists. Regardless of dentists' major, work experience, elapsed period after taking online education program, the accuracy of the examination result was low. In this study, various opinions of parents and dentists on OHS were collected. Efforts should be made to enhance the oral health of infants and children by considering the requirements of parents and dentists and improving the accuracy of examination results.

Health Screening Measures in a Car Outside of the Leakage Radiation Dose (건강검진차량에서 외부 누설방사선량 측정)

  • Han, Beom-Hee;Jung, Hong-Ryang
    • Proceedings of the Korea Contents Association Conference
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    • 2011.05a
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    • pp.191-192
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    • 2011
  • X선 촬영을 통한 집단 건강검진은 경제성, 신속성, 대량처리 능력을 충족시키고 있으며 찾아가는 이동 의료서비스에서 중요한 부분을 차지하고 있다. 이와 함께 X선 촬영을 통한 집단 건강검진 시스템도 발전하여 간접촬영방식에서 Digital Radiography를 이용한 직접촬영방식으로 기술력이 향상되었고 이로써 검진차량에서 검진을 받는 환자나 종사자들에 대한 피폭선량의 증가하고 있으나 차량 외부의 누설방사선량에 대한 조사는 아직도 미미하다 할 수 있다[1]. 이에 본 연구에서 실험을 통한 결과는 다음과 같이 나타났다. 누설방사설량이 가장 많이 발생하는 곳은 출입문과 후면(검출기)에서는 우측, 양측면에서는 중앙이 가장 많은 누설방사선량이 나타났고, 측정위치별로는 검출기가 인접한 후면에서 누설방사선량이 가장 높았다. 기준치에 크게 벗어나지는 않았지만 누설방사선량은 다양하게 나타났다. 특히 후면에서의 누설방사선량은 기준치를 크게 웃돌아 방사선 차폐시설이 잘 갖추어지지 않은 것을 알 수 있으며 향후 이동검진차량의 방사선 차폐시설을 갖추는데 있어 각별한 관심이 필요하리라 사료된다.

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The current child and adolescent health screening system: an assessment and proposal for an early and periodic check-up program (현행 영유아 및 소아청소년 건강검진제도의 평가 및 대안)

  • Eun, Baik-Lin;Moon, Jin Soo;Eun, So-Hee;Lee, Hea Kyoung;Shin, Son Moon;Seong, In Kyung;Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.300-306
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    • 2010
  • Purpose : Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods : We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results : Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion : We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors—or example, good mental health, balanced nutrition, and more exercise.

Factors Influencing Intent to Revisit of Health Screening Center Visitors (건강검진센터 이용자의 재이용 의도에 미치는 영향요인)

  • Bang, Eun-Pil;Kim, Jeong-Hee
    • Journal of Digital Convergence
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    • v.18 no.1
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    • pp.147-157
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    • 2020
  • The purpose of this study was to investigate the factors influencing the intent to revisit among health screening center customers. The subjects were 195 customers of a health screening center. The intent to revisit was positively correlated with customer satisfaction and word-mouth communication. Multiple regressions showed that customer satisfaction and perceived health status explained 29% of the variance of the intent to revisit. In order to increase the intent to revisit, hospital and nursing managers should strive to improve customer satisfaction. In particular, strategies to arrange explanation of the result consultations, individual health management tailored to customers' needs, and customers-relationship management for continuing relations with the customer should be needed. In addition, it will be needed to expand the roles of nurses who are working in the health screening center from simple heath check or customer reception to active health education and continuous health screening plan after initial one.

Health Care Utilization Pattern and Its Related Factors of Low-income Population with Abnormal Results through Health Examination (저소득층 건강검진 유소견자의 의료이용 양상 및 관련요인)

  • Kwon, Bog-Soon;Kam, Sin;Han, Chang-Hyun
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.87-105
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    • 2003
  • Objectives: The purpose of this study was to examine the health care utilization pattern and its related factors of low-income population with abnormal results through health examination. Methods: Analysed data were collected through a questionnaire survey, which was given to 263 persons who 30 years or over with abnormal results through health examination at Health Center. This survey was conducted in March, 2003. This study employed Andersen's prediction model as most well known medical demand mode and data were analysed through 2-test, and multiple logistic regression analysis. Results: The proportion of medical utilization for thorough examination or treatment among study subjects was 51.0%. In multiple logistic regression analysis as dependent variable with medical utilization, the variables affecting the medical utilization were 'feeling about abnormal result(anxiety versus no anxiety: odds ratio 2.25, 95% confidence intervals 1.07-4.75)', 'type of health security(medicaid type I versus health insurance: odds ratio 2.82, 95% confidence intervals 1.04-7.66; medicaid type II versus health insurance: odds ratio 3.22, 95% confidence intervals 1.37-7.53)', 'experience of health examination during past 2 years(odds ratio 2.39, 95% confidence intervals 1.09-5.21)' and 'family member's response for abnormal result(recommendation for medical utilization versus no response: odds ratio 4.90, 95% confidence intervals 1.75-13.75; family member recommended to utilize medical facilities with him/her versus no response: odds ratio 19.47, 95% confidence intervals 5.01-75.73)'. The time of medical utilization was 8-15 days after they received the result(29.9%), 16-30 days after they receive the result(27.6%), 2-7 days after they received the result(20.9%) in order. The most important reason why they didn't take a medical utilization was that it seemed insignificant to them(32.4%). Conclusions: In order to promote medical utilization of low-income population, health education for abnormal result and its management would be necessary to family member as well as person with abnormal result. And follow-up management program for person with abnormal result through health examination such as home-visit health care would be necessary.

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Relationships between Knowledge, Attitude and Practice on Breast Self-Examination among Female University Students (일 지역 여대생의 유방자가검진에 대한 지식, 태도 및 실천의 관계)

  • Kim, Young-Suk
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.350-360
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    • 2013
  • Purpose: The study was to identify the relationships between knowledge, attitude and practice on breast self-examination among female university students. Methods: This descriptive study was conducted with a convenient sample of 330 female university students. Results: The mean score for knowledge of breast self-examination was 6.60/17 and attitude toward breast self-examination 42.34/64 and Practice level for breast self-examination was 13.23/24. The level of knowledge was differed significantly by Age(t=11.013 p<.001), Grade(t=12.725, p<.001), hearing experience of BSE(t=6.661, p<.001), experience of recommendation by others about BSE(t=3.426, p<.001), Educational experience of BSE(t=5.825, p<.001), experience of performance of BSE(t=2.789, p=.005). Practice level was differed significantly by hearing experience of BSE(t=5.250, p<.001), Educational experience of BSE(t=4.493, p<.001), Plan of BSE(F=3.910, p=.013). Slightly positive correlations were found between knowledge and attitude, knowledge and practice. Conclusion: The study suggested that we need to develop effective educational program for breast self examination to promote practice level of female students in university.