• Health Policy and Management
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• v.27 no.2
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• pp.157-166
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• 2017

Background: Women with family history of breast cancer are more likely to be worried about having cancer and participate in breast cancer screening. However, few studies have examined relationship between family history, cancer worries, and participating in breast cancer screening in Korea. This study is to identify relationship between family history, cancer worries, and participating in breast cancer screening among women with and without family history of cancer. Methods: Respondents were 2,364 women who based on the 2013 Korean National Cancer Screening Survey which is done by National Cancer Center in Korea. Chi-square tests were performed to determine differences of cancer worries, undergoing of breast cancer screening and methods such as mammogram and ultrasonogram with and without cancer family history. Univariate and multiple logistic regression were performed to identify if family history and cancer worries are related factors on participating in breast cancer screening and methods. Stratified analysis was performed to confirm the effect of ultrasonogram on the dense breast by age. Results: Women with cancer family history frequently checked condition for conscious of having cancer (p=0.0299) and had highly perception of risk about having cancer in the future ($p{\leq}0.0001$). Women aged 30-49 did not perform significantly more ultrasonogram than women aged over 50 years old. Checking condition (moderate odds ratio [OR], 1.38; 95% confidence interval [CI], 1.20-2.08; frequently OR, 1.58; 95% CI, 1.08-1.76) and perception of risk (moderate OR, 3.12; 95% CI, 1.06-7.06; high OR, 2.74; 95% CI, 1.20-8.08) were related to participate in mammogram and ultrasonogram. A positive family history was related to 1.35 higher odds of performing only breast ultrasonogram (95% CI, 1.04-1.75). Conclusion: This study requires national education and publicity to reduce the unnecessary cost of screening, to be possible cost effective screening and to encourage women to receive more mammogram, especially women aged over 50 years old and with socioeconomic factors related to opportunistic screening.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.22 no.3
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• pp.207-216
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• 2019

Functional gastrointestinal disorders (FGIDs) such as infantile colic, constipation and colic occur in almost half of the infants. The aim of this paper is to provide a critical and updated review on the management of FGIDs and their impact on the health of the infant and family to health care physicians. Guidelines and expert recommendations were reviewed. FGIDs are a frequent cause of parental concern, impairment in quality of life of infants and relatives, and impose a financial burden to families, health care, and insurance. Therefore, primary management of the FGIDs should be focused on improving the infants' symptoms and quality of life of the family. If more than parental reassurance is needed, available evidence recommends nutritional advice as it is an effective strategy and most of the time devoid of adverse effects. The role of healthcare providers in reassuring parents and proposing the correct behavior and nutritional intervention by avoiding inappropriate use of medication, is essential in the management of FGIDs.

• Health Policy and Management
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• v.22 no.3
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• pp.383-402
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• 2012

The purpose of this study is to investigate the factors affecting family caregiver financial burden of out-of pocket expenses for the nursing home service under Long-term Care Insurance System. We conducted a national cross-sectional descriptive survey from July to September 2010 to collect data based on the long-term care benefits cost specification. Total 1,016 family caregivers completed questionnaires. 185 subjects of total were excluded from the data analysis due to being answered by user(18 cases), or caregivers not to pay for services expenditures(122 cases), having a missing data on family caregivers characteristics(45 cases). Finally, 831 subjects were included in the study. The average financial burden was 3.18(${\pm}0.71$). We divided subjects into two groups by level of burden, high-burden group and low-burden group. In the result of the multiple logistic regression analysis, family caregiver financial burden was significantly higher in family caregivers with ages 40 to 49 compared to less than 40, lower educational level, unsatisfaction for long-term care service, high percentage(more than 50%) of cost-sharing and high total out-of pocket expenses(more than 300,000 won) for long-term care services. Also, Family caregivers who are spouse felt higher financial burden compared to son. This study is meaningful as the first attempt to measure family caregiver financial burden for long-term care service and to identify factors affecting the financial burden. Family caregivers felt financial burden of out-of pocket expenses for the nursing home service. The policy makers, the insurer, and the providers need to pay attention to ease family caregiver financial burden.

• Journal of Family Resource Management and Policy Review
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• v.15 no.1
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• pp.177-197
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• 2011

This study was designed to develop the evaluation scale for health-grade of families. For this goal the related references and the programs of Healthy-Families-Center were analyzed. In the context with the goals and objects of programs in Healthy-Families-Center the index for the evaluation the health-grade of families was deducted. And the concrete items of health-grade of families in 3 parts(R: relation, M: management, E: environment) was discussed. In order to verify the validity and significance of the scale the survey for 200 samples was performed and the data from 191 samples was statistically analyzed. We suggested the application methods of this evaluation scale for health-grade of families. So the 8 types of families were came out: RME, RMe, RmE, rME, Rme, rMe, rmE, rme. Using this type of families the consulting and counselling for the enhancement of health-grade can be developed. We reached the conclusion that this evaluation scale has to be continuously developed and eleborated because the health-grade of families is one of the most important index for the effect of programs of Healthy Families Center.

• The Korean Journal of Health Service Management
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• v.6 no.3
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• pp.197-208
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• 2012

There's an opinion that it may be a combination of change of values and social economic factors that caused low fertility of Korean society. This study intends to analyze actual conditions of family children values and gender role centered on university students in a marriageable age so draw a policy implication for overcoming low fertility. Main findings of this study are like following. First, as for analysis of childbirth intention shows average score of $3.35{\pm}1.142$ presented sex distinction that men have a higher tendency to women. Second, in gender role attitudes, it shows that gender role related on women's social activities($2.06{\pm}0.739$), traditional gender role in family($2.41{\pm}0.789$) influence on childbirth intention (p<0.001). Third, in family children values indicates moderate scores($2.95{\pm}0.648$) that son's position in family ($2.33{\pm}0.911$), relation between children and parents($2.80{\pm}1.050$), individual's position in family($3.56{\pm}0.671$) influence on childbirth intention(p<0.000) in the traditional values. Measures against low fertility will prove effective when family values are established favorable to marriage, childbirth, rearing, gender equality is settled in a society as a whole and related systems.

• Journal of Family Resource Management and Policy Review
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• v.11 no.4
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• pp.55-71
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• 2007

The purpose of this study was to explore a self-diagnostic indicator for measuring a healthy family by adopting the theme of "happiness", which has surfaced as the most interesting in many academic fields recently. Though the basic concept of a healthy family may be shared by everyone, the criterion of happiness varies from one family to another. Therefore, it is desirable that the tool be made in such a way that every member of the family can check their health from a holistic perspective, rather than diagnosing health and happiness from the perspective of professionals. So, this study was aimed at diagnosing a family by using a tool named GAMMA model, so each family member can recognize problems and find the best options to solve it. This study. has a significant meaning in that it has tried to diagnose families by introducing the GAMMA model into domestic science for the first time.

• Journal of Family Resource Management and Policy Review
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• v.9 no.4
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• pp.133-144
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• 2005

The purpose of this study is to propose a remodification of the family resource management curriculum in order to vitalize the entire healthy family specialist program. In January 2005, 'the Act of Healthy Families' was enacted. From then on, healthy family specialists not only have assumed a key role in health family Projects, which is based on the Act of Healthy Families itself, but they have also become key members of the healthy family support centers. Therefore, it can be said that cultivating competent healthy family specialists is vital to the success of the management of the healthy family support centers as well as the entire healthy family project. In order to enhance the quality of the healthy family specialists, we need to modify the current curriculum, which is based on primary courses that offers healthy family specialist licences in the end, into a curriculum that focuses on work-oriented learning and practical education. Especially, the curriculum of public family management should be administered in a way that strengthens the practical management of healthy family support centers. The basic curriculum as well as the guidelines of the practical training that is being conducted through healthy family support centers should also be organized in a way that enhances the professionality and the unification of the healthy family specialist.

• Health Policy and Management
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• v.19 no.4
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• pp.78-97
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• 2009

This study examined the factors related to family caregiver satisfaction with institutional care services for beneficiaries under the Public Long-Term Care Insurance(PLTCI) system. Determining what contributes to family caregiver satisfaction is a critical step toward implementing effective quality improvement strategies. A national cross-sectional descriptive survey was conducted from November to December 2008, using proportionate quota sampling based on the location and level of Long-Term Care of the beneficiaries. Total 1,745 family caregivers wrote informed consents and 733 (response rate 42%) completed questionnaires, which included caregiver characteristics, organizational resources, primary objective and subjective stressors, perceived quality of services, and family caregiver satisfaction. Family caregivers were satisfied overall with institutional care. In multiple regression analysis, there was a statistically significant difference in degree of family caregiver satisfaction according to caregiver characteristics(relationship to beneficiary), primary objective stressors (insurance type of beneficiary), perceived quality of services(respect to family caregivers' idea, ADL support, expertness of staff, careful concern of staff, fulfillment of client's requests, and safety of institution's environment). In public long-term care, satisfaction efforts are in an early stage of development. This study is meaningful as the first attempt to measure family caregiver satisfaction with institutional care for beneficiaries under the PLTCI system, and to identify factors affecting the satisfaction. Among the identified factors, the policy makers, the insurer, and the providers need to pay attention to perceived quality of services, in particular, to improve customer satisfaction. Our findings can provide quality care improvement initiatives in the public long-term care setting.

• Health Policy and Management
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• v.7 no.2
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• pp.19-45
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• 1997

This study was performed to evaluate the appropriateness of resource allocation based on the ranking of health center function. Through the Delphi processes, health center functions were ranked in order of importance as follows; planning and research, followed by health education, health promotion, management of chronic diseases, health screening tests, welfare activities, mental health services, medical personnel management, medical services, prevention of communicable diseases, maternal and infant health services, housekeeping, management of oral hygiene, nutrition services, surveillance for community health services, family planning, and administration of the health center. In relation to the above priorities, the allocation of manpower was not appropriate. Even though the expert groups emphasized on functions such as planning and research, health education, and health promotion, they inputted more personnel for administration of a health center, maternal and infant health services, and medical services which were evaluated with lower importance. The budget allocation showed the same trends as the above. Although the functions such as planning and research, health education, and health promotion, and management of chronic diseases were evaluated highly, the budget was allocated accordingo to the the results of the former fiscal year rather than on the importance of function. However the budget for nutrition services, surveillance for the community health services, family planning, and administration of a health center was allocated according to priority. Based upon the above findings, community health center should be given the opportunity to make their own ranking of health center function and to allocate their resources including personnel and budget in order to improve the responsibilities and roles of the community health center.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.191-203
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• 2013

This study had collected 267 Dental Health Care Worker in Busan, Gyeongnam and Ulsan, in order to investigate work-family conflict, job satisfaction and turnover intention of dental hygienists and find relationship between these. A survey was conducted from April 8 through April 30, 2013, by using structured, self-administered questionnaires. The collected data were analyzed with SPSS 12.0 program. The obtained results were as follows; 1. The average job satisfaction point are 3.32, work-family conflict point 3.06, and turnover intention point 2.80. 2. The job satisfaction was under the greatest influence of the Group of Rationality, followed by declination of Work Demand, Working Environment, Money. 3. The turnover intention was under the greatest influence of the Money, Job of Future. All the foctors had a positive impact on their turnover intention. That lowering these factors expressed a positive correlation, the higher the money and job of Future turnover intention.