• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7401-7407
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• 2015

Cervical cancer continues to be a serious public health problem in the developing world, including China. Because of its large population with geographical and socioeconomic inequities, China has a high burden of cervical cancer and important disparities among different regions. In this review, we first present an overview of the cervical cancer incidence and mortality over time, and focus on diversity and disparity in access to care for various subpopulations across geographical regions and socioeconomic strata in China. Then, we describe population-based cervical cancer screening in China, and in particular implementation of the National Cervical Cancer Screening Program in Rural Areas (NACCSPRA) and the challenges that this program faces. These include low screening coverage, shortage of qualified health care personnel and limited funds. To improve prevention of cervical cancer and obtain better cancer outcomes, the Chinese government needs to urgently consider the following key factors: reducing disparities in health care access, collecting accurate and broadly representative data in cancer registries, expanding target population size and increasing allocation of government funding for training of personnel, improving health education for women, enhancing quality control of screening services and improving a system to increase follow up for women with positive results.

• 보건의료산업학회지
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• 제12권4호
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• pp.31-41
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• 2018

Objectives: This study was designed to evaluate whether employment status is associated with the experience of unmet care needs. Methods: This study utilized the Korea Health Panel data from 2012 to 2016. A total of 4,083 workers were selected as baseline subjects in 2012 and were followed for four years. This study used the GLIMMIX procedure under the marginal model while adjusting for covariates. Results: A total of 12.4% of 4,083 people said they had failed at least once to have a treatment or checkup despite the needs. Those more likely to experience unmet care needs were women and people of lower income level, with worse health conditions and chronic disease. Precarious workers, the self-employed, and the unemployed were more likely to experience unmet care needs caused by economic burden than permanent workers (Odds Ratio: 2.14, 2.07, 2.74, respectively). Conclusions: This disparity means that precarious workers and the unemployed are more likely to face barriers in obtaining needed health services. Given their insecure employment status, meeting their needs for health care is an important consideration.

• 대한안전경영과학회지
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• 제15권4호
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• pp.197-207
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• 2013

OSHA(Occupational Safety and Health Act) generally regulates employer's business principles in the workplace to maintain safety environment. This act has the fundamental purpose to protect employee's safety and health in the workplace by reducing industrial accidents. Authors tried to investigate the correlation between 'occupational injuries and illnesses' and level of regulation compliance using Survey on Current Status of Occupational Safety & Health data by the various statistical methods, such as generalized regression analysis, logistic regression analysis and poison regression analysis in order to compare the results of those methods. The results have shown that the significant affecting compliance factors were different among those statistical methods. This means that specific interpretation should be considered based on each statistical method. In the future, relevant statistical technique will be developed considering the distribution type of occupational injuries.

• Korean Journal of Acupuncture
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• 제24권3호
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• pp.67-79
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• 2007

Objectives : The Purposes of this study were to investigate payment system for oriental medical treatment as supplier of medical services, and to estimate reasonable levels of medical fee. Methods : This study made these following results by reviewing the answers which were given by 172 Korea traditional doctors from March 1 to April 15, 2006. Results : General satisfaction of payment system for oriental health insurance was $2.17{\pm}1.01$ $(mean{\pm}SD)$ on a 1-7 scale (median 4) as very low level. Reasonable medical fees which were answered by 172 Korea traditional doctor are higher than present fees, thus Korea traditional doctors think that present fees should be increased. And according to the survey, current insurance fees have a problem of disparity between each treatment fee. Conclusions : According to results of this study, current fees of oriental medical treatment are not rational. And this problem leads to distortion of medical treatment. Additional studies in thls field are needed.

• Safety and Health at Work
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• 제6권4호
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• pp.345-352
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• 2015

Background: Goal-oriented communication of risk of hazards is necessary in order to reduce risk of workers' exposure to chemicals. Adequate training of workers and enterprise priority setting are essential elements. Cleaning enterprises have many challenges and the existing paradigms influence the risk levels of these enterprises. Methods: Information on organization and enterprises' prioritization in training programs was gathered from cleaning enterprises. A measure of enterprises' conceptual level of importance of chemical health hazards and a model for working out the risk index (RI) indicating enterprises' conceptual risk level was established and used to categorize the enterprises. Results: In 72.3% of cases, training takes place concurrently with task performances and in 67.4% experienced workers conduct the trainings. There is disparity between employers' opinion on competence level of the workers and reality. Lower conceptual level of importance was observed for cleaning enterprises of different sizes compared with regional safety delegates and occupational hygienists. Risk index values show no difference in risk level between small and large enterprises. Conclusion: Training of cleaning workers lacks the prerequisite for suitability and effectiveness to counter risks of chemical health hazards. There is dereliction of duty by management in the sector resulting in a lack of competence among the cleaning workers. Instituting acceptable easily attainable safety competence level for cleaners will conduce to risk reduction, and enforcement of attainment of the competence level would be a positive step.

• 연구윤리
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• 제2권1호
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• pp.13-18
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• 2021

Purpose: This paper aimed to examine the ethical considerations that are the basis for many functions in the healthcare field. The key ethical values in global health, as well as future considerations imperative to this area, were observed. Research design, data and methodology: The current study utilized the past literature studies that were examined in the field of global health. An overview of the role of ethics in the healthcare field, as well as important considerations that needed to be taken into account in order to provide advancements in this area, were investigated. Results: Ethics are an important set of principles that guides humankind into the right conduct or action to better society and each other. Ethical values are one of the pinnacle points for any healthcare provider, as healthcare is not only considered from the aspect of patient health and well-being, but also in its role of keeping ethical guidelines to achieve the best possible care for a patient. Conclusions: A comprehensive understanding of healthcare is needed in order to tackle next generational challenges in global health. These ethical considerations will inevitably play a significant role in harnessing the patient-healthcare professional relationships as well as care for the shortening of a global disparity on healthcare.

• 한국지리정보학회지
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• 제15권4호
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• pp.138-150
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• 2012

본 연구는 시공간분석을 이용하여 주요 만성질환인 고혈압, 당뇨병, 관절증과 총의료이용에 있어 지역별 외래의료이용 차이를 살펴보았다. 분석자료는 보건복지부와 한국보건사회연구원에서 발간하는 1996, 1999, 2002, 2005, 2008년 환자조사 자료를 이용하였으며 분석방법으로는 베이지안 계층적 시공간모형(bayesian hierarchial spatio-temporal model)을 이용하였다. 이때 지역의 공간적 상관성은 convolution CAR 모형을, 시간적 상관성은 Ornstein-Uhlenbeck 방법을 적용하여 분석하였다. 분석결과 질환별로 의료이용에 있어 지역적 차이가 존재하였다. 총의료 이용의 경우 시 군지역보다 대도시인 구지역에서 높은 상대위험비를 보인반면, 만성질환인 고혈압, 당뇨병, 관절증은 총의료이용과는 달리 강원도, 충청남북도, 전라남북도, 제주도 등 농어촌 지역에서 전국평균보다 높은 의료이용(상대위험비)을 보였다. 특히 고혈압은 부산경남 해안가 지역과 강원, 경기, 경북, 충청남도, 전북 등에서 높은 의료이용을 보였고, 관절증은 경기, 강원 일부와 충북, 충남, 전북, 전남, 경북, 경남지역 등에서, 당뇨병은 경기, 서울, 부산, 전라남북, 충청일부 지역에서 상대적으로 높은 의료이용을 보였다. 본 연구는 기존 연구와는 달리 공간적, 시간적 상관성을 고려함으로써 지역단위 분석시 공간적, 시간적 상관성을 고려하지 않음으로써 발생하는 통계적 오류를 최소화하였다.

• 한국치위생학회지
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• 제15권5호
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• pp.787-795
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• 2015

Objectives: The purpose of the study is to investigate the degree of disparity in unmet dental care needs in Korean adults. Methods: Using data from the 5th Korea National Health and Nutrition Examination Survey, 9,573 adults between 25-54 years old were selected. The reason for unmet dental care needs was analyzed by chi square test and logistic regression analysis. Results: Those having unmet oral health care needs accounted for 41.3%. The majority of the reason (1,036 persons) was "busy with school or work" and the second reason was financial burden (1,028 persons). Those who were female individuals (OR: 1.14, CI: 1.02-1.27), having higher income (OR: 0.85, CI: 0.72-0.99), and perceiving poor oral health status (OR: 5.68, CI: 4.64-6.95). Conclusions: It is necessary to extend and implement the nationwide public assistance of dental care services among the second-to-the bottom and low income people.

• 한국임상보건과학회지
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• 제6권2호
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• pp.1115-1125
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• 2018

purpose : The purpose of the study is to investigate opinion on the legalization of the actual work of clinical dental hygienists. Methods : A self-reported questionnaire was completed by 171 dental hygienists in Busan and Gyeongnam from December 1, 2017 to January 31, 2018. Structured questionnaires were uesd for analysis. The collected data was analyzed using IBM SPSS. Statistic 20.0. Results : The first, assist of dental treatment, Second, dental health care education and consulting duties, and third priority preventive duties were found to be the most important duties in the dental office. Currently, it was investigated perform in a lot of workplace. Preventive treatment tasks include scaling, teeth polishing, applying fluoride and assist of dental treatment include preparation for medical care, preparation for implant surgery, preparation for oral surgery, implant surgery assistant and patient care training, and preparation for periodontal surgery. Conclusion : As a result, the dental hygienist performing a lot of dental assist tasks, oral health education counseling and preventive duties. Nonetheless, clinical dental hygienists are outlaws due to the disparity between practical and legal duties. Therefore, it is urgent to legislate actual duties of dental hygienist so that experts can fully exercise the competency of the public in promoting dental health. Relevant governments and related organizations should take reasonable measures to solve this problem.

• 치위생과학회지
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• 제23권3호
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• pp.185-192
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• 2023

Background: The establishment of a strategy for the reduction and prevention of oral disease, a global pervasive disease, is considered one of the important national health policy strategies. In Korea, the 5th Comprehensive National Health Promotion Plan is currently in progress, but there is insufficient research on the transition process or improvement direction in the field of oral health. Methods: Changes in Comprehensive National Health Promotion Plan's Oral health sector in three countries were compared, and the direction of the three countries (Korea, the United States, and Canada) in accordance with the recent Oral health paradigm was confirmed. In this study, we reviewed the existing literature using the narrative review method to draw implications for strategies and directions for oral health promotion in Korea. Results: In Korea, the oral health promotion strategy is included in the 5th Comprehensive National Health Promotion Plan, and the project is being led by the government. The United States prepared a national-led oral health promotion strategy and suggested multi-disciplinary cooperation to improve overall oral health and reduce the oral health inequality. For more active intervention, Canada established an oral health-related department and assigned experts, while emphasizing cooperation between the government and the private sector. Conclusion: As a result of this study, Korea is also making efforts to improve oral health, but more active government intervention is needed to reduce the inequality in oral health by population group. To this end, it is necessary to establish a strong multi-sectoral cooperation system and prepare a strategy for implementation.