• 한국건강관리협회지
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• 제1권1호
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• pp.7-8
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• 2003

The health screening and promotion is an emerging field of clinical preventiemedicine and is proved to be effective for reduction of diseaseprevalence, particularly life-style related diseases in aged population. However, the goal of perodic health screening can be achieved by a reliable health screening that largely depond on the quality of tests. Various tests including ultrasonography, endoscopy, CT and automated blood analyzers are used in health screening. Thesescreening tests are usually sensitive, but not specific to the presence of diseases. It meams the tests produce more false positive results, that demand eztra-expenses for the confirmation of disease. Promising screening tests should be sensitive as well as specific. However, it is not easy to maintain the quality of laboratory tests, because it is affected by various factors, such as instruments, reagents, laboratory methods and human factors. This review focuses on internal and external quality control of laboratory tests and quality management of health screening services to obtain reliable test results.

• Journal of Preventive Medicine and Public Health
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• 제39권5호
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• pp.397-403
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• 2006

Objectives: We estimated the asthma-related health care utilization and costs in Korea from the insurer's and societal perspective. Methods: We extracted the insurance claims records from the Korea National Health Insurance claims database for determining the health care services provided to patients with asthma in 2003. Patients were defined as having asthma if they had ${\geq}$2 medical claims with diagnosis of asthma and they had been prescribed anti-asthma medicines, Annual claims records were aggeregated for each patient to produce patient-specific information on the total utilization and costs. The total asthma-related cost was the sum of the direct healthcare costs, the transportation costs for visits to health care providers and the patient's or caregivers' costs for the time spent on hospital or outpatient visits. Results: A total of 699,603people were identified as asthma patients, yielding an asthma prevalence of 1.47%. Each asthma patient had 7.56 outpatient visits, 0.01 ED visits and 0.02 admissions per year to treat asthma. The per-capita insurance-covered costs increased with age, from 128,276 Won for children aged 1 to 14 years to 270,729 Won for those aged 75 or older. The total cost in the nation varied from 121,865 million to 174,949 million Won depending on the perspectives. From a societal perspective, direct health care costs accounted for 84.9%, transportation costs for 15.1 % and time costs for 9.2% of the total costs. Conclusions: Hospitalizations and ED visits represented only a small portion of the asthma-related costs. Most of the societal burden was attributed to direct medical expenditures, with outpatient visits and medications emerging as the single largest cost components.

• 한국치위생학회지
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• 제20권6호
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• pp.899-911
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• 2020

Objectives: This study aimed to analyze the educational needs for geriatric dental hygiene and provide basic data for developing standard curricula for geriatric hygiene. Methods: To investigate the educational needs for geriatric dental hygiene, 212 students from dental hygiene departments and 205 dental hygienists engaged in clinical practice were enrolled. Results: Among the educational needs for geriatric dental hygiene, Geriatric oral health issues category was the highest with 4.06 points for students and 4.05 points for dental hygienists. Students who completed a geriatric dental hygiene course had higher scores for the following sub-domains compared to those who did not: need for geriatric dental hygiene-related theoretical education (p=0.002), needs for practice education with elderly people (p=0.001), and confidence in performing oral healthcare for elderly people after graduation (p<0.001). Meanwhile, clinical dental hygienists who not completed geriatric-related courses had higher scores for, need for geriatric dental hygiene-related theoretical education, need for practice education with elderly people, and confidence in performing oral healthcare for elderly people. but, there was no significant difference (p>0.05). Conclusions: The results of this study showed that students and dental hygienists had high educational needs for geriatric dental hygiene. In particular, there was a high demand for education related to Geriatric oral health issues as well as Geriatric dental hygiene care and skills.

• Clinical and Experimental Pediatrics
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• 제60권5호
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• pp.138-144
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• 2017

Purpose: Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. Methods: We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment. Interview questions examined participants' experiences in pregnancy and childbirth and concerns regarding their child's health status. Initial data analysis involved all researchers' immersion in the entire collection of transcripts. We then noted recurrent topics and themes and identified similar issues. Results: At the time of giving birth, 5 participants were asylum seekers and one had undocumented status. The following barriers impeded their access to maternal child healthcare: socioeconomic factors (unstable social identity, low economic status, difficulty obtaining health insurance), language barriers (lack of linguistically appropriate health information, limited access to translation services), and cultural barriers (religious and cultural differences). Weak social support also hindered access to healthcare soon after migration; however, social links with the community emerged as a key coping strategy following settlement. Conclusion: We identified barriers to maternal and child healthcare and coping strategies among African refugee mothers in Korea. Future research should assess refugees' health status and improve health access and literacy among refugee mothers.

• 대한통합의학회지
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• 제7권4호
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• pp.223-230
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• 2019

Purpose : Wellness tourism is defined as travel for the purpose of promoting health and well-being through physical, psychological, or spiritual activities. The development and verification of a comprehensive wellness program for health care for workers is needed. The purpose of this study is to investigate the wellness and skin health effects of skin health programs in order to develop high-value health care services. Methods : The subjects were 15 middle-aged women who understood the research and volunteered and participated in the two-day skin health wellness program. Participants were measured to determine their wellness index and skin health twice: before and after participating in the program. Wellness index measures include comprehensive wellness, physical wellness, mental wellness, emotional wellness, social/cultural wellness, financial wellness, and environmental wellness. Skin health measurement items consisted of skin oil, skin water, skin pore, skin elasticity, skin wrinkle, and skin pigment. The skin wellness program included aerobic exercise, endurance exercise, functional food, cosmetics, herbal tea, massages, spa treatments, meditation, and marine leisure sports. The t-test analysis was used to compare the difference between wellness index and skin health measurement items before and after the program. Results : Among the wellness index items, the comprehensive wellness index (p<.05), mental wellness index (p<.05) and environmental wellness index (p<.05) showed statistically significant differences. Among skin health items, skin oil (p<.05), skin elasticity (p<.01) and skin wrinkle (p<.01) all showed statistically significant differences. There was no statistically significant difference in physical wellness, emotional wellness, social/cultural wellness, financial wellness, skin water, skin pore and skin pigment. Conclusion : This study confirmed that the two-day complex wellness program is an effective program for some items of wellness index and skin health.

• 한국디지털건축인테리어학회논문집
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• 제13권1호
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• pp.15-22
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• 2013

Recently, the korean statistical information service reported that the elder people aged over 65 years take 11 percentage point of all population, indicating that the hyper-elder era will advent shortly. As a result, there are remarkably increasing demands for providing self-organizable home agent system for elder people. Of the home agent system, the ubiquitous home service is known to be useful to overcome this problem. However, current ubiquitous home services limited to provide functional services, and it can be observed that there is lack of consideration for elder-support products which are closely interacted with elder people in the living situation. In this paper, we analyze senior aids products that can be combined to the ubiquitous home service, and propose design procedure for senior aids products that can be applied to self-organizable ubiquitous services. We studied characteristics of elder people, current state of affairs for senior aids products, and home services that are highly required by elder people. Moreover, we observed that the ubiquitous home services related to health, safety, and amenity are urgently needed, and those services can be categorized according to residential areas. Following those observances, we proposed a design principle based on the universal design paradigm to provide self-organizable ubiquitous home service environment for elder people using senior aids products.

• 토지주택연구
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• 제3권2호
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• pp.147-157
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• 2012

정부는 임대주택에서 고령자 주택의 의무 설치비율에 대한 기준을 2012년 2월에 마련하였고, 이에 따라 고령자 주호 수는 늘어날 전망이다. 그리고 고령화 사회에 대비하기 위해 유비쿼터스 기술을 활용하면 효율적인 의료서비스를 지원할 수 있을 것이라는 주장이 다양한 연구에서 언급되었다. 따라서 본 연구에서는 이러한 고령자의 자립정도에 따라 헬스케어 서비스를 제공하기 위한 고령자 주택의 계획요소를 도출하고 현재 기축된 4곳의 사례 적용평가를 통해 실태 파악과 추후의 전략을 도출하는 것을 연구의 목적으로 하였다. 고령자 주택계획에서 주호 내 어메니티를 지원하는 부분이 중요도가 가장 높은 것으로 평가되었으나, 실제 주택에서 반영 비율은 낮았고 공용공간의 위험 관리계획이 가장 높은 비율로 적용되어 있었다. 실제 건강측정이나 외부와의 커뮤니티 돕는 것과 같은 새로운 기술을 활용하는 부분은 아직 적용되지 않았지만 에이징인 플레이스의 개념을 실현하기 위해서는 헬스케어서비스를 다양한 측면에서 고려하여 계획할 필요가 있음을 제안하였다.

• 한국병원경영학회지
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• 제27권1호
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• pp.11-19
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• 2022

Purposes: This study was to investigate intention to exercise the patient's right of self-determination on adopting the non-benefit medical services and was to identify factors associated with intention to self-determined decision. Methodology: A total of 1,000 adult respondents aged 20 to 65 years were recruited using stratified random sampling and surveyed by online. Multivariate logistic regression analysis was performed to identify factors associated with intention to self-determined decision using SAS 9.4(SAS Institute Inc. Cary, NC, USA). Findings: 61.9% of total participants(n=592) had intention to exercise patient's right of self-determination on adopting the non-benefit medical services. Significant differences were observed in the exercise of self-determination in relation to prior explanation and opportunity for self-determination. Practical Implications: This study suggested that explanation duty of provider might influence on increasing intention to exercise the patient's right of self-determination. Considering appropriate use of non-benefit services, it is important to enhance explanation duty of provider.

• 한국농촌간호학회지
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• 제2권1호
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• pp.24-32
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• 2007

Purpose: This study was done to provide statistical data for developing client-needs based welfare services in community welfare facilities. Method: The participants were 270 senior citizens, who visited a community welfare center in Gyunggi province, during the month of October 2005. They were asked to answer a structured questionnaire. Descriptive statistics, $X^2$ test and Fisher's exact test were used to analyze the data from 221 of the elders. Results: 1. More than 50% of the respondents were women aged between 60 and 75, who had education levels above high school and who lived in apartments. Among the respondents, 54.3% lived separately from their children. 2. 70.0% of the respondents considered their health status as "good", even though they had more than one disease. Also 41% of the respondents were supported by their children, and 76.8% wanted jobs. 3. The respondents pointed out several programs such as languages, computer, singing class, physical activities (dances, billiards, Tai-chi and table tennis), needed to be included in the welfare center programs. Conclusions: Elders aged 60-75, educated above high school, living in an apartments, live alone or with spouse, and having frequent contact with children, were the most frequent utilizers of the welfare center. They want the welfare center programs in variety, including languages, computer, singing class, and physical activities.

• Journal of Preventive Medicine and Public Health
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• 제32권4호
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• pp.546-555
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• 1999

Objectives : To determine the prevalence, pattern. and out-of-pocket expenditure of complementary and alternative medicine (CAM) utilization in Korean adult population. Methods : We conducted a representative telephone survey of 2,042 persons aged 18 or older. Data about any health problem, details of their use of medical doctors(MDs) offices/hospitals/pharmacies services and CAM during the preceding 12 months were collected with structured questionnaire. Results : The utilization rate of CAM among Korean adults was 29% in one year. A total of 231 kinds of CAM was identified from this survey. Annual out-of-pocket expenditure associated with CAM use in 1998 amounted to ${\xi}{\S}1.88$ billion and was comparable to 40.8% of out-of-pocket expenditure paid for MDs offices/hospitals/pharmacies services. Among those(N=424) who paid for both MDs offices/hospitals/pharmacies services an d CAM, 35.8% paid more for CAM. CAM gave more satisfaction than western medicine to those who had experience of both types of therapy. About half of CAM users were willing to recommend CAM to others. Disclosure rate to physician among CAM users was not high(40.6%). Conclusion : CAM became a popular source of health care in Korea, Korean spent a substantial amount of out-of-pocket money on CAM without any public control. Because CAM use is likely to be increased rapidly through lay referral system, health policy makers and health professionals should pay more attention to CAM for making appropriate utilization of CAM.