• Title/Summary/Keyword: Health gap

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The Effect of Residential Migration on the Utilization and Accessibility of Medical Care (거주지역 이동이 의료이용량과 의료접근성에 미치는 영향)

  • Lee, Woo Ri;Choi, Yong Seok;Lee, Gyeong Min;Kim, Li Hyen;Yoo, Ki-Bong
    • Health Policy and Management
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    • v.31 no.1
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    • pp.125-139
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    • 2021
  • Background: In Korea, the health gap widens due to the number of medical resources and access to medical services between metropolitan and rural. The purpose of this study is to identify the impact of residential migration on medical utilization and accessibility. Methods: This study extracted 528,516 claimed cases in the National Health Insurance Service-Cohort Sample Database from 2006 to 2015. Subjects were classified into two groups by the magnitude of the region, the metropolitan and the rural. The inversed probability weights were calculated for each group. And coefficients of the two-part model were estimated by generalized estimation equation. Results: Those who moved region from metropolitan to rural tend to increase the length of stay and inpatients with ambulatory care sensitive conditions (ACSC) disease. Contrariwise, those who moved areas from rural to metropolitan tend to decrease the total medical cost, the adjusted patient days, the number of outpatients and the number of outpatients and inpatients with ACSC disease. Conclusion: This study identified that between the residents who continued to reside in the region and the migrants, there were significant differences in the medical accessibility, quality of primary care, and unmet medical need.

Quality Analysis of Smart Application Contents for the Convenience of Care and Hospital Access (진료의 편의성과 병원 접근성 증진을 위한 스마트 어플리케이션 콘텐츠의 질적 분석)

  • Lee, Jae Bin;Kim, Ji Hye;Bok, Jeong Hee;Woo, Hyekyung
    • Korea Journal of Hospital Management
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    • v.25 no.1
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    • pp.1-12
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    • 2020
  • Purposes: The aim of this study is to evaluate whether the contents of hospital reservation and reception applications(apps) are qualitatively useful in meeting the needs of medical consumers and improving hospital accessibility and convenience. Methodology: (1) identify consumer needs through social data web mining, (2) describe the status of key contents of mobile apps to improve accessibility and convenience of care, and (3) verify the quality of apps through validated tools Finding: The contents of 'mobile reservation function' and 'waiting time information provision' that can contribute to reduction of delay time of care and efficiency of desk work were supported, but the level of utilization was insufficient. The quality level of the app, including the level of consumers' needs, has shown a wide gap between the apps. Implications: The recent development of mobile apps for hospital accessibility and consumer needs has shown a wide gap in the quality of apps, including information and aesthetic. Therefore, it is necessary to develop apps based on user interface(UI), user experience(UX) based designs that can promote the usefulness and convenience of apps while monitoring needs of consumers continuously.

A study on the relationship of dating to oral health state among people in their 20s (20대 연령층의 이성교제 여부에 따른 구강위생상태에 관한 조사 연구)

  • Lee, Kyung-Hee;Gwon, Hyun-Jung;Youn, Hye-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.7 no.2
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    • pp.177-187
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    • 2007
  • The purpose of this study was to examine whether dating affected young people's concern for their looks and their oral health state, and to motivate students to promote their oral health, as national oral health depended on students who would grow into eligible members of society in the near future. Relevant literature and data were reviewed, and a survey was conducted on residents in and around Seoul, who were in their 20s, for approximately three months from June through August 2006 to find out about their oral health status. The findings of the study were as follows: 1. Whether they were seeing someone or not was investigated, and it's found that 37.5 percent had a girl friend or boy friend, and that 6.7 percent hadn't. 2. Concerning the state of dating, 40.3 percent, the largest percentage, had been dating for less than a year, and the largest number of them that accounted for 23.6 percent had been dating one person till then, 4.0 percent were considering getting married with those whom they were seeing. The most dominant type of love was eros(romantic or ardent love; 41.7%), followed by stroge(friendly love; 33.3%), and agape(altruistic, devoted love; 12.5%). 3. As for the impact of dating on oral health status, those who were seeing someone were similar to those who weren't in toothbrushing frequency, toothbrushing time and simplified oral hygiene index. There was no significant gap between the two. 4. Concerning the influence of dating on dental-treatment experience, no statistically significant intergroup differences were found in experiences of taking dental-caries treatment, bad-breath treatment and teeth-whitening treatment. There was a statistically significant intergroup gap only in scaling experience(pE0.05). 5. Regarding the impact of dating on oral health care, 59.7 percent of those who were dating thought that it affected oral health care, and the same rate of the others who weren't stood at 38.3 percent. There was a statistically significant gap between the two(pE0.01). 6. As to the influence of general characteristics on oral hygiene index, their age and gender made no statistically significant differences to that. By occupation, however, many of the company employees were in good oral health, and many of them were in bad oral health, too. The office workers were statistically significantly different from the others in that regard(pE0.01).

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Measurement and Evaluation of Scatter Fractions for Digital Radiography with a Beam-Stop Array (Beam-Stop Array를 이용한 DR에서의 Scatter Fraction 측정 및 효용성 평가)

  • Choi, Yu-Na;Cho, Hyo-Min;Kim, Yi-Seul;An, Su-Jung;Kim, Hee-Joung
    • Progress in Medical Physics
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    • v.21 no.1
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    • pp.9-15
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    • 2010
  • Scatter radiation considerably affects radiographic image quality by reducing image contrast and contributing to a non-uniform background. Images containing a large portion of scatter radiation may result in an incorrect diagnosis. In the past few years, many efforts have been made to reduce the effects of scatter radiation on radiographic images. The purpose of this study is to accurately measure scatter fractions and evaluate the effectiveness of beam-stop arrays. To measure scatter fraction accurately, a beam-stop array and the SFC (Scatter Fraction Calculator) program were developed. Images were obtained using the beam-stop array for both an anti-scatter technique with an anti-scatter grid and an air gap technique. The scatter fractions of the images were measured using the SFC program. Scatter fractions obtained with an anti-scatter grid were evaluated and compared to scatter fractions obtained without an anti-scatter grid. Scatter fractions were also quantitatively measured and evaluated with an air gap technique. The effectiveness of the beam-stop array was demonstrated by quantifying scatter fractions under various conditions. The results showed that a beam-stop array and the SFC program can be used to accurately measure scatter fractions in radiographic images and can be applied for both developing scatter correction methods as well as systems.

A Study on Work Values of Hospital Employees (병원근로자의 근로가치관에 대한 연구)

  • 윤방섭;이해종
    • Health Policy and Management
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    • v.10 no.1
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    • pp.95-110
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    • 2000
  • The purpose of this study is to evaluate work values of hospital employees. Their work values was compared with that of other corporate's employees or among that of specialties in hospital. It was surveyed to 893 persons; 164 in hospital and 709 in others. The work values of hospital employees are similar to that of other corporate's employees. But they have first priority to working environment, and emphasize monetary incentive much more than hierarchical development. There are some gap in work value between age groups in hospital, different from other corporate. That means hospital manager need to development the more developed work value in hospital. The work values are different in monetary incentive, hierarchical development, safety, working environment, creativity among specialties in hospital. The more special employees emphasize much more to monetary incentive, hierarchical development, working environment and the less special employees have priority to safety work value. Specially, because the hospital managers want to have safety than creativity, it must to make some changing program of work value for advance of future hospital.

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Social Capital Trends and the Relationship between Social Capital and COVID-19-Related Behaviors & Perceptions (시군구 수준의 사회자본 추이와 사회자본과 COVID-19 관련 행위와 인식 간의 관계)

  • Geun-Chan Lee
    • Health Policy and Management
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    • v.33 no.3
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    • pp.338-354
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    • 2023
  • Background: The influence of social capital on the spread of coronavirus disease 2019 (COVID-19) and related behaviors and perceptions has been recognized during the COVID-19 pandemic. This study aims to analyze the trends in social capital using primary data from the Korean Community Health Survey, which is the only available source in Korea for local-level social capital analysis. It also investigates the relationship between various variables, including social capital, as factors influencing COVID-19-related behaviors and perceptions. Methods: The study analyzed the temporal trends of social capital using raw data from four community health surveys conducted in 2017, 2019, 2020, and 2021. A multilevel analysis was conducted to examine the relationship between social capital and COVID-19-related behaviors and perceptions following the onset of the COVID-19 pandemic in 2020. Results: Social capital consists of trust, bonding social capital, and bridging social capital. Within the trust sub-factor, trust in neighbors (Trust-1) declined after the COVID-19 pandemic, whereas trust in safety and general environment (Trust-2) and trust in medical services and public transportation (Trust-3) increased. Additionally, the gap between municipalities narrowed. COVID-19-related behaviors and perceptions, such as adherence to COVID-19 prevention measures, return to normal activities, and fear of COVID-19, showed improvement in 2021 compared to the previous year. Individual-level trust in neighbors was associated with reduced fear of COVID-19, while community-level trust in neighbors was associated with increased fear of COVID-19. Conclusion: Social capital plays a role in mitigating public health crises, and it is necessary to implement active policies that address the gap in social capital between metropolitan and rural areas. Strengthening risk communication regarding emerging infectious diseases such as COVID-19 is crucial.

One Health Perspectives on Emerging Public Health Threats

  • Ryu, Sukhyun;Kim, Bryan Inho;Lim, Jun-Sik;Tan, Cheng Siang;Chun, Byung Chul
    • Journal of Preventive Medicine and Public Health
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    • v.50 no.6
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    • pp.411-414
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    • 2017
  • Antimicrobial resistance and emerging infectious diseases, including avian influenza, Ebola virus disease, and Zika virus disease have significantly affected humankind in recent years. In the premodern era, no distinction was made between animal and human medicine. However, as medical science developed, the gap between human and animal science grew deeper. Cooperation among human, animal, and environmental sciences to combat emerging public health threats has become an important issue under the One Health Initiative. Herein, we presented the history of One Health, reviewed current public health threats, and suggested opportunities for the field of public health through better understanding of the One Health paradigm.

Effect of Motor Training on Hippocampus after Diffuse Axonal Injury in the Rats (운동훈련이 미만성 축삭손상을 일으킨 흰쥐의 해마에 미치는 영향)

  • Cheon, Song-Hee
    • The Journal of the Korea Contents Association
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    • v.9 no.1
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    • pp.348-358
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    • 2009
  • Diffuse axonal injury(DAI) is a common form of traumatic brain injury and thought to be a major contributor to cognitive dysfunction. Physical activity has been shown to beneficial effects on physical health and influences in hippocampus which is an important location for memory and learning. The purpose of this study was to investigate the effect of motor training on motor performance and axonal regeneration in hippocampus through the immunoreactivity of GAP-43 after diffuse axonal injury in the rats. The experimental groups were applied motor training(beam-walking, rotarod, and Morris water maze) but control groups were not. The time performing the motor tasks and GAP-43 immunohistochemistry were used for the result of axonal recovery. There were meaningful differences between experimental groups and control groups on motor performance and GAP-43 immunohistochemistry. The control groups showed increasing tendency with the lapse of time, but experimental groups showed higher. Therefore, Motor training after DAI improve motor outcomes which are associated with dynamically altered immunoreactivity of GAP-43 in axonal injury regions, particularly hippocampus, and that is related with axonal regeneration.

Influence of final crystallization process on precision of fit of monolithic CAD/CAM-generated restorations by lithium disilicate: A comparative study (리튬 디실리케이트 최종 결정화 과정이 CAD/CAM으로 제조된 수복물의 적합도에 미치는 영향)

  • Kim, Jae-Hong;Kim, Ki-Baek
    • Journal of Technologic Dentistry
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    • v.41 no.4
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    • pp.271-278
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    • 2019
  • Purpose: To quantify the effect of the crystallization process on lithium disilicate ceramic crowns that are fabricated using a computer-aided design/computer-aided manufacturing(CAD/CAM) system, and to determine whether they are clinically acceptable by comparing values before and after the crystallization process. Methods: The maxillary first molar was selected as the abutment for the experiments. Ten working models were prepared. Marginal and internal gap of 4 groups of lithium disilicate crowns(n=10) fabricated with conventional method. Comparison was performed using the silicone replica technique and 3D superimposition analysis. The marginal and internal gaps of the restoration were measured before and after the crystallization process of this prosthesis. The average value of each part(the average of values measured before and after the crystallization) was statistically analyzed using paired t-test(α=0.05). Results: The results from the second phase of this research, which compared the average value of the gap between the marginal and internal fits of the lithium disilicate single crown before and after the crystallization process, indicated that the marginal gap was larger and the internal gap was smaller after the crystallization process, and this difference was statistically significant (P<0.05) in all the parts evaluated. Conclusion: While the shrinkage that occurs during crystallization does affect the marginal and internal fit of the prosthesis, it cannot be concluded to be a major effect because the resultant distortion was within the clinically acceptable range.