• 보건행정학회지
• /
• 제33권4호
• /
• pp.400-410
• /
• 2023

Background: As the government has recently been discussing the expansion of the disaster health expenses support project, we would like to confirm the characteristics of beneficiaries of the support project, particularly those of high-cost beneficiaries. Methods: Using the database of catastrophic health expenditure support project from 2019-2020, this study aims to confirm the characteristics of high-cost beneficiaries focusing on the overlap of the relieved out-of-pocket systems, known as the out-of-pocket ceiling system and the system for rare incurable diseases. Logistic regression analysis is used to examine this issue. Results: In order to analyze the factors influencing high-cost beneficiaries, five models were created and analyzed, including the status of duplicated beneficiaries for relieved out-of-pocket systems, sociodemographic and economic factors, and individual health status as sequential independent variables. All five models were statistically significant, of which economic factors had the greatest impact on the model's predictions. The main results indicated that those who benefited from multiple systems in duplicate were more likely to be high-cost beneficiaries, and there is a higher probability of incurring high health expenses among the underage. In addition, within the beneficiaries of catastrophic health expenditure support project, it was observed that higher health insurance premium percentiles are associated with a higher proportion of high-cost beneficiaries. Conclusion: This study examined the characteristics of high-cost beneficiaries by encompassing reimbursement and non-reimbursement. According to this study, it is expected to be used as basic data for setting priorities and improving the current criteria of catastrophic health expenditure support project, aiming to sequentially expand the program.

• 한국산학기술학회논문지
• /
• 제10권10호
• /
• pp.2974-2984
• /
• 2009

본 일개 지역의 65세 이상 노인을 대상으로 건강에 대한 주관적 인식정도를 중심으로 일반적 특성, 건강 습관 및 관리 요인, 암 관련 요인 파악하여 노인의 건강증진 연구의 기초자료로 활용하고자 시행되었다. 생활수준에 대한 인식은 연구대상자 50.7%가 중간수준이라고 응답하였다. 현재 건강상태가 일상생활을 방해하는지 조사한 결과 건강수준 인식이 좋지 못 할수록 현재 건강상태로 인하여 일상생활을 방해받는다고 하였다. 건강관리 방법은 건강정도 인식이 나쁘거나 좋지 못한 그룹은 의약품으로 관리한다는 빈도가 가장 높은 반면, 건강정도 인식이 좋다고 생각하는 그룹은 인체에 직접적으로 영향을 미치는 음주 혹은 흡연을 하지 않거나 끊는 것으로 나타났다. 향후 10년 안에 암 발생 가능성에 대한 인식은 건강인식이 좋다고 그룹은 42.7.%, 보통인 그룹은 47.6%, 나쁘다고 생각하는 그룹은 52.0%로 응답하였다. 노인들도 건강에 대한 올바른 습관을 지속적으로 유지할 수 있도록 제도적인 뒷받침이 있어야 할 것으로 생각된다.

• Environmental Analysis Health and Toxicology
• /
• 제17권4호
• /
• pp.285-298
• /
• 2002

In Korea, no CRA (comparative risk analysis) studies have been undertaken, nor have their methodologies of such studies been established. Therefore, the objectives of this study were to establish the framework of CRA consisting of health risk, economic risk and perceived risk, and to estimate and compare these risks among the three environmental problems of air pollution, indoor air pollution and drinking water contamination, which are themselves subject to the eight sub -problems of hazardous air pollutants (HAPs), regulated pollutants (representative as PM 10) and dioxins (PCDDs/PCDFs) in air pollution, indoor air pollutants (IAPs) and radon in indoor air pollution, and drinking water pollutants (DWPs), disinfection by -products (DBPs) and radionuclides in drinking water contamination in Seoul, Korea. After which, the priorities of these problems were set by individual and integrated risk. From the results, the rankings of both health risk and economical risk were in the following order: radon, PM10, IAPs, HAPs, DWPs, dioxins, DBPs, and radionuclides among the eight sub problems. On the contrary, the ranking of perceived risk was in the following order: HAPs, dioxins, radionuclides, PM10, DWPs, IAPs, Radon and then DBPs among the eight sub-problems.

• 대한물리치료과학회지
• /
• 제2권3호
• /
• pp.691-705
• /
• 1995

Most of the Medical Junior Colleges faced new environmental changes: School years of some Health-related departments were extended from two-year program to three-year ones; The total high school graduates willing to apply to the colleges will fall short of the legal number limits of this country; Govorment's educational opening policies enables competitive foreign schools to land in our country more easily. In order to survive under these turbulant circumstances, any junior college has to cultivate it's own competitiveness establishing strategies and utilizing resources very efficiently. Some of the major points extracted from three-year junior college professors' opinions against the environmental changes are as follows, 1. Environmental changes should be fully appreciated. And junior colleges have to make haste to establish strategies placing priorities on specific fields which are their own strengths compared to others. 2. The crieria of provisions of miminstry of Education on the facilities and equipments should be enhanced. 3. The practical way to use available resources effectively is to make the best of human resources. 4. It is time to consider consolidating akin departments to one. 5. The school year of the health-related departments should be extended to four years to meet the contemporary needs in the medical fields.

• 보건교육건강증진학회지
• /
• 제22권1호
• /
• pp.55-71
• /
• 2005

Purpose: The purpose of this study was to find out what are the major motivations of middle and high school students to quit attempts and stay as non-smokers. Method: Data was collected through focus group interviews with 3 groups(15 students), and was analyzed according to Morgan and Kruger(1998)'s analytic method. Results: We identified 6 categories of motivations for Smoking Cessation. They include perceptions of negative consequences of smoking on health, influences in significant others, being ashamed of oneself, drop of academic achievements, narrowness in interpersonal relationships, determining priorities for a student. Although 'perceptions about negative health consequences' was one of the most significant motivation of smoking cessation for adolescents, participants did not know the seriousness of nicotine addiction. Moreover, their contents of motivations were different from those of adults such as responsibility for their family, decreasing curiosity about smoking and test of self willingness. Also most of them were extrinsic motivations and related to their highly competitive school life. Conclusion: To conclude, considering the results of our analysis, smoking cessation programs should be carefully developed to more effectively help adolescents quit and stay away from smoking.

• Journal of Preventive Medicine and Public Health
• /
• 제39권6호
• /
• pp.499-504
• /
• 2006

Objectives : The aim of the study was to estimate the annual socioeconomic cost of diseases in Korea. Methods : We estimate both the direct and indirect costs of diseases in Korea during 2003 using a prevalence-based approach. The direct cost estimates included medical expenditures, traffic costs and caregiver's cost, and the indirect costs, representing the loss of production, included lost workdays due to illness and lost earnings due to premature death, which were estimated based on the human capital theory. The cost estimates were reported at three different discount rates (0, 3 and 5%). Results : The cost of diseases in Korea during 2003 was 38.4 trillion won based on 0% discount rate. This estimate represents approximately 5.3% of GDP The direct and indirect costs were estimated to be 22.5 trillion (58.5% of total cost) and 15.9 trillion won (41.5%), respectively. It was also found that the cost for those aged $40\sim49$ accounted for the largest proportion (21.7%) in relation to age groups. The cost of diseases for males was 23.5% higher than that for females. For major diseases, the total socioeconomic costs were 16.0, 13.4, 11.3 and 11.19% for neoplasms, and diseases of the digestive, respiratory and circulatory systems, respectively. Conclusions : This study can be expected to provide valuable information for determining intervention and funding priorities, and for planning health policies.

• Asian Pacific Journal of Cancer Prevention
• /
• 제14권9호
• /
• pp.5077-5083
• /
• 2013

Background: Breast cancer is the most frequent cancer in women globally and represents the second leading cause of cancer death among women (after lung cancer). India is going through epidemiologic transition. It is reported that the incidence of breast cancer is rising rapidly as a result of changes in reproductive risk factors, dietary habits and increasing life expectancy, acting in concert with genetic factors. Materials and Methods: In order to understand the existing epidemiological correlates of breast cancer in South India, a systematic review of evidence available on epidemiologic correlates of breast cancer addressing incidence, prevalence, and associated factors like age, reproductive factors, cultural and religious factors was performed with specific focus on screening procedures in southern India. Results: An increase in breast cancer incidence due to various modifiable risk factors was noted, especially in women over 40 years of age, with late stage of presentation, lack of awareness about screening, costs, fear and stigma associated with the disease serving as major barriers for early presentation. Conclusions: Educational strategies should be aimed at modifying the life style, early planning of pregnancy, promoting breast feeding and physical activity. It is very important to obtain reliable data for planning policies, decision-making and setting up the priorities.

• Safety and Health at Work
• /
• 제10권2호
• /
• pp.151-165
• /
• 2019

Background: Despite improvements in safety performance, the number and severity of mining-related injuries remain high and unacceptable, indicating that further reduction can be achieved. This study examines occupational accident statistics of the Ghanaian mining industry and identifies priority areas, warranting intervention measures and further investigations. Methods: A total of 202 fatal and nonfatal injury reports over a 10-year period were obtained from five mines and the Inspectorate Division of the Minerals Commission of Ghana, and they were analyzed. Results: Results of the analyses show that the involvement of mining equipment, the task being performed, the injury type, and the mechanism of injury remain as priorities. For instance, mining equipment was associated with 85% of all injuries and 90% of all fatalities, with mobile equipment, component/part, and hand tools being the leading equipment types. In addition, mechanics/repairmen, truck operators, and laborers were the most affected ones, and the most dangerous activities included maintenance, operating mobile equipment, and clean up/clearing. Conclusion: Results of this analysis will enable authorities of mines to develop targeted interventions to improve their safety performance. To improve the safety of the mines, further research and prevention efforts are recommended.

• 의학교육논단
• /
• 제21권3호
• /
• pp.127-136
• /
• 2019

Medical schools have been working to produce competent doctors and improve the quality of care by introducing and implementing new curricula and innovative teaching and learning methods. Despite these efforts, health disparities within and between countries still exist. To close these gaps, medical schools must identify the priorities of the community, region, and/or nation and conduct education, research, and service that reflect them-the core foundation of the social accountability of medical schools. Many medical schools and networks around the world have tried to achieve social accountability, but this needs more attention in Korea. This study will review the literature in aims to improve understanding and promote the implementation of the social accountability of medical schools. Most medical schools that practice the principles of social accountability focus primarily on the medically underserved in their communities or those who have limited access to health services, and have built collaborative partnerships with stakeholders to meet the needs of society. In addition, in order to implement social accountability effectively and efficiently, medical schools have developed strategies and various evaluation frameworks appropriate to the context of each school. To have more socially accountable medical schools, it is necessary to clarify the concept of social accountability and to establish a system that can evaluate the impacts. Medical schools exist to alleviate suffering and promote health, and this can be accomplished through social accountability.

• 보건행정학회지
• /
• 제23권2호
• /
• pp.196-206
• /
• 2013

On September 24th of 1945, the existing Health Department under the Bureau of Economy and Trade was abolished complying with the Article 1 of the Ordinance of US military occupation "Establishment of Health Bureau". After the establishment of the Health Bureau, one of its first priorities was to select South Korean medical doctors and send them away to the US for training "in order to educate the talents necessary for the Health Bureau to address the public hygiene and health issues of Korea". Under the sponsorship of Rockefeller Foundation, the US Military Government sent 10 Korean medical doctors to three universities. After they came back to Korea from the training in the US, they played significant roles in building and managing the Korean health and medical system under the US Military Government as well as during the post-war of Korea and in the 1960s-1970s. Furthermore, they made a great contribution to expanding and transplanting the 'American-style' health and medical system in heath administration, health research and medical education in Korea. On the one hand, this means the limitation and elimination of an independent, progressive idea in the health and medical field as the influence of the US within the country after the liberation expanded. The lives of 10 doctor represent an important symbol of how the Korean health and medical field has been established under the domestic and overseas political conditions, 'colonization-liberation-military occupation of the Powers', and one part of the concrete history.