• Health Policy and Management
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• v.24 no.4
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• pp.396-412
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• 2014

Background: As a reform plan of health care system, Accountable Care Organization (ACO) has became an object of attention in the United States after Patient Protection and Affordable Care Act was enacted. ACO is a group of various health care providers and provide coordinated care to its assigned beneficiaries. If ACOs improve the quality level and reduce the cost of care, they can get financial incentives. Under the discussion for a quite long time and demonstration projects, ACO has been established. We aimed to analysis and discuss the history, policy mechanism, contents, status and outcomes of ACO. Also, we intended to suggest political implication Korean health care system with regard to ACO. Methods: We searched the articles related ACO in PubMed and selected several available papers about ACO. Total 56 studies were reviewed and categorized three parts; demonstration projects for formation of ACO, policy mechanism and agenda, empirical results of ACO performance. Results: As a result, establishment of ACO was successful partly in the US. It seems to be due to various project and pilot test for verification in the long time. The empirical effect of ACO was also identified in a few study but it needs more evidences to judge its positive effect. Conclusion: In Korea, there are arguments for the application of ACO. However it is difficult to implement a ACO by different political conditions between Korean and US. Nevertheless ACO proposed us the necessity of paradigm shift in our health policy and could be significant to national policy orientation in the future.

• 월간산업보건
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• s.281
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• pp.69-71
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• 2011

• Korea Journal of Hospital Management
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• v.17 no.3
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• pp.99-109
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• 2012

• 대한예방의학회:학술대회논문집
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• 1999.10a
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• pp.279-280
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• 1999

• Journal of Korean Academy of Nursing
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• v.22 no.3
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• pp.362-372
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• 1992

Nursing's traditional concern for human well being includes concern for health promotion. Until recently textbooks of preventive medicine, public health and community health nursing have defined health prevention- the prevention of disease and health protection or maintenace, but not health promotion. Lack of clear definitions inhibit effective communication among health related disciplines. Therefore, this studys task was the analysis and definition of the concept of health promotion using Walker & Avant's concept analysis methodology. This characteristics of the concept of health promotion are 1) orientation toward well - being, 2) empowering, 3) subjectivity, 4) change and 5) expanded connecteness. Antecedent of health promotion are 1) attaining of a healthy state, 2) having purpose and will to act, 3) persistent and realistic behaviour. The consequences of health promotion are 1) prolonged life, 2) self-actualizing potential, 3) increased well-being and a high level quality of life. The future direction of health promotion research should include that identification of the differences in the definition of between health professionals and health clients and research related to nursing theory of health promotion.

• Journal of Environmental Health Sciences
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• v.31 no.1
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• pp.7-14
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• 2005

Exposure of skin to UVB radiation can cause the induction of inflammation and impairment of contact hypersensitivity(CHS) response. Several studies have shown that polyphenolic compounds isolated from EGb 761 afford protection against UVB. In this study, we demonstrated that topical application of EGb 761, before 1MED(1.4 KJ/$m^2$), 1.5MED (2.1 KJ/$m^2$), 2MED (2.8 KJ/$m^2$) of UVB exposure to ICR mice prevented UVB-induced inflammation and inhibition of the contact hypersensitivity response. The skin-fold swelling from 1MED, 1.5MED, 2MED of UVB exposure highly significantly increased after twice irradiation. Topical application of EGb 761(0.1%, 1%, 4%), 5 days prior to UVB exposure reduced skin thickness compared to non-treated mice. Exposure of shaved abdominal skin of mice to 1MED, 1.5MED and 2MED of UVB radiation resulted in suppression of contact sensitization through the skin to 56.23%, 65.12%, 74.02%, compared to normal unirradiated skin. Topical application of EGb 761(0.1%, 1%, 4%), 5 days prior to or 5 days after exposure to 1MED and 2MED of UVB resulted in protection against suppression of contact hypersensitivity in mouse dorsal skin. These protective effects were dependent on the dose of EGb 761 employed. The present study show that EGb 761 protect UVB-induced inflammation and immune suppression. Also, we suggest that EGb 761 can provide protection from photoimmunosuppression.

• Journal of Radiation Protection and Research
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• v.35 no.4
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• pp.157-162
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• 2010

This study surveyed a total of 1,322 radiation technologist in health care institutions throughout Korea. This is a comparative study conducted on the levels of protective behavior against the harmful effects of radiation in heath care institutions which indicated that university hospitals and general hospitals showed higher level of protective behavior than for medical practitioners. This study found university hospitals have the following 7 characteristics to manage protective behavior against the harmful effects of radiation, protective environment, self-efficacy by distinction of task, self-efficacy, expectation of the protective behavior, the number of patients, level of the education related to the protection of the harmful effects of radiation and protective attitude. While general hospitals have the following 3 characteristics protective environment, expectation of the protective behavior and protective attitude. Hospitals have the following 4 characteristics protective environment, expectation of the protective behavior, protective attitude and self-efficacy. and medical clinics have characteristics protective environment.

• Journal of Radiation Protection and Research
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• v.48 no.2
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• pp.84-89
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• 2023

Background: Food consumption is one of the most important routes for radionuclide intake for the public; therefore, there is the need to have a comprehensive understanding of the amount of radioactivity in food products. Consumption of radionuclide-contaminated food could increase potential health risks associated with exposure to radiation such as cancers. The present study aims to determine radioactivity levels in some food products (milk, rice, sugar, and wheat flour) consumed in Mali and to evaluate the radiological effect on the public health from these radionuclides. Materials and Methods: The health impact due to ingestion of radionuclides from these foods was evaluated by the determination of activity concentration of radionuclides ²³⁸U, ²³²Th, ⁴⁰K, and ¹³⁷Cs using gamma spectrometry system with high-purity germanium detector and radiological hazards index in 16 samples collected in some markets, mall, and shops of Bamako-Mali. Results and Discussion: The average activity concentrations were 9.8±0.6 Bq/kg for ²³⁸U, 8.7±0.5 Bq/kg for ²³²Th, 162.9±7.9 Bq/kg for ⁴⁰K, and 0.0035±0.0005 Bq/kg for ¹³⁷Cs. The mean values of radiological hazard parameters such as annual committed effective dose, internal hazard index, and risk assessment from this work were within the dose criteria limits given by international organizations (International Commission on Radiological Protection and United Nations Scientific Committee on the Effects of Atomic Radiation) and national standards. Conclusion: The results show low public exposure to radioactivity and associated radiological impact on public health. Nevertheless, this study stipulates vital data for future research and regulatory authorities in Mali.

• The Journal of Korean Institute of Next Generation Computing
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• v.13 no.6
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• pp.66-76
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• 2017

In this study, we investigated how to protect personal healthcare information when constructing OMOP (Observational Medical Outcomes Partnership) CDM (Common Data Model). There are two proposed methods; to restrict data corresponding to HIPAA (Health Insurance Portability and Accountability Act) PHI (Protected Health Information) to be extracted to CDM or to disable identification of it. While processing sensitive information is restricted by Korean Personal Information Protection Act and medical law, there is no clear regulation about what is regarded as sensitive information. Therefore, it was difficult to select the sensitive information for protecting personal healthcare information. In order to solve this problem, we defined HIPAA PHI as restriction criterion of Article 23 of the Personal Information Protection Act and maps data corresponding to CDM data. Through this study, we expected that it will contribute to the spread of CDM construction in Korea as providing solutions to the problem of protection of personal healthcare information generated during CDM construction.

• The Journal of the Korea Contents Association
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• v.14 no.11
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• pp.164-174
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• 2014

The purpose of this study is to explore ways to resolve the conflicting issues that are currently applied in medical Act and medical privacy Act through the comparative Analysis of the Privacy Act and the Medical Information Protection Act foreign. the results run to establish the Public Health Act coming for the protection of health information is a characteristic of many countries, France in Europe, the United States and Canada had been running an independent medical information laws are enacted. Prescribes penalties of up to a fairly systematic method from the case records of patients would not have occurred in the management and implementation of the law and the protection of the author of the book focuses on the subject of medical records and physician records between patient confidentiality and privacy it can be seen that the method defined in. This indicates the need for the establishment of an independent medical information laws to protect all records relating to the patient systematically Korea also.