• 제목/요약/키워드: National Health

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디지털헬스 정책환경의 국제 동향과 의료기술평가에 대한 시사점 (International Trends of Digital Health and It's Political Implication for Health Technology Assessment)

  • 최솔지;차선미;유근주;홍석원;박종연
    • 보건의료기술평가
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    • 제6권2호
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    • pp.95-99
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    • 2018
  • As technologies develop, the digital health sector is gradually expanding. Internationally, the global summit for Digital Health named Global Digital Health Partnership (GDHP) was launched in 2018. Many countries are participating in GDHP and share their policy experiences on digital health and find the ways to cooperate with participating countries (13 countries, including South Korea, and Hong Kong). This article reviewed the international trends in digital health policy environment and evidence assessment focusing on GDHP activities, and derived implications for health technology assessment of digital health. Consequently, to assess the intervention effects of digital health is very complex and the assessment should be considered multidimensional aspects (social, clinical, and technical). In addition the patient experience should be assessed qualitatively. Health technology assessment (HTA) should assess the effect of digital health policies to changes in health care systems resulting from the application of advanced technologies related to the 4th Industrial Revolution. Digital health is also related to new HTA, HTA of existing technologies, and R&D on the promising health technology. Therefore, it is necessary to review the trends of the technology's management policy consistently through the HTA of digital health.

중장년층의 구강보건행동과 구강건강상태에 따른 건강관련 삶의 질 (Health-related quality of life by oral health behavior and oral health status for the Middle-aged people)

  • 문보애;정선락;장정유;김건엽
    • 한국치위생학회지
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    • 제15권2호
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    • pp.197-204
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    • 2015
  • Objectives: The purpose of this study was to investigate the relation between health-related quality of life and oral health behavior and oral health status, and to provide the basic data for national oral health policy. Methods: The primary data of the 5th National Health Examination and Nutritional Survey(NHANES) in 2012 were used in this study. The subjects were 2,243 middle-aged people(40-59 years old), 827 persons were excluded for missing value or having diseases affecting quality of life(depression, stroke, cardiac infarction, angina, liver cancer, stomach cancer, colon cancer, breast cancer, cervical cancer, lung cancer, thyroid cancer, other cancers, arthritis), and 1,416 data were finally analyzed. Results: In health-related quality of life by subjects' characteristics, there was significant difference in gender, age, education, family income, and employment status(p<0.01) except for current smoking. Oral health behavior didn't have significant relation to health-related quality of life, but better oral health status showed better health-related quality of life(p<0.01). Conclusions: In conclusion, this study suggested that there was close relationship between the oral health status and health-related quality of life in moddle aged people. Therefore, national oral health policy is needed for the oral health promotion with commitment of oral prophylaxis and care programs to the individual and community.

65세 이상 노인의 국가건강검진 수검 여부에 미치는 요인: 제8기 국민건강영양조사(2019~2021년) 자료를 이용하여 (Factors Influencing the national health screening program in Seniors over 65 years old: Using the eight Korea national health and nutrition examination survey(KNHANES VIII 2019~2021))

  • 김석환
    • 한국학교ㆍ지역보건교육학회지
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    • 제24권4호
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    • pp.51-60
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    • 2023
  • Objectives: This study attempted to examine the factors that affect the national health checkup rate of the elderly, analyze the impact of these factors, and discuss countermeasures to problems that may arise based on this. Methods: This study used the '8th National Health and Nutrition Examination Survey (2019-2021)', a nationwide survey, as the main data. The subjects of the study are seniors aged 65 years or older, the dependent variable is whether or not they underwent a national health checkup, and the independent variables are gender, marital status, residence, education level, income level, economic activity, type of medical coverage, private insurance subscription, subjective health, High blood pressure, diabetes, depression, stress, and weight change were selected. The statistical analysis package for data analysis is SPSS ver. 27.0 was used, and a p value of less than 0.05 was considered significant. Results: Of the 2,806 seniors aged 65 years or older, 2,074 (73.9%) took the national health screening over the past two years. In terms of marital status, married was 1.451 times higher than single (p<0.001), and in terms of residence, myeon was 1.240 times higher than dong (p<0.01). In terms of education level, college graduates were 2.053 times higher than elementary school graduates (p<0.001), and in terms of economic activity, the employed were 1.325 times higher than the unemployed (p<0.01). Private insurance was 1.883 times higher than non-subscription (p<0.001), weight change was 1.234 times higher for change than no change (p<0.05), and current smoking rate was 2.003 times higher for non-smokers than for former smokers. It was high (p<0.001). Conclusion: In conclusion, if differentiated promotion and health education are strengthened for the elderly who cannot participate in the national health screening, the participation rate of the elderly in the national health screening is expected to increase.

우리나라 환경보건지표 개발현황과 전망 (Development and Prospects of Environmental Health Indicators in Korea)

  • 이영미;정순원;최욱희;박경화;이철우;유승도;박충희
    • 한국환경보건학회지
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    • 제42권5호
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    • pp.293-301
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    • 2016
  • Objectives: This paper presents the current development progress of environmental health indicators (EHIs) in the Republic of Korea and discusses the utilization, limitations and prospects of EHIs. Methods: The development process and assessment criteria of EHIs were established based on the DPSEEA (Driving force-Pressure-State-Exposure-Effect-Action) framework with reference to that of the World Health Organization-Europe. In order to explore the applicability of EHIs, a case study was performed to compare the atmospheric environmental health status between the Republic of Korea and European region countries using six indicators. Results: Through the development process, 23 indicators in five areas including air quality, indoor air quality, climate change, chemicals, and water quality were developed, mostly using national statistical data. As a result of the case study comparing environmental health indicators in air quality between the Republic of Korea and Europe, it could be useful to understand the different situation of air pollution source, emission, exposure and health effects. Conclusion: In order for EHIs to compare environmental health status and be used as an environmental health policy development tool for vulnerable areas and related factors, it is necessary to develop further indicators for various issues other than air quality and conduct additional research on their interpretation and related implications, such as policy implementation effects.

서울특별시 종로구 대중목욕탕의 수질 중 미생물 오염도 조사 연구 (Investigation of Microbial Contamination of Public Bath in Jongno-gu, Seoul)

  • 김미순;이영민;김성근;서지현;지경희;오지윤;고기동;고광표
    • 한국환경보건학회지
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    • 제35권3호
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    • pp.162-168
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    • 2009
  • The aim of this study is to investigate microbial sanitary condition of public baths in Seoul, Korea. A total of 28 water samples were collected from 14 different public baths and sudatoriums. The prevalence of fecal indicator microorganisms such as total coliform, fecal coliform, and Escherichia coli was characterized. In addition, bacteria in water was membrane filtered by 0.45um nitrocellulose membrane, and the filter was analyzed by both cultivation and PCR amplification of partial 16S rRNA gene. The levels of chlorine were measured for each of water samples. More than 40% of 14 collected water samples, the concentrations of total coliform bacteria exceeded the water quality for bath water guideline. There was no significant correlation between chlorine residue and the presence of total coliform. Various microorganisms including pathogenic microorganisms were identified from cultivation and subsequent analysis of 16s rRNA gene sequences. Our results suggest that appropriate hygiene practice and continuous monitoring is needed for reducing health risk associated with public bathhouses.

전북지역 대학생의 COVID-19에 대한 두려움, 우울, 위험인식, 건강신념과 예방적 건강행위의 연관성 (The Association Among the Fear of COVID-19, Depression, Risk Perception, Health Belief, and Preventive Health Behaviors Related to COVID-19 Among University Students in Jeonbuk Region)

  • 김호림;권주한;박종일;정상근
    • 대한불안의학회지
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    • 제18권2호
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    • pp.92-100
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    • 2022
  • Objective : The purpose of this study was to investigate the association among the fear of COVID-19, depression, risk perception, health belief, and preventive health behaviors related to COVID-19 among university students in Jeonbuk region. Methods : A cross-sectional study was conducted using an online questionnaire survey. The questionnaire included The Korean Version of Fear of COVID-19 Scale, the Korean Version of the Patient Health Questionnaire-9, and measurement tools adapted from previous studies for risk perception, health belief, and preventive health behaviors of subjects. We analyzed data using Pearson's correlation analysis, confirmatory factor analysis, and path analysis using SPSS 22 and AMOS 21. Results : The fear of COVID-19 showed significant positive influence on health belief as well as risk perception. Depression had a significant negative impact on preventive health behaviors and risk perception. Health belief showed a significant positive impact on preventive health behavior. Conclusion : Rresults revealed that the higher the level of depression was, the lower risk perception and performance of preventive health behavior were among university students in Jeonbuk region. As the level of the fear of COVID-19 became higher, the level of health belief and risk perception became higher. The higher the level of health belief was, the higher the performance level of preventive health were. Thus, it is prudent to increase the level of health belief, and lower the level of depression, in promoting preventive health behavior.

장애인의 건강관심도, 건강실천행위 그리고 건강수준간의 구조분석 (Structural Relationships among Health Concern, Health Practice and Health Status of the Disabled)

  • 천병렬;감신;예민해;강윤식;김건엽;손재희;이영숙;박기수
    • Journal of Preventive Medicine and Public Health
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    • 제32권3호
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    • pp.276-288
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    • 1999
  • Objectives: This study was performed to determine the relationships among health concern, health practice and health status of the disabled. Methods: A self-administered questionnaire survey was carried out for 1,662 disabled persons in Taegu city from April to July, 1997. Results: Health concern had a significant and positive relationship with health practice(p<0.05) and health practice also had a significant and positive relationship with self-rated health status(p<0.05) in men and women. To determine the structural model of the Health concern, health practice, health status and sociodemographic variables, the covariance structural analysis was used. In men, age, economic status, medical security type, educational level and type of disability had significant direct effects on Health concern(T>2.0). Educational level and type of disability had significant direct effects on health practice(T>2.0). And Economic status, medical security type and job status had significant direct effects on health status(T>2.0). In women, economic status and educational level had significant direct effects on Health concern(T>2.0). However there was no variable which had a significant direct effect on health practice. Job status had a significant direct effect or health status(T>2.0). In men and women, health practice was significantly increased with increasing health concern and the more health practice, the higher health status(T>2.0). Conclusions: It is recommended that the institutional approach which improve the economic status of the disabled with understanding their behavior and attitude should be established to increase health status, in addition, the health policy for encouraging the disabled, such as health education, consulting and health promotion program, should be done.

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