Kim, Seok-Yeong;Lee, Jung-Chan;An, Byeung-Ki;Kim, Yang-Kyun
The Korean Journal of Health Service Management
/
v.11
no.4
/
pp.89-104
/
2017
Objectives : The purpose of this study was to find the determinants for non-participation in health screenings among the disabled. Methods : We used 2014-15 Korea Health Panel data and analyzed 1,073 people with disabilities older than 19 years to investigate the two-year health screening participation rates. Multiple logistic regression analyses were conducted to analyze the factors affecting non-participation in health screenings. Results : Of the 1,073 people with disabilities who were analyzed, 29.8% and 27.1% participated in NHI mass screenings and cancer screenings, respectively. In both screenings, non-participation rates were higher in people aged 19-49 and lower in people aged 50 -69 than those aged 70 or older; higher in people with lower education, higher in people with private health insurance; higher in people with fewer chronic diseases; and higher in people with severe disability ratings. Conclusions : People with disabilities should be provided with more appropriate preventive care services according to their disability types and severity compared to people without disabilities.
Purpose: This study was done to investigate the effect of non-smoking campaign for subway workers on their health behavior such as smoking, drinking, and exercise. Method: The study was done on the subjects of 112 male employees for 3 years from 2003 to 2005 working at the Seoul Metropolitan Rapid Transit Corporation. However, the subjects decreased to 105 in 2004 and 111 in 2005 due to work transfer. The data were obtained through administering questionnaires. The non-smoking campaign was done with health education using various strategies and methods by an administrator-in-charge assisted by the community health center. Results: Smoking rate and cigarette consumption decreased but there was no statistical significance. Smokers' frequency of drinking and exercise were higher than that of non-smokers, but there was no statistical significance. Conclusion: The result indicated the program was not effective to change the subjects' health behavior; therefore, tailored program considering the subjects is recommended.
Kim, Seung Ju;Jang, Sung-In;Han, Kyu-Tae;Park, Eun-Cheol
Health Policy and Management
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v.28
no.2
/
pp.186-193
/
2018
Background: The aim of our study was to review the findings of health insurance fraud investigations and to evaluate their impacts on medical costs for target and non-target organizations. An interrupted time series study design using generalized estimation equations was used to evaluate changes in cost following fraud investigations. Methods: We used National Health Insurance claims data from 2009 to 2015, which included 20,625 medical institutions (1,614 target organizations and 19,011 non-target organizations). Outcome variable included cost change after fraud investigation. Results: Following the initiation of fraud investigations, we found statistically significant reductions in cost level for target organizations (-1.40%, p<0.001). In addition, a reduction in cost trend change per month was found for both target organizations and non-target organizations after fraud investigation (target organizations, -0.33%; non-target organizations of same region, -0.19%; non-target organizations of other regions, -0.17%). Conclusion: This study suggested that fraud investigations are associated with cost reduction in target organization. We also found similar effects of fraud investigations on health expenditure for non-target organizations located in the same region and in different regions. Our finding suggests that fraud investigations are important in controlling the growth of health expenditure. To maximize the effects of fraud investigation on the growth of health expenditure, more organizations needed to be considered as target organizations.
Joo, Hyun Sil;Kim, Chun-Bae;Nam, Eun Woo;Lee, Min Young;Park, Myung Bae
Women's Health Nursing
/
v.20
no.3
/
pp.185-194
/
2014
Purpose: The aim of this study was to assess health-related behavior of pregnant women and breastfeeding mothers by investigating relevant risk factors. Methods: Data of 10,396 women (age 19 to 49 years) from the Korea National Health and Nutrition Examination Survey report from 2007 to 2012 was used to analyze factors associated with health-related behavior. The subjects were divided into pregnant women; breastfeeding mothers; and non-pregnant women. Bottle feeding mothers were excluded. Results: Current smoking rate including self-reported smoker and/or positive cotinine urine test were lower for pregnant or breast-feeding group than non-pregnant group. Heavy-drinking was not different among groups while monthly drinking rate was higher in non-pregnant group. Rate of stress recognition was lower in pregnant and breast-feeding group than non-pregnant group. Rate of experience for depressive symptoms and rate of suicidal ideation were not different among groups. Conclusion: Pregnant women and breast-feeding mothers maintain a good pattern of health- related behavior compared to non-pregnant women. However, substantial proportion of pregnant women and breast-feeding mothers continue to drink and smoke. This shows the need for a plan that will modify health-related behavior.
Rosha, Bunga Christitha;Suryaputri, Indri Yunita;Irawan, Irlina Raswanti;Arfines, Prisca Petty;Triwinarto, Agus
Journal of Preventive Medicine and Public Health
/
v.54
no.4
/
pp.221-229
/
2021
Objectives: The Indonesian government issued large-scale social restrictions (called Pembatasan Sosial Berskala Besar, or PSBB) at the beginning of the coronavirus disease 2019 (COVID-19) pandemic to control the spread of COVID-19 in Jakarta, Bogor, Depok, Tangerang, and Bekasi (Greater Jakarta). Public compliance poses a challenge when implementing large-scale social restrictions, and various factors have contributed to public non-compliance with the regulation. This study aimed to determine the degree of non-compliance and identify the factors that contributed to public non-compliance with the PSBB in Greater Jakarta, Indonesia. Methods: This was a quantitative study with a cross-sectional design. A total of 839 residents of Greater Jakarta participated in this study. Data were collected online using a Google Form, and convenience sampling was undertaken. Univariate and multivariate analyses were performed to explore the relationships between public non-compliance with the PSBB regulation and socio-demographic variables, respondents' opinion of the PSBB, and social capital. Results: A total of 22.6% of subjects reported participating in activities that did not comply with the PSBB. The variables that most affected non-compliance with the PSBB were age, gender, income, opinion of the PSBB, and social capital. Conclusions: Strengthening social capital and providing information about COVID-19 prevention measures, such as washing one's hands with soap, wearing masks properly, and maintaining social distancing, is essential. Robust public understanding will foster trust and cooperation with regard to COVID-19 prevention efforts and provide a basis for mutual agreement regarding rules/penalties.
This study aims to develop a mobile-based portable u-Health Monitoring System which provides a personal medical service on demand by processing patients' data intellectually achieved through sensing technique of non-restriction/non-consciousness oriented and deciding. To do this, we composed a USN-based portable monitoring unit. It is the one, that contains a somatometry sensor which is attached to patient's body and detects bio information, a portable wireless terminal which receives information from the sensor and transmits it to monitor server, and a monitor server which interprets received data through wireless network and processes. Also, it tries to develop a non-restriction /non-consciousness oriented sensing technique which is related to glycosuria and cardiovascular diseases.
Purpose: The aim of this study was to identify the job insecurity, job satisfaction, and organizational commitment of non-regular visiting nurses working at public health centers, and evaluate the effects of job insecurity on the job satisfaction and organizational commitment. Methods: This study was a descriptive survey study. One hundred forty-three visiting nurses, who were non-regular hired by 16 public health centers in B city, were selected using a convenient sampling method. Results: The results were analyzed using SPSS/Win 21.0. A feeling of helplessness (among job insecurity factors) and retention intention significantly affected the job satisfaction of non-regular visiting nurses, and their explanation power was 20%. Retention intention, a feeling of helplessness, and age significantly influenced the organizational commitment, and their explanation power was 26%. Conclusion: Therefore, it would be necessary to stabilize the employment type, provide appropriate promotion and compensation for nurses according to their work performance, and reduce the number of non-regular employees to increase the job satisfaction and organizational commitment of non-regular visiting nurses.
The present study attempts to investigate the knowledge, belief, attitude and behavior of healthcare major students and non-healthcare counterparts concerning their oral hygiene. The purpose is to provide basic data for positive oral health activities to the students with non-healthcare major, who tend to have insufficient information on oral hygiene. A survey was conducted to 400 students in K college in Incheon from May 1-30, 2003. A total of 384 surveys were analyzed using the SPSS program Version 10.0. The result is as follows: 1. There was a statistically significant difference in the knowledge on oral hygiene between the healthcare(M=3.08) and non-healthcare(M=2.78) students(pE0.05). 2. As for the beliefs and attitudes toward oral health behaviors, 56.9% of the healthcare students and 60.6% of non-health care counterparts responded "moderate" to the question asking if they liked tooth-brushing. The reason they liked tooth-brushing were cleanliness(60.3% of healthcare and 71.9% of non-healthcare students). They didn't like brushing their teeth because they felt it was a nuisance(60.6% of healthcare and 54.5% of non-healthcare students). 90.6% of healthcare students and 90.1% of their non-healthcare counterparts said they wanted to keep their oral health intact. Most of the subjects seemed to acquire information on oral hygiene through mass media(62.2% of healthcare and 55.3% of non-healthcare students). The persons who give them oral health information are their friends or neighbors(26.8% of healthcare and 22.8% of non-healthcare students), and dental hygienists were the last in the list of the sources of information(3.4% of healthcare and 2.5% of non-healthcare students). 3. Their oral health behaviors were also considered, 64.4% of the healthcare students and 53.7% of the non-healthcare counterparts brush their teeth once or twice a day, 51.4% of the former brush their teeth for 2 minutes and 44.8% of the latter for 3 minutes. Some of them use oral health measures other than tooth-brushing(13.3% of healthcare and 14.3% of non-healthcare students). Not many of them used oral health products(6.6% of healthcare and 5.9% of non-healthcare), and the difference was statistically significant(pE0.05). The largest number of healthcare students brush their teeth right before going to bed(29.9%), while their counterparts do it after breakfast(25.8%)
Objectives: Cooking activity in indoor environments can generate particulate matter. The objective of this study was to determine the concentrations of ultrafine particles (UFP), $PM_{2.5}$, and $PM_{10}$ in cooking and non-cooking areas of major department stores in Seoul. Methods: Eighteen department stores in Seoul, Korea were measured for concentrations of particulate matter. Using real-time monitors, concentrations of UFP, $PM_{2.5}$ and $PM_{10}$ were simultaneously measured in cooking and non-cooking areas on the floor with a food court and a non-cooking floor. Results: The concentrations of UFP, $PM_{2.5}$ and $PM_{10}$ were significantly higher in cooking areas than in noncooking areas and non-cooking floors (p<0.05). UFP and $PM_{2.5}$ were significantly correlated in cooking areas and non-cooking areas but not in non-cooking floors. $PM_{2.5}$ were consisted of approximately 81% in $PM_{10}$ and highly correlated with $PM_{10}$ in all places. Conclusion: A higher correlation between UFP and $PM_{2.5}$ was shown on cooking floor than on non-cooking floor in department stores. High levels of fine particles were caused by cooking activities at food courts. The further management of PM is needed to improve the indoor PM levels at food courts in department stores.
Objectives : The purpose of this study is to identify differences in time, frequency, and methods of toothbrushing according to knowledge acquirement of oral health between first and third year dental hygiene students who had relatively sufficient oral health education and students majoring non-health related field who had less opportunities of oral health education, to emphasize importance and necessity of the education, and to present basic data for development of effective programs of oral health education. Methods : 2,032 dental hygiene students and students majoring non-health related field attending 12 universities in Korea had been selected as subjects and were asked to complete a self-administered survey time, frequency, and methods of toothbrushing. The SPSS 12.0 program was used for statistical analysis of the collected data, and the significance of difference by groups was tested by using chi-square test, the one-way ANOVA and independent t-test. The mean frequency of toothbrushing per day and the rate of toothbrushing before and after meal were analyzed by using of multiple comparisons through the Scheffe test as post hoc test. Results : The rate of toothbrushing after lunch was 60.2% in third year and 39.2% in first year dental hygiene students, 20.3% in students majoring non-health related field, respectively. The mean frequencies per day of dental hygiene students were 3.33 times in third year and 2.85 times in first year dental hygiene students, 2.46 times in students majoring non-health related field, respectively. The rate of toothbrushing after meal among total frequency of toothbrushing per day was 85.36% in third year and 84.81% in first year dental hygiene students, 77.90% in students majoring non-health related field, respectively. As for the methods of toothbrushing, 'Turning up and down' was 68.8% in third year and 43.1% in first year dental hygiene students, 30.6% in students majoring non-health related field, respectively. Conclusions : Oral health education through dental hygiene course may improve the oral environment management of dental hygiene students and oral health education on toothbrushing should be strengthened for the students majoring non-health related field.
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