• Title/Summary/Keyword: Preventive health services

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Hospital Services Utilization by Insured and Non-insured Patients for Cesarean Section in a University Hospital (의료보험환자(醫療保險患者)와 비보험환자(非保險患者)의 의료(醫療)서비스 내용(內容) 비교(比較) -한 종합병원(綜合病院)의 제왕절개(帝王切開) 수술환자(手術患者)를 대상(對象)으로-)

  • Yu, Seung-Hum;Cho, Woo-Hyun;Oh, Dai-Kyu
    • Journal of Preventive Medicine and Public Health
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    • v.14 no.1
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    • pp.53-58
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    • 1981
  • In order to discover differences that may exist in quantity of medical care services, length of stay and hospital charges between insured and non-insured patients, records for primary Cesarean section patients discharged between July 1978 and June 1980 from a university hospital were examined. In addition, Cesarean section rates among the total deliveries for a two-year period between the two groups were studied. The results shelved that volume of services was greater and length of stay was longer among the insured, however, charges were higher among the non-insured. Cesarean section rates were statistically significantly different between insured and non-insured patients for every age group except the group of 35 or more.

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A Study on Program Development for Disease Prevention and Health Promotion (의료보험 적용대상자의 질병예방 및 건강증진사업 활성화 방안)

  • 변종화
    • Korean Journal of Health Education and Promotion
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    • v.8 no.1
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    • pp.22-33
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    • 1991
  • The Korean people are all the beneficiaries of medical insurance or medical aid. It is important and needful to develop the preventive health program such as health examination and health education for disease prevention and health promotion of the beneficiaries. This paper diagnoses the status and problems of the current preventive health services to the beneficiaries and recommends how to develop the preventive health program in the medical insurance. This paper suggests that the government should strengthen the political support and supervision in order to develop the preventive health program in the medical insurance. In addition to the above suggestion, the following are recommended ; 1) to designate the large number of qualified hospitals for health examination. 2) to use the supplementary methods such as the health questionnaires in order to give the accurate health examination services. 3) to combine the health examinations by both laws of medical insurance and industrial health. 4) to arrange the manpower in charge of health education and to establish the health promotion centers. 5) to develop the effective mass media and materials for health education by use of TV, radio, VTR and slide projector.

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A study on the preventive dental service experience and dental fear (예방치과서비스 경험 유무와 치과 공포도에 관한 연구)

  • Kim, Soo-Kyung;Park, Ha-Ran;Lee, Da-Eun;Lee, Su-Jeong;Jung, Eun-Seo
    • Journal of Korean society of Dental Hygiene
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    • v.18 no.3
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    • pp.335-346
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    • 2018
  • Objectives: This study was conducted to examine the degree of dental fear according to the experiences of the preventive dental care services. Methods: A self-administered survey was conducted in the subjects of male and female teenagers who lived in Seoul and Gyeonggi-do areas, and 231 copies of collected data for a month from July 26, 2017 were analyzed to find the following results. Results: In terms of the experiences of the preventive dental care services, they were classified in the order of preventive scaling (67.5%), education of toothbrushing (60.6%), fluoride application (49.8%) and sealant (44.2%). For the degree of dental fear according to their general characteristics, treatment avoidance factor ($2.56{\pm}1.19$) in the married was higher than that in the unmarried. All of treatment avoidance, physiological response and fearful stimulus induction factor, and the entire degree of fear were higher when there were experiences of the preventive dental care services than those without such experiences. The factors affecting the degree of dental fear included dental health conditions, experiences of toothbrushing education, sealant and fluoride application. In case those without the experiences considered their dental health condition was not healthy, the degree of dental fear was increased. Conclusions: This study verified that the degree of dental fear was increased in case no experiences of the preventive dental care services. Therefore, it is necessary to seek out the measures for promotion of the preventive dental care services, to reduce the degree of dental fear and enhance the dental health.

An Empirical Analysis of Price Elasticity of the Demand for Medical Care Services in Korean National Health Insurance Program (의료보험하에서의 의료수요의 가격탄력성에 관한 실증분석)

  • Kim, Chun-Bae;Lee, Do-Sung;Kim, Han-Joong;Sohn, Myong-Sei
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.2 s.50
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    • pp.450-461
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    • 1995
  • This paper tested by using Micro TSP, an empirical econometric analysis to approve officially a hypothesis of price elasticity of the demand for medical care services in Korean national medical insurance and the economic effect of health care delivery system with time-series datas of Medical Insurance Statistical Yearbook$(1981\sim1993)$. The results suggest that the Korean medical insurance system shows moral hazard due to the change of coinsurance and the economic effect according to intervention of the health care delivery system, but it is different by insurers regardless of the same structure of the medical insurance scheme.

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Dimensions of Consumer Ratings of a Hospital Outpatient Service Quality (의료소비자가 인지하는 의료서비스 질의 구성 차원)

  • Yu, Seung-Hum;Cho, Woo-Hyun;Kim, Dong-Kee;Lee, Yun-Whan;Moon, Ki-Tae
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.4
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    • pp.495-504
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    • 2000
  • Objectives : To examine various dimensions of consumer ratings of health care service with factor analysis and to find which factors influence the overall quality of health care service. Methods : A cross-sectional study was conducted on outpatients of a general hospital located in Sungnam City. A self-administered questionnaire was used to assess the consumer's ratings of health care service received. The response rate was 92.8% with a total of 537 persons completing the questionnaire. Factor analysis was performed on 34 items evaluating the quality of health care service. Items were grouped into 5 dimensions as a result of factor analysis and the reliability and validity of influence on patient service assessment were evaluated for each dimension. Results : The 5 dimensions were as follows, 1) physician services, 2) non-physician services, 3) process 4) facilities, and 5) cleanliness A positive correlation with the quality of health care service was found for the dimensions of non-physician services and process, while no significant correlation was found for the dimensions of physician services, facilities, and cleanliness. Conclusions : The result of this study may provide basic information for the development of future self-administered questionnaires of consumer ratings and for the evaluation of quality improvement activities in hospital outpatient settings.

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Need of Health Center-based Integrated Healthcare Services for the Elderly in Rural Area (농촌지역 보건소 중심의 노인 통합보건의료서비스 필요도)

  • Won, Eun-Sook;Chang, Sei-Jin;Park, Jong-Ku;Hyun, Sook-Jung;Kim, Chun-Bae
    • Journal of agricultural medicine and community health
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    • v.32 no.1
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    • pp.27-39
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    • 2007
  • Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

Factors Associated with Performance of Occupational Health Services in Small-sized Workplaces (소규모 사업장의 보건관리업무수행 관련 요인)

  • Park, Jeongsook;Kim, Kwang-Kee;Kim, Hyoung-Ah;Yi, Yunjeong
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.2
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    • pp.125-133
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    • 2012
  • Purpose: This study is to identify factors associated with performance of occupational health services in small-sized workplaces in Korea. Methods: The data were collected from a random sample of 1,158 occupational health managers working for small-sized workplaces across the nation in which occupational health services were supported by Korean Industrial Health Association. A structured questionnaire was self-administrated by occupational health managers about characteristics of workplaces, occupational health managers, and performance level of occupational health services. Results: Stepwise multiple regression analyses revealed that factors associated with performance of occupational health services in small-sized workplaces included supervisor being designated, occupational health manager having received safety and health training, and employer's concern with activities of health management. Conclusion: Government should make efforts to raise the level of employer's concern to occupational health activities. And it is needed to promote health managing staff as a core personnel to self-management for occupational health system.