• Title/Summary/Keyword: Primary Healthcare

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Effect of Health Enhancement Programs Using Ki-gong Exercise on Obesity, Physical Flexibility, Blood Pressure and Blood Sugar (기공체조를 이용한 건강증진프로그램이 비만, 유연성, 혈압 및 혈당에 미치는 효과)

  • Jeong, Hee-Suk;Park, Mi-Ja
    • Journal of Korean Academy of Rural Health Nursing
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    • v.4 no.2
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    • pp.128-137
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    • 2009
  • Purpose: The purpose of this study was to explore the effects of a 12-month ki-gong exercise program on obesity, physical flexibility, blood pressure and blood sugar in rural populations. Method: A 12-month ki-gong exercise session was conducted from September 2008 until August 2009 with 61 village attendees at a Healthcare Clinic, as part of an Oriental herb program at the health center. Data was collected three times; before the program initiation, at six months and at the end of the program. A one-group repeated measures ANOVA test was conducted for statistical validation using SPSS 12.0. Results: Participants showed a decrease in obesity (F=10.166, p=0.02), body weight (F=10.861, p=0.002) and body fat (F=36.311, p=0.000). They also showed an increase in physical flexibility(F=24.627, p=0.000), while systolic blood pressure and (F=8.550, p=0.005) blood sugar (F=5.464, p=0.023) decreased. Conclusion: The results of this study indicates that ki-gong exercise exhibits beneficial effects in decreasing obesity, blood pressure and blood sugar and enhancing physical flexibility.

A Study on Implementation for Wireless Data Transmission Platform for Medical care using ARM11 (ARM11 기반의 의료용 무선 데이터 전송 플랫폼 구현에 관한 연구)

  • Seo, Jae-Gil;Kim, Young-Kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.2
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    • pp.425-430
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    • 2009
  • In medical area, lots of information has been digitized and the desire of personnel health became a matter of primary concern. To satisfy this desire it requires the high-speed handhold Healthcare monitering platform for building U-health system. This paper represents that the implementation of s3c6000 platform with s3c6400 CPU using up-to-date ARM11 technology. This parer also represents building of network system with wireless LAN based on 802.11 in order to transmit medical data. Transmitting and monitoring personnel medical data will be possible in any place with wireless LAN network.

Comorbidity Adjustment in Health Insurance Claim Database (건강보험청구자료에서 동반질환 보정방법)

  • Kim, Kyoung Hoon
    • Health Policy and Management
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    • v.26 no.1
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    • pp.71-78
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    • 2016
  • The value of using health insurance claim database is continuously rising in healthcare research. In studies where comorbidities act as a confounder, comorbidity adjustment holds importance. Yet researchers are faced with a myriad of options without sufficient information on how to appropriately adjust comorbidity. The purpose of this study is to assist in selecting an appropriate index, look back period, and data range for comorbidity adjustment. No consensus has been formed regarding the appropriate index, look back period and data range in comorbidity adjustment. This study recommends the Charlson comorbidity index be selected when predicting the outcome such as mortality, and the Elixhauser's comorbidity measures be selected when analyzing the relations between various comorbidities and outcomes. A longer look back period and inclusion of all diagnoses of both inpatient and outpatient data led to increased prevalence of comorbidities, but contributed little to model performance. Limited data range, such as the inclusion of primary diagnoses only, may complement limitations of the health insurance claim database, but could miss important comorbidities. This study suggests that all diagnoses of both inpatients and outpatients data, excluding rule-out diagnosis, be observed for at least 1 year look back period prior to the index date. The comorbidity index, look back period, and data range must be considered for comorbidity adjustment. To provide better guidance to researchers, follow-up studies should be conducted using the three factors based on specific diseases and surgeries.

Implementation of Adaptive Movement Control for Waiter Robot using Visual Information

  • Nakazawa, Minoru;Guo, Qinglian;Nagase, Hiroshi
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2009.01a
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    • pp.808-811
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    • 2009
  • Robovie-R2 [1], developed by ATR, is a 110cm high, 60kg weight, two wheel drive, human like robot. It has two arms with dynamic fingers. It also has a position sensitive detector sensor and two cameras as eyes on his head for recognizing his surrounding environment. Recent years, we have carried out a project to integrate new functions into Robovie-R2 so as to make it possible to be used in a dining room in healthcare center for helping serving meal for elderly. As a new function, we have developed software system for adaptive movement control of Robovie-R2 that is primary important since a robot that cannot autonomously control its movement would be a dangerous object to the people in dining room. We used the cameras on Robovie-R2's head to catch environment images, applied our original algorithm for recognizing obstacles such as furniture or people, so as to control Roboie-R2's movement. In this paper, we will focus our algorithm and its results.

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Patient Satisfaction as an Indicator of Service Quality in Malaysian Public Hospitals

  • Manaf, Noor Hazilah Abd;Nooi, Phang Siew
    • International Journal of Quality Innovation
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    • v.10 no.1
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    • pp.77-87
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    • 2009
  • The main aim of the paper is to provide an empirical analysis on patient satisfaction as an indicator of service quality in Malaysian public hospitals. Self-administered questionnaires were administered to patients by convenience sampling. Two sets of questionnaires were used, one for inpatient and another one set for outpatient. Selection of hospitals was made according to states in Peninsular Malaysia. 23 hospitals covering all state level hospitals, the National Referral Centre and selected district hospitals were chosen as respondent hospitals. Two dimensions of service quality emerged, namely clinical and physical dimension of service. Both outpatient and inpatient were found to be more satisfied with clinical dimension of service than physical dimension. For outpatient satisfaction, there was positive correlation between waiting time and patient satisfaction. Patient satisfaction was also found to be higher in the smaller district hospitals than in the larger state hospitals. For clinical dimension of service, patients were satisfied with the services of doctors and nurses, while for physical dimension of service, patients were satisfied with the cleanliness of the facilities. The ability of the research to be conducted by random sampling was inhibited by the reluctance of patients to cooperate, which led to the use of convenience sampling. Studies have also shown that patients are reluctant to express their feelings on services provided by their caregivers. The study provides primary data for a nationwide study on patient satisfaction in Malaysian public hospitals, for both inpatient and outpatient.

Position Value for Relative Comparison of Healthcare Status of Korea in 2017 (2017년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교)

  • Lee, Hyeon Ji;Oh, Sarah Soyeon;Park, Eun-Cheol
    • Health Policy and Management
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    • v.30 no.1
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    • pp.131-138
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    • 2020
  • The purpose of this study was to compare the health status of South Korea with those of Organization for Economic Cooperation and Development (OECD) countries and examine the trends. Position vAlue for Relative Comparison (PARC) was used as a gauge for comparison, and five sectors of the health care system were measured: demand, supply, accessibility, quality, and cost. The Mann-Kendall test was used as a statistical analysis method to examine trend of PARC values obtained from 2000 to recent years. According to the results, the demand, supply, accessibility, and quality sectors were higher than the OECD average, while the cost was lower than the average. However, there is a recent trend of sharp increases in health care costs. Some indicators: health employment, quality of primary care and mental health care were lower than the OECD average, and health determinants showed a worsening trend. Therefore, policy-makers need to take this into account and make efforts for sustainable health care.

Usability Improvements in the School Information Management System - Issues and Suggestions - (학교정보관리시스템의 효용성 제고 - 제 문제와 개선방안 -)

  • Kim, Chang-Yong;J. Bae, Jae-Hak
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.28 no.3
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    • pp.42-57
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    • 2005
  • The National Education Information System(NEIS) has been utilized in primary and secondary schools. In this paper, we consider the NEIS should be used not only for educational administration affairs, but also for a lifelong management of national human resource. The current School Information Management System(SIMS), including the NEIS, is unsatisfactory due to the insufficiency of actual field suitability and end-user's conveniency. To this, we have devised improvements of the SIMS in the seven problem areas: ) The core business process of the school should be analyzed sufficiently and reflected in SIMS. (2) We should fully utilize groupware functions which activate the learning organization. (3) We might apply and use the CRM techniques of enterprises in SIMS. (4) The SIMS should be easy to make necessary school assessment data. (5) We should complement functions of the SIMS for a lifelong healthcare information management of national human resource. (6) The SIMS should support the school lunch management. (7) We should bring BOM and work-flow concepts into the SIMS.

Quantitative Evaluation of Appointment System for Outpatients in Dental Clinic (치과의원 외래환자 예약관리체계의 계량적 평가)

  • Lee, Hyung-Ju;Chang, Hye-Jung
    • Korea Journal of Hospital Management
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    • v.8 no.2
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    • pp.49-69
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    • 2003
  • This study purported to evaluate the performance of the appointment system for outpatients in primary care dental clinic. The data of patients' time flow for 1,245 patients in Y Dental Clinic were collected for one month in 2002 and then analyzed. Specifically, the time periods of treatment and patients' waiting as well as rates of appointment and it's failure are estimated. The accuracy of expected treatment time period was also evaluated. The results showed that 72% of patients visited the clinic with appointments, and only 56% kept their appointments. The patient's waiting time period turned out to be 11 minutes in Y clinic. The expected treatment time period is turned out to be very important because they influence significantly on patient's waiting time period. Practically, the expected treatment time period should be overestimated about 9 minutes in general, and the characteristics of dentist, each patient's diagnosis and age need to be especially considered. Hospitals and clinics also need to make the systematic and detailed critical pathways for a variety of patient cases by analyzing the patients' treatment pattern. With the improved appointment systems, healthcare institutions will approach the goal of effective and efficient management of the institution and also satisfy their customers.

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Awareness and Opinions of Inhabitants on Vivax Malaria in Two Endemic Areas, Gyeonggi-do, Korea

  • Bahk, Young Yil;Cho, Shin-Hyeong;Na, Byoung-Kuk;Hong, Sung Jong;Lee, Sung-Keun;Kim, Tong-Soo
    • Parasites, Hosts and Diseases
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    • v.59 no.5
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    • pp.513-518
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    • 2021
  • The incidence of vivax malaria in Korea was reduced to a low plateau. For successful elimination of vivax malaria, socio-behavioral changes in the communities are essential. This study aimed to figure out awareness of the inhabitants on the vivax malaria endemicity. The 407 participants including vivax malaria patients and uninfected inhabitants in Gimpo- and Paju-si, Gyeonggi-do, known as high-risk areas in Korea. We used a community-based study design and non-probability sampling method using primary data. Except for the perception about the public health facilities' capability to cope with anti-malaria programs, the 2 groups of participants shared the same level of awareness about public promotional and educational measures and opinions for malaria elimination from the community. Thus, our future goals for malaria prevention and elimination are to develop more active and well-organized community-based education and evaluation programs collaborating with the community healthcare authorities and local governments.

Institutional Strengthening and Capacity Building: A Case Study in Indonesia

  • POESPITOHADI, Wibisono;ZAUHAR, Soesilo;HARYONO, Bambang Santoso;AMIN, Fadillah
    • The Journal of Asian Finance, Economics and Business
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    • v.8 no.3
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    • pp.629-635
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    • 2021
  • This study seeks to examine and analyze the influence of institutional strengthening factors, and capacity building - communication, resources, and training - on the performance of defense policy implementation. This study conducted a quantitative analysis related to the implementation of the institutional strengthening policy. The data used are primary data with a research instrument in the form of a questionnaire. The population in this study were all people in the city of Bandung, Indonesia. The sample of this study consisted of 200 respondents consisting of civilians and soldiers who served in the city of Bandung. Data analysis uses the Structural Equation Model (SEM) measurement model. The results of this study reveals that institutional strengthening (X1) influences positively and significantly capacity building's communication (Y1), resources (Y2), and training (Y3). On the other hand, the performance of defense policy implementation (Y4) is positively and significantly affected by capacity building's communication (Y1), resources (Y2), and training (Y3). The interaction between institutions, consumption support, role of the healthcare sector, and effectiveness are the most important indicators reflecting capacity building (communication, resources, training) and the performance of defense policy implementation. Essentially, this study analyzes the performance of defense policy implementation based on capacity building.