• Title/Summary/Keyword: Primary care issues

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Factors Associated with Use and Types of Multiple Concurrent Care and Education Arrangements in Early Childhood in South Korea

  • An, Miyoung
    • International Journal of Human Ecology
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    • v.15 no.2
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    • pp.81-92
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    • 2014
  • This paper explores factors associated with multiple concurrent care and education arrangements in early childhood in South Korea. It draws on a subsample from the Korean Longitudinal Survey of Women and Families. Results show that about one-fifth of the families utilized multiple arrangements for their first preschool child. The primary non-parental option in multiplicity was nurseries or kindergartens. Home care and education options such as home study materials were found to be most prevalent secondary non-parental option, followed by services at private institution as well as relative care. Children's age, care cost, non-parental care time and time constraints were found to be positively related to the incidence of multiplicity for the first preschool child while family income and cost constraints were negatively associated. As a secondary option in the multiplicity, services at private institutions increased with children's age, care cost and when the grandparents live far from the parents' house. Home care and education utilization was found more among mothers with low degree of time constraints. Utilization of relative support decreased with the children's age and meant lower care cost and increased with mother's employment, fathers' education, family income, cost constraints and when grandparents live nearby. This paper, based on the associated factors, suggests how issues of children enrichment and constraints might be related to the multiplicity.

Evaluation of Pharmacists' Intervention Activities in Community Pharmacy (지역약국 약사의 처방중재 활동 평가)

  • Hyunji Koo;Jong-Mi Seong;Sun-Young Jung;Kyeong Hye Jeong
    • Korean Journal of Clinical Pharmacy
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    • v.34 no.1
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    • pp.62-70
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    • 2024
  • Background: Drug-related problems have the potential to threaten patient health, and pharmacists are in a position to prevent such problems through prescription reviews and patient counseling, actively engaging in pharmaceutical care activities. This study aims to categorize and analyze the intervention activities of pharmacists in community pharmacies concerning drug-related problems, following international criteria. Methods: Over a six-month period, prescription interventions completed in a community pharmacy in Seoul were selected as the research subjects. The causes of interventions were classified according to the Pharmaceutical Care Network Europe (PCNE) drug-related problems (DRPs) classification system and the types and frequencies of DRPs were identified. Results: Among a total of 49,334 prescriptions, 527 interventions were completed, constituting approximately 1.07% of the daily average filled prescriptions. Individuals over 60 years of age represented more than 50%. The primary cause of DRPs was prescribing and drug selection issues, comprising 256 cases (48.58%), with specific subcategories including 109 cases of drug selection, 79 cases of treatment duration errors, 47 cases of dose selection, and 21 cases of inappropriate dosage form selection. Patient-related issues accounted for 204 cases (38.71%). Conclusion: The study demonstrated that the pharmacists' intervention in community pharmacies contributes to the safe use of medication by patients.

A Survey of School Health Nurses Competency and Professional Attitude (보건교사의 학교보건 실무능력 인지도와 전문직 태도에 대한 조사연구 - 초.중.고등학교 보건교사를 대상으로 -)

  • Yoo, Il-Young;Lee, Kyu-Young;Yoo, Moon-Sook
    • Research in Community and Public Health Nursing
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    • v.13 no.4
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    • pp.808-816
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    • 2002
  • Purpose: The study was aimed to assess the competency and professional attitude of school health nurses who are occupied with adolescent health, and to provide basic information for the development of continuing education programs for them to improve their competencies. Method: The self-reported questionnaire based on WHO assessment tool were used to assess the competencies of the school health nurses providing health care for adolescents. The subjects were 584 school health nurses and the data were collected from January 28 to March 5, 2002. Result: The school health nurses in middle schools showed significantly higher scores than the school health nurses in primary schools on the level of competency. The nurses were scored the highest in the area of dealing with sexual issues for the students, followed by providing them direct care and application of primary care concept to the field of school health nursing. The areas showing the lowest scores were counseling and utilization of the system. There was a significant positive correlation between competency and professional attitude of the school health nurses. Conclusion: Based on the results of this study, it is necessary to develop various continuing educational programs for school health nurses using different teaching methods such as web-based program.

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A Study on Research Trends and Development Process of Health Policy for the Elderly (노인보건정책의 발전과정 및 연구동향에 대한 일고찰)

  • Sunwoo, Duk
    • 한국노년학
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    • v.28 no.4
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    • pp.773-784
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    • 2008
  • This paper is to suggest policy issues to be done in the future health policy for the elderly, analyzing contents of results suggested in academic papers published in Journal of the Korean Gerontological Society. Number of Papers published in the Journal is 61, occupying most of papers related with chronic disease, medical expenditures and health delivery system except dental and psychiatric health. Method used to be analyzed is mostly random sampling among community inhabitants or hospital patients. Policy issues are as follows in case of being based in the above analysis results. Firstly, it is necessary that the development of health promotion specialized for the elderly be developed and activated. Secondly, it is necessary that the primary health care system specialized for the elderly be constructed. Thirdly, it is necessary that the subacute care system specialized for the elderly be constructed after acute care services. Finally, it is necessary that the health care system specialized for the elderly in need of long-term care be constructed also.

Standing Issues and Policy Tasks of the Korean Dental Community; The establishment of the advanced general dentistry program (AGD) (치료의료계의 현안과 정책과제; AGD(통합치과전문임상의 수련제도)의 운영 및 정착)

  • Lee, Soo-Ku
    • The Journal of the Korean dental association
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    • v.48 no.3
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    • pp.174-176
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    • 2010
  • Compared to the specialist program, the advanced general dentistry program (AGD) is designed to guarantee that dentists dealing with primary care services possess overall dental care proficiency and contribute to offering better care to customers. This program is also believed to help resolve the imbalance among the number of candidates for specialization, which came to the authorities' attention throughout the implementation of the dental specialist program. KDA will continue to implement AGD while pushing for the establishment of the program by complementing it with adjustment measures and regulations provided the dental community agrees to such actions.

The Study on Free Choice in Childcare Policy : Focusing on Public Childcare Service VS Home Childcare Allowance (아동양육정책의 자유선택 쟁점에 관한 연구 - 공보육서비스 vs 가정양육수당을 중심으로 -)

  • Lee, Soo Kyung;Oh, Mi Ok
    • Korean Journal of Childcare and Education
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    • v.9 no.6
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    • pp.129-150
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    • 2013
  • The issue of child care in family policy is one of the most important agendas. It is the primary task for a welfare state to form such conditions as socializing it to ensure labor rights and parental rights. The aim of this study is to review any controversies in the agenda of free choice in child care. But real 'free choice' comes true when all community members as individuals are able to enjoy their rights as both workers and parents without any restriction and sexual discrimination in the labor market. But in reality 'free choice' has not been realized in our society. This study is based on the analysis of these issues in free choice - the concepts of liberty, equity and equality, the role of the state, financial efficiency and the status of women in the labor market. Based on the analysis of the issues in accordance with the criteria, I suggest some policy recommendations: adequate and sufficient child care services, the introduction of univer sal child benefits and the expansion of public child care facilities.

Challenges in Cancer Control Services Provided by Family Physicians in Primary Care: A Qualitative and Quantitative Study From Karabuk Province in Turkey

  • Ozdemir, Raziye;Ural, Sevda;Karacali, Merve
    • Journal of Cancer Prevention
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    • v.23 no.4
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    • pp.176-182
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    • 2018
  • Background: Family physicians (FPs) play an important role in cancer control. The aim of this study was to understand the functions of FPs in cancer control and to explore FPs' perceptions of their own roles and the difficulties they face in cancer control in Karabuk province, Turkey. Methods: The study consisted of two methodological parts. The qualitative part included a descriptive study in which data were collected from 87.5% (n=56) out of all FPs in Karabuk using a questionnaire. In the quantitative part, in-depth interviews with 15 FPs were conducted and analyzed through content analysis. Results: Half of the FPs (50.0%) provided cancer prevention information for their registered people, focusing on especially smoking cessation. In the last three months, the proportion of FPs who had not invited anyone to screenings was 37.5% for the pap test, 26.8% for the mammography, 19.0% for the fecal occult blood test and 34.5% for the colonoscopy. Only 16.1% of them reported that they made home visits for cancer patients. In the qualitative part of study, the following themes were highlighted: the perceived responsibilities of FPs regarding cancer control; the effect of geographically undefined working area of FPs; the issues with coordination between FPs and specialists; the effect of the number of primary care team members. Conclusions: Cancer control services provided by FPs have significant problems in terms of the FPs' approach to the services and their content, continuity and coordination.

Currents in Integrative Biochip Informatics

  • Kim, Ju-Han
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2001.10a
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    • pp.1-9
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    • 2001
  • scale genomic and postgenomic data means that many of the challenges in biomedical research are now challenges in computational sciences and information technology. The informatics revolutions both in clinical informatics and bioinformatics will change the current paradigm of biomedical sciences and practice of clinical medicine, including diagnostics, therapeutics, and prognostics. Postgenome informatics, powered by high throughput technologies and genomic-scale databases, is likely to transform our biomedical understanding forever much the same way that biochemistry did a generation ago. In this talk, 1 will describe how these technologies will in pact biomedical research and clinical care, emphasizing recent advances in biochip-based functional genomics. Basic data preprocessing with normalization and filtering, primary pattern analysis, and machine teaming algorithms will be presented. Issues of integrated biochip informatics technologies including multivariate data projection, gene-metabolic pathway mapping, automated biomolecular annotation, text mining of factual and literature databases, and integrated management of biomolecular databases will be discussed. Each step will be given with real examples from ongoing research activities in the context of clinical relevance. Issues of linking molecular genotype and clinical phenotype information will be discussed.

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Bioinformatics and Genomic Medicine (생명정보학과 유전체의학)

  • Kim, Ju-Han
    • Journal of Preventive Medicine and Public Health
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    • v.35 no.2
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    • pp.83-91
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    • 2002
  • Bioinformatics is a rapidly emerging field of biomedical research. A flood of large-scale genomic and postgenomic data means that many of the challenges in biomedical research are now challenges in computational sciences. Clinical informatics has long developed methodologies to improve biomedical research and clinical care by integrating experimental and clinical information systems. The informatics revolutions both in bioinformatics and clinical informatics will eventually change the current practice of medicine, including diagnostics, therapeutics, and prognostics. Postgenome informatics, powered by high throughput technologies and genomic-scale databases, is likely to transform our biomedical understanding forever much the same way that biochemistry did a generation ago. The paper describes how these technologies will impact biomedical research and clinical care, emphasizing recent advances in biochip-based functional genomics and proteomics. Basic data preprocessing with normalization, primary pattern analysis, and machine learning algorithms will be presented. Use of integrated biochip informatics technologies, text mining of factual and literature databases, and integrated management of biomolecular databases will be discussed. Each step will be given with real examples in the context of clinical relevance. Issues of linking molecular genotype and clinical phenotype information will be discussed.

Position Value for Relative Comparison of Healthcare Status of Korea in 2016 (2016년 한국 보건의료의 상대적 위치와 추이: 경제협력개발기구 국가와 비교)

  • Oh, Sarah Soyeon;Park, Eun-Cheol
    • Health Policy and Management
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    • v.29 no.1
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    • pp.90-97
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    • 2019
  • This study investigated the healthcare status of South Korea and member states of the Organization for Economic Cooperation and Development (OECD). By employing the position value for relative comparison index, healthcare status was measured through the following components: demand, supply, accessibility, quality, and cost. Statistical analysis was conducted through the Mann-Kendall test from analyzing trends from 2000 onwards. Results showed that while Korea, on average, scores higher than the OECD average in most of the investigated components, it is below average in certain indexes including primary care and mental health care. Considering the various health issues that have been raised about these indexes, it is important these components be improved upon by policy-makers.