• Title/Summary/Keyword: care policy

Search Result 2,551, Processing Time 0.029 seconds

PRESENT SITUATION AND PROSPECT OF PEDIATRIC DENTISTRY IN KOREA - FOCUSED ON MANAGEMENT OF DENTAL CARIES - (한국 소아치과의 현재와 전망 - 치아우식증관리 분야를 중심으로 -)

  • Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
    • /
    • v.39 no.2
    • /
    • pp.206-225
    • /
    • 2012
  • General status of pediatric dentistry in Korea is to conduct vigorous academic activities and specialized medical care centering the Korean Association of Pediatric Dentistry (KAPD) that has about 1,000 pediatric dentists as members, pediatric dentistry departments of 11 Colleges of Dentistry, numbers of pediatric dentistry training institutions and private clinics specialized in children. From 1996, the accredited pediatric dentists were produced by the KAPD and from 2008, the state began to produce the accredited pediatric dentists. Since then, doctors with expertise in pediatric care had opened private clinics in addition to the university hospitals, it became the basis of a momentum to deepen the specialty of pediatric dentistry. The Dentistry community of Korea is going through rapid and profound changes recently, and the underlying reasons for such changes can be classified largely into a few categories: (1) Decreasing population and structural changes in population (2) Increase in numbers of dentists, (3) Changes in the pattern of dental diseases and (4) Changes in medical environment. In Korea, the children population in the age range of 0 ~ 14 years old had been decreased by 2 million in 2010 compared to that of 2000 due to reduction of birth rate. The current population of children in the age range of 0 ~ 4 years old in 2010 takes up 16.2% of the total population, but it is estimated that such percentage would decrease to 8.0% by 2050. Such percentage is largely behind the estimated mean global population of 19.6% by 2050. On the other hand, the number of dentists had been largely increased from 18,000 in 2000 to 25,000 in 2010. And it is estimated that the number will be increased to 41,000 by 2030. In addition, the specialized personnel of Pediatric dentistry had been shown as increased by 2.5 times during past 10 years. For the changes in the pattern of dental diseases, including dental caries, each df rate of 5 years old children and 12 years old children had been decreased by 21.9% and 16.7% respectively in 2010 compared to 2000. Each df Index also had been decreased by 2.5 teeth and 1.2 teeth respectively. The medical expenditure of Korea is less than that of OECD and more specifically, the expenditure from the National Health Plan is less than OECD but the expenditure covered by households is larger than OECD. These facts indicate that it is considered as requiring the coverage of the national health plan to be reinforced more in the future and as such reinforcement needs continuous promotion. In medical examination pattern of Pediatric dentistry, the preventive and corrective treatment were increased whereas the restorative treatment was decreased. It is considered that such change is caused from decrease of dental caries from activation of the prevention project at national level. For the restorative treatment, the restorations in use of dental amalgam, pre-existing gold crowning and endodontic treatment had been decreased in their proportion while the restorative treatment in use of composite resin had been increased. It is considered that such changes is caused by the change of demands from patients and family or guardians as they desired more aesthetic improvement along with socio-economic growth of Korean society. Due to such changes in dentistry, the pediatric dentistry in Korea also attempts to have changes in the patterns of medical examination as follows; It tends to implement early stage treatment through early diagnosis utilizing various diagnostic tools such as FOTI or QLF. The early stage dental caries so called white spot had been included in the subjects for dental care or management and in order to do so, the medical care guidelines essentially accompanied with remineralization treatment as well as minimally invasive treatment is being generalized gradually. Also, centering the Pediatric dentists, the importance of caries risk assessment is being recognized, in addition that the management of dental caries is being changed from surgical approach to internal medicinal approach. Recently, efforts began to emerge in order to increase the target patients to be managed by dentists and to expand the application scope of Pediatric dentistry along with through such changes. The interest and activities of Pediatric dentists which had been limited to the medical examination room so far, is now being expanded externally, as they put efforts for participating in the preventive policy making process of the community or the state, and to support the political theories. And also opinions are being collected into the direction that the future- oriented strategic political tasks shall be selected and researches as well as presentations on the theoretical rationale of such tasks at the association level.

Men's Participation of the Market Work and the Housework - Focused on the Qualitative Analysis of the Contents in the Newspaper Articles (남성의 시장노동과 가사노동 - 신문기사 내용에 대한 질적 분석을 중심으로)

  • Cho Seong-Eun;Jeong Jee-Young;Yoon So-Young
    • Journal of Families and Better Life
    • /
    • v.24 no.1 s.79
    • /
    • pp.129-140
    • /
    • 2006
  • The purpose of this study was to understand the labor division between men's housework and market work and to research the change of men's contribution to housework. And it was also examined what kinds of valuables work on a change in men's market work and housework. The information about men's change in the labor division was collected from the biggest 5 news papers in Korea for last five years for this study. And either men's new participation trend to household work did. Words searched for this study were men, labor, family, home, housewife, work, household work, father etc. Korean men have experienced a overloaded breadwinner role and have worked most in the world since 1960s. But Korean men's working time was continuously decreased a little every year. As Korean Companies had fired many worker during IMP economic crisis period, Korean men had to work more than before because of decreased fellows and they should have concentrated on their work at the sacrifice of private life and family-sharing time. On the other hand, some men were started to participate to do housework as a results of long-unemployment and early retirement after this periods. 5 day working system be in forced gradually since 2003 especially make men come back home and interest on housework. So Korean men's housework participation is gradually increasing by the practical application of sex-equitable politics such as 5 day working system and men's suspension regime for baby care. father's increased participation to children education and care, men's new family-oriented life style, dual-sexuality education system, and socially changed perception to husband housemaker. These interrelated trends demands us to shape a new labor division pattern in the family that make change the breadwinner/homemaker conception by the gender role. Now, all of family, men, women, and children have to join housework. It would help women, men, and all families make more human and equitable relationship.

The Longitudinal Study on the Factors of Catastrophic Health Expenditure Among Disabled Elderly Households (장애노인 가구의 과부담 보건의료비 결정요인에 관한 종단적 연구)

  • Roh, Seung-Hyun
    • Korean Journal of Social Welfare
    • /
    • v.64 no.3
    • /
    • pp.51-77
    • /
    • 2012
  • This study examines the scale of occurrence of Catastrophic Health Expenditure, and identifies the factors influencing Catastrophic Health Expenditure among disabled elderly households. Catastrophic Health Expenditure is defined by when the households' health care spending out of ability to pay exceeds 10%, 20%, 30%, and 40%. This study used the 2008, 2009, and 2010 surveys of the Panel Survey of Employment for the Disabled(PSED) to explore how gender, age, spouse, the level of education, the degree of disability, the type of disability, disability duration, subjective health status, chronic disease, the number of household members, the proportion of disabled households, the proportion of working households, the proportion of aged households, the type of poverty, household income, net asset, determine Catastrophic Health Expenditure among disabled elderly households. The study examines the frequency of Catastrophic Health Expenditure with 726 households, and conducted the panel logit model. The empirical results show that Catastrophic Health Expenditures are significantly related to age, spouse, the type of disability, subjective health status, chronic disease, the number of households, the proportion of disabled households, the proportion of aged households, the type of poverty. This study showed that the health care safety net in South Korea was insufficient for disabled elderly households and that a policy should be established in ordered to protect disabled elderly households from occurrence of Catastrophic Health Expenditure.

  • PDF

Relationship between General Safety Behaviors and Oral Health Behaviors among South Korean Children (우리나라 어린이의 생활안전행동과 구강보건행동의 관련성)

  • Noh, Hie-Jin;Sohn, Woosung;Choi, Choong-Ho;Kim, Hae-Young
    • Journal of dental hygiene science
    • /
    • v.11 no.4
    • /
    • pp.311-317
    • /
    • 2011
  • The aim of this analysis was to investigate the relationship between the level of safety behavior and the level of oral health behavior among Korean children. Data used in this analysis were from the 2005 Korean National Health and Nutrition Examination Survey (KNHANES). A representative sample of 4,292 children aged from three to eleven years who completed both health interview and health behavior survey. Simple and multiple logistic regression analyses were conducted. All analyses were weighted and SAS 9.1 survey data analysis procedures were used to estimate standard errors accounting for the complex sampling design of the KNHANES. More than seventy percent of children did not keep general safety behaviors except seat on back seat in a car. About seventy five percent of children had experience of preventive oral care during last one year, but about fifty six percent of children brush their teeth twice a day. Socioeconomic status and health behaviors were significantly related in three to six old age group only (p<.05). Generally significant relationship was not found between general safety and oral health behaviors. Among Korean children, general safety and oral health behaviors might be not related each other. Education for general safety behaviors should be underlined for all children. Especially preschool-children with low socioeconomic status need to be educated for healthy behaviors.

A GIS-Based Public Health-Geographical Analysis of Oral Health Programs for Primary School Students (학교구강보건사업의 보건지리학적 분석을 위한 지리정보체계의 활용)

  • Yang, Jin-Young
    • Journal of dental hygiene science
    • /
    • v.13 no.2
    • /
    • pp.174-181
    • /
    • 2013
  • The objective of this research is to compare and analyze regional accessibility of Korean primary school students to oral health services from the perspective of public health geography by using geographic information system in which the choropleth map has been regarded as the most popular method. Statistical proximity on the basis of calculus of 205 regions-based school oral health data is optimized to set five class intervals for five maps. These choropleth maps of oral heal programs such as oral health education, tooth-brushing method education, preventive dental care and curative dental care, demonstrate that there exist wide regional discrepancies throughout the country in terms of primary school students' accessibility to oral health services within the programs. The paper not just contributes to overcoming the existing paradigm by actively considering an interdisciplinary research among public health dentistry, dental hygiene and geography of public health, but provides clear evidence for national oral health policy in South Korea.

The Perception and Attitude of Pre-service Childcare Teachers on Child Abuse - Preparation with other Major Students - (예비보육교사의 아동학대 신고에 관한 인식과 태도: 타전공 대학생과의 비교)

  • Kim, Tae Yeon;Jung, Hyun Sim
    • Korean Journal of Child Education & Care
    • /
    • v.18 no.3
    • /
    • pp.65-75
    • /
    • 2018
  • Objective: The purpose of this study is to find out the perception on childe abuse of pre-service childcare teachers who will become the closest witnesses to child abuse, and also whether they have the proper knowledge and attitude to report abuse. Methods: Surveys were conducted at five universities in Seoul and Kyonggi-province. We investigated students from child development major, and additionally students from other majors as a comparative group. Results: The results of this study are as follows: First, pre-service childcare teachers' level of abuse severity was significantly higher than other major students. They were more aware of child abuse reporting system and reporting obligations than other major students. Second, pre-service teachers had higher intention of reporting then other major students. However, both groups barely know about child protection institution, and have negative perception on the effect of reporting. Conclusion/Implications: In conclusion, this study suggests that pre-service teachers are more aware of child abuse and willing to report than other major students, however it is necessary to increase the reliability of report effectiveness. Also, it provide implications for future policy-making related to child abuse by suggesting that information transmission and promotion through mass media is necessary and efforts should be made to reduce the risk of disclosure of the identity of the complainant in reporting abuse.

Early Childhood Teachers' Knowledge System on the Contents of Early Childhood Unification Education Using Analyses of Content Map (유아교사의 유아통일교육에 대한 지식체계 고찰: 개념도 분석을 중심으로)

  • An, Su Hyun;Kim, Sang Lim
    • Korean Journal of Child Education & Care
    • /
    • v.18 no.3
    • /
    • pp.91-104
    • /
    • 2018
  • Objective: The purpose of the study was to explore early childhood teachers' content knowledge and knowledge level on unification education through an analysis of a concept map (Novak & Gowin, 1984). Methods: The subjects, including 65 early childhood teachers in a metropolitan area, were asked to draw concept maps illustrating their understanding of unification education for young children. The collected concept maps were analyzed using the methods utilized by Novak and Gowin (1984) as well as You and Kim (2018). Results: In terms of early childhood teachers' content knowledge, 282 superordinate concepts and 1,766 subordinate concepts were shown. The 282 superordinate concepts were categorized into 7 representative superordinate concepts: understanding of North Korean, understanding of separation/unification, identification as Korean citizen, unification policy, relationship between South Korea & North Korea, educational activities, connection with home and society. In terms of early childhood teachers' knowledge level, the numbers of subordinate concepts and hierarchical level were shown to be varied according to the 7 representative superordinate concepts. Conclusion/Implications: Discussions were included to support and enhance early childhood teachers' content knowledge on unification education for young children through the development of comprehensive programs and teacher education.

Relationship between Dental Caries Experience and Obesity among Elementary School of Student's in Gyeongsan (경산시 일부 초등학교 학생들의 치아우식증 경험 및 비만도의 관련성)

  • Choi, Sung-Suk;Jung, Hong-Sep;Choi, Mi-Sook
    • Journal of dental hygiene science
    • /
    • v.12 no.4
    • /
    • pp.429-436
    • /
    • 2012
  • The purpose of this study is to analyze factors relationship between dental caries experience and obesity among elementary school of student's in oral health clinic to provide empirical data for school of oral health program. The subjects of this study consists of 235 elementary school student's in Gyeongsan area. The data were collected from July 1 to 30, 2011 by self-administrative questionnaires. Increased with age in the lower level dental caries experience. Dental caries experience and obesity realted to were not with Mother's employment status, education level, economic level each other. Number of weekly exercise normal weight (9.4%) than obesity weight (21.5%) was higher in the 0 times. The obesity and dental caries experience was not associated with each other. The results suggest that social and demographic variation and regardless of don't home care made in support do student's oral and health care school health in terms of how much management so school oral health clinics later gradually enlarge and systematic a national policy will be implemented.

A Study on Small Area Variations of Hospital Services Utilization in Heart Diseases (심질환의 지역간 입원의료이용 변이에 관한 연구)

  • Kwon, Young-Chae;Chang, Dong-Min
    • Journal of Digital Convergence
    • /
    • v.10 no.3
    • /
    • pp.207-218
    • /
    • 2012
  • The purpose of this study is to provide preliminary data for political measures to minimize the variations by understanding the regional variations and trends of hospital services for heart diseases, and analyzing the factors that could occur any variations. The various data collected from nation-wide inpatient services conducted separately by small region show that there have been some differences in income level, supply of medical resources, standardized rate of hospitalization by sex and age, health level in the residence, and the length of stay per head. Then it indicated that the number of special medical equipment per 10,000 people and the rate of vigorous physical activity have the highest influence over the regional variations in using hospital services. On the other hand, the number of sick-beds per 10,000 people, the number of special medical equipment, and the present smoking rate have significant degree of influence on the length of stay per head. Thus, it is imperative for the authorities to set aside health promoting policies and to distribute the medical resources equitably throughout the country and to enhance the accessibility of local residents to the health care services.

The Comparison of Recognizing Personal Health Record Between Healthcare Students and Medical Students (보건대학생과 의과대학생 간의 개인건강기록(PHR) 인식 비교)

  • Baek, Eun-Hae;Lim, Sung-Won;Kim, Han-Kyoul;Rhee, Hyun-Sill
    • Journal of Digital Convergence
    • /
    • v.10 no.10
    • /
    • pp.373-382
    • /
    • 2012
  • With the paradigm shifts towards consumer-centered health service, it is expected that more health care consumers will keep their health information and manage their own health in the future. Thus, this study was conducted to compare "Understanding", "Utilization" and "Management" of Personal Health Record(PHR) between medical users(healthcare students) and health care providers(medical students). We collected data from 208 health and medical students via using self-reported questionnaires form April to June, 2011. The collected data were analyzed using frequency, t-test, Chi-square on SPSS 19.0 version. There was no significant difference in "Understanding" of PHR between two groups. Looking at the order of the importance of PHR contents, two groups equally emphasized medical records, surgical history, and test results. There was significant difference in both time and effectiveness of PHR(p=0.02). Intergrated type of PHR was preferred by both groups. Recently, PHR reflects needs and demands of users more than ever. However there are many limitations to promote the utilization. In the future, it is necessary to implement targeted strategies for the elderly groups and specific types of disease.