• Title/Summary/Keyword: chronic health conditions

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Chewing difficulty and multiple chronic conditions in Korean elders: KNHANES IV (임상가를 위한 특집 3 - 한국 노인에서 저작불편감과 복합만성질 환의 연관성: 제4기 국민건강영양조사)

  • Han, Dong-Hun
    • The Journal of the Korean dental association
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    • v.51 no.9
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    • pp.511-517
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    • 2013
  • To assess the association between oral health and general health, this study examined the relationship between chewing difficulty and twelve chronic health conditions such as hypertension, hyperlipidemia, diabetes, cerebro- and cardiovascular disease, musculoskeletal disease, respiratory disease, eye/nose/throat disease, stomach/intestinal ulcer, renal dysfunction, thyroid disease, depression, and cancer in Korea. The study population was 3,066 elders aged 65 years old and more from the fourth Korean National Health and Nutrition Examination Survey. Chewing difficulty was measured on a 5-point Likert scale. Chronic conditions were assessed by self-reported questionnaire. Confounders were age, gender, education, income, smoking, drinking, and obesity. Chi-square test, general linear model, and multiple logistic regression model were done with complex sampling design. Musculoskeletal disease (adjusted odds ratio=1.33), respiratory disease (adjusted odds ratio=1.52), and cancer (adjusted odds ratio=1.58) were independently associated with chewing difficulty. Multiple chronic conditions with more than 4 chronic disease showed significant association with chewing difficulty (adjusted odds ratio=1.37).

The Applicability of the United States' Chronic Disease Self-Management Program (CDSMP) to Korean Adults (미국 만성질환자가관리프로그램(CDSMP)의 성공 사례와 국내 적용가능성)

  • Ahn, SangNam;Kim, Keon Yeop;Ory, Marcia G.;Na, Yoon Joo;Kim, Ki Su
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.63-72
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    • 2014
  • Objectives: The current study reviews the implementation and evaluation of the Chronic Disease Self-Management Program (CDSMP) in the United States (U.S.) to illustrate the program's potential contribution to improving health among Korean adults with chronic conditions while saving healthcare costs. Methods: This study examines existing literature on the history, theoretical background, essential elements, and delivery outcomes of CDSMP with special focus on the successes and challenges to be faced in the implementation of CDSMP to Koreans with chronic conditions. Results: CDSMP is designed to empower people with chronic conditions to develop skills necessary for medical, social role, and emotional management of chronic conditions. Recent studies show the utility of CDSMP in achieving the Triple Aim health reform goals (i.e., better care, better health, better value). Lessons learned from the U.S. experience emphasize the importance of establishing evidence-based studies, collaborating with community partners, and diversifying funding sources to make CDSMP more sustainable. Conclusion: The current study demonstrates the replicability of CDSMP and potential for expansion in Korea. More concerted efforts among academia, government, and communities are needed to deliver CDSMP to Korean adults and identify its effectiveness within the Korean context in terms of meeting the Triple Aim goals of better care, better health, and better value.

Relationship between Workplace Hazard Exposures and Chronic Health Problems in Korea: The Fifth Korean Working Conditions Survey (한국근로자의 직장 내 유해인자 노출과 장기적인 건강문제의 관련성: 제5차 근로환경조사를 이용하여)

  • Kim, Yun Hee
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.1
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    • pp.58-68
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    • 2020
  • Purpose: Workers with chronic health problems find it difficult to maintain their work because of socioeconomic difficulties. The purpose of this study was to evaluate the relationships between physical, ergonomic, and mental health hazards in the workplace and chronic health problems of Korean workers. Methods: A total of 28,807 wage workers participated in the study and were selected using the Fifth Korean Working Conditions Survey (2017). Multiple logistic regression analysis was used to determine the associations between physical, ergonomic, and mental health hazards and chronic health problems. Results: Of the participants, 1,220 (4.23%) had chronic health problems. Even after adjusting the general characteristics, vibration, noise, high temperature, low temperature, dust, chemical and cigarette smoke, fatigue and painful posture, dragging or pushing or moving of heavy objects, repetitive hand or arm movements, working with a computer or smartphone, use of internet or e-mail, and anxiety situations increased the risk of chronic health problems. Conclusion: The study reaffirms that exposure of physical, ergonomic, and mental health hazards in the workplace significantly increases the risk of chronic health problems.

Factors Related to Health-promoting Behaviors and Chronic Diseases in the Elderly (노인들의 건강증진행위와 만성질환과의 관련요인)

  • Kim, Mun-Hwan;Lee, Dong-Ho
    • Korean Journal of Health Education and Promotion
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    • v.28 no.2
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    • pp.99-107
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    • 2011
  • Objectives: The purpose of this study is to investigate the relationship between health promotion behaviors and chronic disease prevalence of Korean elderly and to provide information for preventing chronic diseases and improving health conditions of the elderly. Methods: A subset of 584 cases in the fourth Korea National Health and Nutrition Examination Survey was used for secondary analysis. Chi square test was used to compare chronic diseases prevalence by general characteristics and health promotion behaviors. Logistic regression analysis was used to identify the factors associated with chronic diseases. Results: Gender, occupation, subjective health status, smoking, and alcohol drinking have significant association with chronic diseases. Conclusions: Gender-specific health education for the elderly should be implemented at the health center, and opportunities for social participation can be enhanced through job creation for the elderly. Active campaigns on smoking cessation and moderate drinking are needed to prevent and manage chronic diseases of the elderly.

Considerations for the Dental Management of Older Adults (임상가를 위한 특집3 - 노인 환자의 치과 치료시 고려 사항)

  • Kho, Hong-Seop
    • The Journal of the Korean dental association
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    • v.49 no.10
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    • pp.609-617
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    • 2011
  • The geriatric population is the most rapidly growing part of the general population, which leads to an increase of chronic conditions and illnesses that will influence both oral and systemic health. The most common chronic diseases in elderly population are arthritis, hypertension, heart diseases, diabetes, and cognitive impairment. Chronic impairments such as visual, hearing, orthopedic, and speech disorders are also prevalent among older adults. All these chronic conditions have potential oral complications and the treatments of systemic diseases also has implications for the maintenance of oral health. Therefore, oral health care professionals should catch up with increasing knowledge in this field and can modify the treatment strategy for older adults. In addition, oral health care professionals should understand the changing need of oral health problems in this age and prepare the future demand.

Diet-Related Health Disparities in African Americans

  • Satia Jessie A.
    • Journal of Community Nutrition
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    • v.8 no.1
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    • pp.24-30
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    • 2006
  • Disparities in health and disease between various population subgroups, such as racial and ethnic groups, are a major focus of public health research but also pose considerable challenges. Diet is a key contributor to disparities in many chronic diseases and conditions. Therefore, in order to understand and address racial and ethnic health disparities, it is important to characterize the dietary patterns of the populations of interest. African Americans are at higher risk for many diet-related chronic disease conditions, such as obesity, type II diabetes, cardiovascular disease, and many cancers relative to other racial/ethnic groups in the United States. In this report, I describe the diet-related chronic disease profiles of African Americans, characterize their dietary patterns and food preferences, identify demographic, psychosocial, environmental, and cultural factors that may affect their dietary choices, and propose strategies for improving the dietary and health profiles of African Americans.

The Common Patterns of Multimorbidity and Its Impact on Healthcare Cost in Korea (복합만성질환의 흔한 유형과 의료비에 미치는 영향)

  • Kim, Chang-Hoon;Hwang, Inkyung;Yoo, Weon-Seob
    • Health Policy and Management
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    • v.24 no.3
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    • pp.219-227
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    • 2014
  • Background: Current trends in Korea population aging with advances in public health and clinical medicine foretell rises in the prevalence of not only chronic diseases but also patients with multimorbidity. One important aspect in analyzing multimorbidity is to define the list of chronic diseases included when calculating multimorbidity index. The objective of this study is to describing the effect of multimorbidity on healthcare cost in Korea using US Office of the Assistant Secretary of Health (OASH) list. Methods: We analyzed the Korea Health Panel Data representing non-institutionalized Korean adult populations aged 20 and more. We calculated multimorbidity index based on OASH list and estimated the prevalence and healthcare cost for each OASH chronic disease. Results: In 2011, 15.2 million (39.6%) Koreans aged 20 and more were living with chronic condition. The health care cost due to chronic diseases, accounted for 80.2% of the overall healthcare costs and the prevalence of chronic conditions, the prevalence of multimorbidity and healthcare cost increased with ages. In the analysis using OASH list, 40% of the adult population over the age of 20 and 66.7% of the population over the age of 65 was affected with multimorbidity. In most of diseases in OASH list, prevalence of mulitmorbidity was high and healthcare cost increased with multimorbidity. Conclusion: OASH chronic disease list that accounts for 72.4% of prevalence and 86.7% of healthcare cost of persons with chronic conditions in Korea. OASH chronic disease list would be a useful and representative indicator for studying multimorbidity.

Complementary and Alternative Medicine Among Older Adults in the United States: Current Evidence and Future Directions

  • Yoon, Saun-Joo L.
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.73-89
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    • 2006
  • Complementary and alternative medicine has gained popularity and respectability in recent years in the United States. Since aging is often associated with chronic health conditions that commonly lead to physical and psychosocial disabilities (e.g., depression, functional and/or cognitive disabilities, and decreased quality of life), older adults often seek options to maintain health and treat chronic conditions as an adjunct to conventional medical care. Herbal products, the most commonly used among various complementary and alternative medicines (CAM), should be used with caution due to potential herbal-drug interactions (related to polypharmacy) and herbal-disease interactions (related to comorbidities). Five of the most common chronic conditions in older adults are chronic pain, cardiovascular problems, hypertension, diabetes, and chronic lung problems. A high rate of falls or risk of falling is also a problem unique to this older population. For these conditions, only a few types of CAM (e.g., acupuncture, qi gong, tai chi) were tested, with promising results. However, in spite of evidence supporting the use of certain types of CAM to alleviate some common chronic conditions, findings are limited in terms of other types of CAM tested and both short and long-term effects. More rigorous clinical trials of various CAM types are thus warranted to advance scientific knowledge and establish evidence-based practices to care for the growing number of older adults who deserve to have a better quality of life.

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Association between Changes in Multiple Chronic Conditions and Health Expenditures among Elderly in South Korea: Korean Longitudinal Study of Aging 2014-2018 (고령화연구패널조사 2014-2018년 데이터를 이용한 한국 노인의 복합만성질환 변화와 본인부담 총 의료비의 연관성)

  • Park, Soojin;Nam, Jin Young
    • Health Policy and Management
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    • v.32 no.3
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    • pp.282-292
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    • 2022
  • Background: Aging societies face social problems of increased medical expenses for older adults due to increased geriatric diseases. This study aims to analyze the relationship between the state change of multiple chronic conditions (MCC) and out-of-pocket medical expenses in the elderly aged 60 or older. Methods: The 2014-2018 Korean Longitudinal Study of Aging data were used for 2,202 elderly people. Four status change groups were established according to the change in the number of chronic diseases. The association between the change of MCC and the out-of-pocket medical cost was analyzed using the generalized estimating equation model analysis. Results: The average out-of-pocket total medical costs were 1,384,900 won for participants with MCC and 542,700 won for those without MCC, which was a statistically significant difference (p<0.0001). Compared to the reference group (simple chronic disease, SCD→SCD), the change in multiple chronic conditions significantly increased the total out-of-pocket medical expenses in MCC→MCC and SCD→MCC groups (MCC→MCC: 𝛽=0.8260, p<0.0001; SCD→MCC: 𝛽=0.6607, p<0.0001). Conclusion: In this study, it was confirmed that the prevalence of MCC increased with age, and the out-of-pocket medical cost increased in the case of MCC. Continuity of treatment can be achieved for patients with MCC, and the system and management of treatment for MCC are required to receive appropriate treatment.

An Analysis on the Utilization Patterns of Health Care Facilities for an Employees Health Insurance Program (동일질환에 대한 보험의료 이용경로 분석 : 직장 의료보험조합 적용인구를 대상으로)

  • 문옥륜;김창엽
    • Health Policy and Management
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    • v.1 no.1
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    • pp.116-135
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    • 1991
  • Few studies have been conducted on the detailed routes of medical care utilization under the National Health Insurance. This study was undertaken to identify the utilization patte군 of health care facilities among industrial workers and their dependents. One of the largest health insurance association was purposively chosen for this objective. The association had 345, 757 members as of 31 December, 1990. The study sample of 297, 948 subjects have been drawn from the membership pool on the basis of their continuous membership status during 1 January through 31 December 1990. This study has tried to identify differential utilization patterns between acute and chronic conditions, and among standard income classes. All the diagnoses were recoded in a manner to achieve the objective of this study. As for acute diseases, most age group had used one medical facility as much as by 60% except the age group of 1-4, This young age group had used over three different health facilities as much as by 10.9-15.8%. The finding suggests that some policy measures by sought for remedying the excessive/inappropriate use of services. In addition, mid-income classes(between 17 and 48) were more likely to use multiple sources of care than lower income classes(between 1 and 16) and upper income classes(above 49). This study has revealed that chronic cases are more likely to pursue multiple sources of care, however those with chronic conditions tend to use single health facility more than those with acute conditions(67.9% versus 52.4%). As many as 12.2% have visited more than three health facilities in chronic conditions, but 5.9% for acute conditions. The most likely source of care was primary clinics for both acute and chronic conditions. Compared with the role of general hospital, small-size hospitals found to play a minimal role in the care and referral of patients. This indicates the need of strengthening the function of small-size hospitals. While a minor cross utilization of western medicine and pharmacy was noted, no significant boundary crossing was identified between western medicine and oriental medicine, or between pharmacy and oriental medicine. It is too early to confirm that whether there is substitutability or cross utilization among these alternative sources of care. A further study is needed to identify these relationship.

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