• Title/Summary/Keyword: cost of illness

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Critical Pathway of Home Healthcare for COPD clients (COPD 대상자의 가정간호를 위한 Critical pathway)

  • Cho, Won-Jung;Han, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.329-337
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    • 2001
  • Purpose: This study was to develop a critical pathway for COPD clients in home health care. Method: Review of literature. Analysis of 10 cases of home health records of COPD clients without other major chronic illness, and Contents validity test Results 1. Vertical axis(l4 activities) physical and mental assessment, family assessment. environment assessment, rights and duties of client, oxygen use and safety, education of disease process and symptom, medication, nutrition and elimination, tests, activities, respiratory exercise, sleeping pattern. consultations and discharge planning. 2. Horizontal axis was set by the number of visits(average number of visits is 6.4) and vertical axis was set with 14 activities and the contents which should have occurred, according to the time frames of the horizontal axis. 3. According to the contents validity test, among the total of 234 items, 176 items showed over 83% agreement and 58 items showed less than 83% agreement. Those items with less than 83% agreements were either deleted or revised. Conclusion this critical pathway is applicable to the home health care of COPD clients to provide quality home nursing care services at lower cost.

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The Development Path of China's Private Health Insurance and Its Role in the Health Care System (중국 민간의료보험의 발전경로와 의료보장체계에서의 역할)

  • Jung, Kee Taig;Fan, Jian Cheng;Chen, Wan Yun
    • Health Policy and Management
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    • v.31 no.4
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    • pp.423-436
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    • 2021
  • This article summarizes the structure of China's current social health insurance system and reviews the development status of China's private health insurance (PHI). China's medical security system is mainly composed of two parts: basic medical insurance (BMI) and PHI. Among them, the BMI provides reimbursement of basic medical expenses for the insured persons according to different proportions. PHI is a necessary supplement to the BMI and provides assistance to the insured persons in the event of illness or accident. By having PHI, people can obtain medical protection outside the coverage of BMI. In the development of PHI in China, the total medical cost is high and the insurance market size is large, but the proportion of PHI expenditure is low and the personal burden is high. Through this Chinese case, it will be helpful for mutual development between Korean PHI and national health insurance, for Korean insurance companies to enter the Chinese market, and for removing the medical burden on the people.

Comparison of Position and Trend of Disease Burden in Korea and Organization for Economic Cooperation and Development Countries (한국과 경제협력개발기구 국가의 질병부담 위치와 추이 비교)

  • Yun Hwa Jung;Hye Jin Joo;Eun-Cheol Park
    • Health Policy and Management
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    • v.33 no.2
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    • pp.129-140
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    • 2023
  • Background: This study aims to compare the burden of disease in Korea with other Organization for Economic Cooperation and Development (OECD) countries using the OECD health statistics from 1985 to 2020. Methods: We analyzed potential years of life lost (YLL) per 100,000 population using the Positive value for relative comparison (PARC) index, trend test, and average annual percentage change (AAPC) with logistic regression analysis. Results: The relative disease burden was good for many diseases, but the disease burden was severe for a few diseases in Korea. Diseases with a high relative burden of disease in Korea are as follows; intentional self-harm (YLL2020 575.6, AAPCYLL 2.6%; PARC2020 -1.000, AAPCPARC -15.8%), malignant neoplasms of the liver (YLL2020 136.6, AAPCYLL -3.9%; PARC2020 -1.000, AAPCPARC 0.0%), malignant neoplasms of the stomach (YLL2020 9.0, AAPCYLL 3.2%; PARC2020 -0.556, AAPCPARC -22.9%), Parkinson's disease (YLL2020 575.6, AAPCYLL 2.6%; PARC2020 -1.000, AAPCPARC -15.8%). Conclusion: Diseases with a high burden of disease are needed to be prioritized in the planning and execution of healthcare policies that can contribute to the efficient use of healthcare resources.

A Study on the Application of Swedish Group Home for the Elderly with Dementia in Korea (치매노인을 위한 스웨덴 그룹홈의 우리나라 적용가능성 연구)

  • 최정신;김대년;조명희;권오정
    • Journal of the Korean Home Economics Association
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    • v.38 no.5
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    • pp.153-166
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    • 2000
  • The purpose of this study was to determine the extent to which Swedish group home for elderly people with dementia coed be applied to the situation in Korea. One hundred and ninety six Korean subjects, responsible for supporting a member of their family afflicted with such an illness in their own homes, comprised the sample population for this study. Data was collected using questionnaires. frequency distribution, mean, and chi-square tests were used to analyze the data. The results of this study indicated a great possibility for adapting these kinds of group home in Korea. The respondents showed positive opinions with the basic concepts and space plans of Swedish group homes excepts for some details, like the number of residents per room. The respondents felt that a group home for dementia with the fellowing features was desirable : smart scale, single-family detached house,3-4 rooms, a total of 6-8 residents, managed by non-profit organizations or the government at a monthly cost of 530,000-1,000,000 won. In order to develope these group homes for dementia people in Korea, political assistance, combined with economic support, are strongly needed. The successful establishment of a group home will contribute not only to the welfare of elderly people with dementia but to their families as well.

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Construction Ergonomic Intervention to Reduce Musculoskeletal Disorders in Aluminum Formworkers

  • Kim, Dae Young;Yi, Hak;Lee, Sang Ryong;Kim, Bubryur;Lee, Dong-Eun
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.465-472
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    • 2022
  • Manual material handling is the one of the leading causes for musculoskeletal disorders (MSDs) and lower back discomfort. According to a study, construction formworkers suffer greater rates of muscular injuries and related illness due to manual activities. However, there is still a paucity of information on MSD, preventive posture issues, and corresponding solutions for construction aluminum formworkers. As a result, MSD and disregard of worker health and safety continue to exist at construction sites. Although preventive measures and strategies have been studied in previous research, we believe it is imperative to shed light on this problem through this study. This study aims to 1) implement a simple and cost-effective elevated bench to reduce MSDs, and 2) determine the rapid upper limbs assessment (RULA) and Ovako working posture analyzing system (OWAS) action catagory of workers in different postures to assess their MSD conditions and obtain an optimal position and posture using the Jack human modeling software and simulation tool. The study findings reveal a considerable reduction in MSD discomfort and which posture is acceptable in post-intervention instances.Thus results provide inexpensive and simple ergonomic interventions with favorable RULA and OWAS ratings that can be applied at construction sites. This study demonstrates workstation ergonomic intervention cases that can aid in understanding the urgency of applying existing research strategies into practice.

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A Literature Study on Usage of and Satisfaction Levels with Combined Treatment Including Oriental and Western Medicine

  • Lim, Jung-Hun;Lim, Sung-Min
    • Journal of Pharmacopuncture
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    • v.15 no.3
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    • pp.7-12
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    • 2012
  • Objective: This study aimed to summarize and analyze the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine. Methods: We searched studies on the usage of and the satisfaction levels with combined treatment including Oriental and Western medicine over the past 10 yrs (2001-2011) from 3 Korean databases (National Assembly Library, Research Information Service System, and National Discovery for Science Leaders). The reviewers also conducted a summarizing analysis by sampling the literature according to the type of study, study period, region, study subjects, sample size, type of sampling, research method, data analysis, study instruments, main results, etc. Results: When the main results of six studies on combined treatment usage and satisfaction levels were considered together, the most important decisive factor in determining the usage of combined treatment was the illness of the patient, followed by the patient's occupation, sex, age, education, marital status, religion, treatment cost, and treatment results. In addition, the most important factor that determined satisfaction levels with combined treatment was age, followed by education, religion, income, health status, treatment procedures, staff attitude, and cleanliness. Conclusions: Elderly patients with musculoskeletal, cerebro-vascular, and circulatory system illnesses are more likely to prefer combined treatment over independent Oriental or Western treatment and are more likely to request specialized, adjusted medical care.

A Theoretical Approach of Social Ecological Model for School Health Promotion Program (학교 건강증진 사업을 위한 사회생태학적 모형의 이론적 접근)

  • Jung, Sang-Hyuk;Yoon, Hee-Sang
    • The Journal of Korean Society for School & Community Health Education
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    • v.7
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    • pp.87-99
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    • 2006
  • Objectives: This study is to draw the design of the program which is improve school health promotion participation by applying the Social Ecological Model based on the literature review on the health promotion. Methods: Literature review was carried out based on 5 factors of social ecological model using computer search engines of Google, ProQuest, and Riss4U. Results; Social Ecological Model is consist of individual, interpersonal, institutional/organizational, community, and policy. Individual sphere is drawn from Health Belief Model, interpersonal sphere is Social Support Theory, institutional/ organizational sphere is institutional resources theory, community sphere is community model, and policy sphere is Social Marketing Theory. The literature review show that the important variables affecting health promotion exist in each sphere. Individual sphere has social economic status, age, sex, sensitivity and specificity of illness, self-efficacy. Interpersonal sphere has support and use of family, friend and neighbor. Institutional/Organizational sphere has environment service reliability and utility. Conclusions: Community sphere has distance, neighborhood safety, interrelationship among institutions. Policy sphere has cost, legislation advertisement, lobby and concern and leadership of Institution.

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Ear Acupuncture Treatment for Disaster-Related Trauma: Introduction of the National Acupuncture Detoxification Association (NADA) Protocol (재난트라우마에 대한 이침의 활용 - NADA 프로토콜의 소개)

  • Kim, Da-Woon;Kim, Sang-Ho
    • Journal of Oriental Neuropsychiatry
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    • v.31 no.3
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    • pp.157-168
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    • 2020
  • The number of disasters caused by natural or human-made events such as earthquakes, tsunamis, floods, typhoons, industrial disasters, and the recent outbreak of COVID-19 has increased and the damage caused by such disasters is increasing every year. Disasters can cause physical destruction and also have unexpected psychological impacts, such as post-traumatic stress disorder (PTSD). Ear acupuncture is a treatment modality that can be helpful for both physical and mental health problems. Since ear acupuncture is a cost-effective, flexible, and safe treatment tool, it has the potential to provide medical assistance in disasters. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol, originally developed for addiction treatment, has been used for mental illness and behavioral symptoms in both community health settings and in a variety of disaster, terror, and refugee settings. In this review, we introduced the NADA protocol, including its history, features, training, clinical evidence, and cases in disaster settings, suggesting that the NADA protocol could be utilized as a disaster medical support model in Korean medicine.

Health Education for Health Professionals (보건의료인에 대한 보건교육 정책)

  • Park, Soon-Woo
    • Korean Journal of Health Education and Promotion
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    • v.24 no.4
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    • pp.231-240
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    • 2007
  • The hospital setting provides many opportunities for health promotion. There are many health professionals including physicians, nurses, medical technicians who have close contact with patients and their family. Health professionals are very influential to arouse the awareness about health and illness, and to motivate to change lifestyle among patients. Thus health professionals are most effective and important human resources for health education for patients to improve recovery rates and to promote health. In spite of the importance of health professionals' role in health promotion, the Korean government has provided little support for their health education for patients. Most of the health professionals have not learned about health education theories and skills, and have little attention to educate patients to change their lifestyle. Also the health professionals themselves have relatively poor lifestyle compared with advanced western countries. To improve health education for patients and their family, following strategies and policies should be considered: reinforcing curriculum for health education in college and training course, providing practical incentives for patient education, capacity building for health education and developing guideline for patient education, training health educators, networking and collaborating between community health center and hospitals, promoting the importance of health education among patients, researching and developing health education theory and practice including cost-benefit of health education.

Design of Mobile Telemedicine PDA prototype based on Embedded Linux (임베디드 리눅스 기반의 Mobile Telemedicine PDA prototype 구현)

  • Yun Chan-Young
    • Proceedings of the Korea Contents Association Conference
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    • 2005.05a
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    • pp.151-155
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    • 2005
  • Telemedicine uses common technologies that provide a conduit for information exchange between physicians nurses and patients. In addition to patient records, medical professionals can obtain vital signs and other reference data through telemedicine applications. also, recent advancement in RF technology and wireless communications has enabled the development of Ubiquitous networks. Mobile telemedicine involves more than just communicating via mobile phone of PDA that sends and receives medical data on Portable Internet. this paper describes the design of a mobile telemedicine PDA prototype based on Embedded Linux that can be used to monitor the medical information using a single board computer(SBC). This system would be very useful for patients with chronic illness, especially in an emergent environment, and for containing medical cost in the aged society.

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