• 제목/요약/키워드: e-Health literacy

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유전의료시대의 "맞춤의학" (Challenge of Personalized Medicine in the Genomic Era)

  • 김현주
    • Journal of Genetic Medicine
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    • 제5권2호
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    • pp.89-93
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    • 2008
  • "Personalized medicine," the goal of which is to provide better clinical care by applying patient's own genomic information to their health care is a global challenge for the $21^{st}$ century "genomic era." This is especially true in Korea, where provisions for clinical genetic services are inadequate for the existing demand, let alone future demands. Genomics-based knowledge and tools make it possible to approach each patient as a unique biological individual, which has led to a paradigm-shift in medical practice, giving it more of a predictive focus as compared with current treatment oriented approach. With recent advancements in genomics, many genetic tests, such as susceptibility genetic tests, have been developed for both rare single gene diseases and more common multifactorial diseases. Indeed, genetic tests for presymtomatic individuals and genetic tests for drug response have become widely available, and personalized medicine will face the challenge of assisting patients who use such tests to make appropriate and wise use of genetic risk assessment. A major challenge of genomic medicine lies in understanding and communicating disease risk in order to facilitate and support patients and their families in making informed decisions. Establishment of a health care system with provisions for genetic counseling as an integral part of health care service, in addition to genomic literacy of health care providers, is vital to meet this growing challenge. Realization of the promise of personalized medicine in the era of genomics for improvement of health care is dependent on further development of next generation sequencing technology and affordable sequencing test costs. Also necessary will be policy development concerning the ethical, legal and social issues of genomic medicine and an educated and ready medical community with clinical practice guidelines for genetic counseling and genetic testing.

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Cancer News Coverage in Korean Newspapers: An Analytic Study in Terms of Cancer Awareness

  • Min, Hye Sook;Yun, E Hwa;Park, Jinsil;Kim, Young Ae
    • Journal of Preventive Medicine and Public Health
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    • 제53권2호
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    • pp.126-134
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    • 2020
  • Objectives: Cancer diagnoses have a tremendous impact on individuals and communities, drawing intense public concern. The objective of the current research was to examine news coverage and content related to cancer-related issues in Korean newspapers. Methods: Primarily using the database system of the Korea Press Foundation, we conducted a content analysis of 2806 articles from 9 Korean daily newspapers during a recent 3-year period from 2015 to 2017. Thematic categories, the types of articles, attitudes and tone, and the number of sources in each article were coded and classified. Results: Many news articles dealt with a diverse range of themes related to cancer, including general healthcare information, the latest research and development, specific medical institutions and personnel, and technology and products, which jointly accounted for 74.8% of all articles. Those thematic categories differed markedly in terms of article type, tone, and the number of cited sources. News articles provided extensive information about healthcare resources, and many articles seemed to contain advertising content. However, the content related to complex social issues such as National Health Insurance did not include enough information for the reader to contextualize the issues properly or present the issues systematically. Conclusions: It can be assumed that the media exert differential influence on individuals through news coverage. Within the present reporting framework, the availability and usefulness of information are likely to depend solely on individuals' capabilities, such as financial and health literacy; this dependency has a negative impact on knowledge gaps and health inequities.

전라도 농촌장수지역 거주 70대 노인의 건강상태에 영향을 미치는 환경적 요인에 대한 탐색 연구 (Investigation on Influencing Environmental Factors on Health Status of Korean Septuagenarians Dwelling in Longevity Region in Jeonla Province)

  • 곽충실;연미영;이미숙;오세인;박상철
    • 대한지역사회영양학회지
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    • 제19권2호
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    • pp.142-162
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    • 2014
  • Objectives: To evaluate the critical environmental factors on healthy-aging of Korean people, we investigated the significant factors influencing health status of septuagenarians living in rural area of Jeonla province, known to be one of the representative longevity regions in Korea. Methods: We divided subjects into healthy group (36M/25F) or poor-health group (26M/73F) based on self-reported health status, body mass index, a number of prescription, and blood test data. General characteristics, physical measurements, lifestyle, dietary behavior and nutrient intake, physical health and mental health data were statistically compared between the two groups. Results: Average age was not different between healthy group and poor-health group in men and women, respectively. In men, significantly favorable factors to health were observed to be higher education, regular exercise, higher grip strength and walking function, body mass index (${\geq}18.5kg/m^2$), moderate frequency of drinking and eating-out, non-smoking, normal red blood cell (RBC) count, higher serum dehydroepiandrosterone-sulfate (DHEAS) level, good digestive function and appetite, normal hearing function, regular meals, adequate vegetable and fruit intake, diverse food intake, adequate energy and nutrients (protein, vitamin $B_1$, $B_6$, C and E, folate, niacin, P, Zn and K) intake, higher mini-nutrient status assessment (MNA) score and low level of depression. On the other hand, in women, those were literacy, living arrangement, moderate frequency of drinking, healthy teeth, higher grip strength and walking function, bone mineral density, normal RBC and white blood cell (WBC) count, higher DHEAS concentration, higher MNA score, normal cognition and memory function, having snack and adequate fruit intake. Conclusions: These results could be useful to plan effective strategies to increase health-life expectancy of Korean old people living in rural areas.

지역정보화와 장· 노년층의 노인사회활동(노인일자리) 지원사업 참여의지에 관한 연구 - 경제활동을 조절변수로- (A Study of Local Informatization and Elderly Social Activity(Employment) Programs Participatory Intention: Economic Activity as a Moderating Variable)

  • 이미숙;김희섭;홍순구
    • 한국산업정보학회논문지
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    • 제21권6호
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    • pp.53-69
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    • 2016
  • 본 연구의 목적은 장 노년층의 노인 사회활동 지원사업 참여의지에 영향을 미치는 요인을 분석하고 연구 결과에 대한 함축적 의미를 파악하고자 함이다. 이를 위해 먼저, 국내외 노인 사회활동 지원사업과 지역정보화에 대한 선행연구를 한 다음, 장 노년층의 노인 사회활동 지원사업 참여의지에 영향을 미치는 요인을 지역정보화 만족도, 건강 만족도, 경제 만족도, 및 인적관계 만족도로 구성된 설문항목을 설정하였다. 데이터 수집을 위해 정보화교육에 참가한 경험이 있는 전국의 장 노년층을 대상으로 방문설문을 하거나 온라인 설문을 실시하였다. 333개의 유효표본을 통해 분석한 결과, 지역정보화 만족도와 건강 만족도가 노인 사회활동 지원사업 참여의지에 통계적으로 유의한 영향을 미치는 것으로 나타났다. 특히 경제활동을 조절변수로 하여 경제활동을 하고 있는 집단과 경제활동을 하고 있지 않은 집단으로 나누어 분석한 결과, 경제활동을 하고 있는 집단에서는 건강만 허락한다면 지속적 참여의지가 있는 것으로 나타났고, 경제활동을 하고 있지 않은 집단에서는 건강 만족도뿐 만 아니라 지역정보화 만족도까지 중요한 영향요인으로 나타났다. 따라서 지역경제활동 활성화를 위한 지역혁신과 노인 사회활동 지원사업에 참여의지가 있는 장 노년층을 위하여 지역정보화가 선행되어야 하고 또한 지역정보화 만족도를 향상시켜야 할 것이다.