Background: Cancer imposes significant economic challenges for individuals, families, and society. Households of cancer patients often experience income loss due to change in job status and/or excessive medical expenses. Thus, we examined whether changes in economic status for such households is affected by catastrophic health expenditures. Materials and Methods: We used the Korea Health Panel Survey (KHPS) Panel $1^{st}-4^{th}$ (2008-2011 subjects) data and extracted records from 211 out of 5,332 households in the database for this study. To identify factors associated with catastrophic health expenditures and, in particular, to examine the relationship between change in economic status and catastrophic health expenditures, we conducted a generalized linear model analysis. Results: Among 211 households with cancer patients, 84 (39.8%) experienced catastrophic health expenditures, while 127 (40.2%) did not show evidence of catastrophic medical costs. If a change in economic status results from a change in job status for head of household (job loss), these households are more likely to incur catastrophic health expenditure than households who have not experienced a change in job status (odds ratios (ORs)=2.17, 2.63, respectively). A comparison between households with a newly-diagnosed patient versus households with patients having lived with cancer for one or two years, showed the longer patients had cancer, the more likely their households incurred catastrophic medical costs (OR=1.78, 1.36, respectively). Conclusions: Change in economic status of households in which the cancer patient was the head of household was associated with a greater likelihood that the household would incur catastrophic health costs. It is imperative that the Korean government connect health and labor policies in order to develop economic programs to assist households with cancer patients.
The geriatric population is at a greater risk of postoperative complications than young adults. This risk is associated with the physiologic decline seen in this population known as frailty. Unlike fitter patients, frail patients who undergo operative treatment have a greater likelihood of developing postoperative complications and endure prolonged hospital stays. This circumstance is comparable to the urological status. Therefore, tolerable measurement of frailty as a domain of preoperative health status has been suggested to ascertain vulnerability in elderly patients. In this review, we will elaborate on the concept of frailty and examine its importance with respect to surgical complications, focusing on the urological status.
The purposes of this study were to show general trends in the aspects of psychological family environment (parental communication), peer factor, academic performance factor, depression perceived by adolescents and to examine possible changes in such trends in accordance with demographic variables and the family structure environment (parental marital status, family economic status, and parents' education level), and then to determine the effect of these variables on adolescents' depression. The subjects were 1009 middle and high school students in Seoul and Gyeonggi province. The main results were as follows: 1) Paternal communication was significantly lower in technical high school students, divorced/ separated parents, and families of lower economic status. Maternal communication was significantly lower in male students, divorced/sepa-rated parents, and families of lower economic status. Academic performance problems was significantly higher in males, technical high school students, divorced/ separated parents, families of lower economic status, and a less educated father. Peer relations was significantly lower in students of divorced / separated parents, and of families of lower economic status. Depression was significantly higher in technical high school students, divorced / separated parents, and families of lower economic status. 2) In the case of male students, paternal communication had both a direct and an indirect negative effect through peer relations on depression, while academic performance problems had both a direct and an indirect positive effect through peer relations on depression. Both peer relations and maternal communication had a positive and a negative direct effect on depression. School grade had both a direct and an indirect negative effect through paternal communication on depression. Parental marital status(divorced or separated) had both a direct and an indirect positive effect through academic performance problems on depression. Family economic status had only an indirect effect on discussed.
The purpose of the study was to examine health status and mini nutritional assessment (MNA) according to self-esteem status of elderly in care hospital. The survey was carried out from $13^{th}$ to $31^{st}$ of September, 2014 in five care hospitals. Analysis was performed for 226 subjects. Evaluation criteria included demographics, clinical status, MNA, health-related quality of life (EQ-5D) and self-esteem. The SE I, SE II and SE III groups were divided by self-esteem scores. Data were analyzed one-way ANOVA, Duncan' multiple range test and Pearson's correlation using SPSS 15.0. Education level, religion, dental condition and medical endurance type were significantly different in all groups. Many elderly people were normal BMI ($20.94{\sim}21.67kg/m^2$). Self-esteem significantly increased in order of SE I, SE II and SE III. Mobility, usual activity and anxiety or depression were significantly different in all groups, and EQ-5D of SE II and SE III groups were significantly higher than that of SE I group. Comparison of MNA screening score in elderly patients was as follows : Score for food intake, psychological stress or acute disease, neuropsychological problems, pressure scores or skin ulcer, protein intake, mode of feeding, nutritional status and health status in SE I group were significantly lower than those of SE II and SE III groups. Mobility and drug intake of SE I group were significantly lower than those of SE III groups. Fruit and vegetable intake SE I group were significantly higher than those of SE II and SE III groups. MIS (Malnutrition Indicator Score) was significantly different among the SE I, SE II and SE III groups. We conclude that self-esteem score is positively correlated with protein intake, nutrition status, health status and MIS in elderly care hospital. To improve nutritional status of elderly in care hospitals, systematic nutrition management and self-esteem education program should be implemented.
Objectives: The purpose of this study is to examine correlation between subjective oral health status and oral-related appearance satisfaction of college students. 100 college students at a college located in Gyeonggi-do participated in the survey, oral examinations, and self-rated oral hygiene management ability tests. The data was then analyzed accordingly. Methods: Frequency test and chi-square statistical analysis were conducted on general characteristics and subjective oral health status, and SAS version 9.2 was used. Results: As a result of this study, students' subjective perceptions about oral health had positive correlation with oral-related appearance(p <0.05). It is noteworthy that those who responded on 'satisfactory' oral health status indicated that 16% 'unsatisfactory', 28% 'average' and 68% 'satisfactory' on oral-related appearance. Students' self-rated oral hygiene management ability and irregular teeth conditions were also found relevant in causing discomfort in interpersonal activities, whereas students responded 'satisfactory', 0.00%; 'average', 31.82%; 'unsatisfactory' 68.18% (p <0.05). Conclusion: This study suggests that oral-related appearance can have an impact on oral health status and that oral-related appearance can be a contributing factor to improve oral health status and therefore results in promotion of general health. In the future, further research should be considered about perception on oral-related appearance, oral health status and any resulting behavior changes.
Objectives: About for twenty years, immigrant women in South Korea have steadily increased due to economic growth and industrialization. According to previous studies in terms of immigrants, subjective socio-economic status(SES) as well as objective SES such as income, occupation and level of education predict health outcomes. The purpose of this study was to examine association between subjective social status and perceived health among immigrant women. Methods: We analyzed 12,531 participants from the 2012 National Survey of Multicultural Families. Study variables included subjective SES in Korea, subjective SES in community and perceived health. Control variables were age, household income, employment, education, marital status, ethnicity, language proficiency. For this study, descriptive analysis, Chi-square test, and multivariate logistic regression analysis were performed. Results: Among immigrant women, after adjusting for control variables, level of education in community was not associated with perceived health. Otherwise, subjective social status in Korea(low subjective social status reference group vs high subjective status : OR 2.056) was associated with perceived health. Conclusions: Immigrant women in Korea would be culturally affected by inherent characteristic rather than social economic status. Through this study, in order to improve health inequality among immigrant women, we should consider developing social supports and networks.
The purpose of this study was to examine the current status of the use of bike parking lots in apartment complexes located in Gwangju Metropolitan City. The results were as follows. While common respondents answered the use of a bike for leisure or health, relatively few respondents answered a means of transportation such as going to school or work. It suggests that systematic plans to expand the range of using a bike should be made such as the connection of an apartment complex with a bike road. The common places to keep bikes were the entrance, the inside of the house, or stairs rather than bike parking lots because of safety problems such as theft or damage. In this regard, it is necessary to prepare clear regulation guidances to complement the safety problems of bike parking lots such as CCTV installation in the parking lots or compulsory installation of night lighting. Based on the findings, the methods to improve a bike parking lot should consider safety solutions and the complement of locations or keeping types. To activate the use of a bike, it is necessary to improve facilities to help residents' use of bike parking lots and expand their size in the future and examine the design of bike racks.
This thesis mainly studies the Commercial Mediation System in China and its Implications to Korea. Commercial mediation is an important dispute settlement method, however there are more studies on the issues of arbitration than the ones on mediation. Commercial mediation emerges From the tide of economic activity, needing an earnest research and to be developed. Business mediation law has been enacted in some nations like USA, but in Korea, there is no law in mediation field to follow. To set up business mediation law is necessary and urgent as well as feasible. This thesis first introduces the mediation of the general meaning including concept, makes a research concerning the sorts of the mediation, compares the effect of different kinds of mediation, and studies the current status of use of mediation in other countries. Than introduces current status of use of mediation in China, and examine mediation system in China. Through this studies, the writer no that there is almost equal problem in China comparing to Korea. So than examine how Chinese government make countermeasures to cover their problems, and give Korean government several implications that can learn from China.
The purpose of this study was to compare the health status of South Korea with those of Organization for Economic Cooperation and Development (OECD) countries and examine the trends. Position vAlue for Relative Comparison (PARC) was used as a gauge for comparison, and five sectors of the health care system were measured: demand, supply, accessibility, quality, and cost. The Mann-Kendall test was used as a statistical analysis method to examine trend of PARC values obtained from 2000 to recent years. According to the results, the demand, supply, accessibility, and quality sectors were higher than the OECD average, while the cost was lower than the average. However, there is a recent trend of sharp increases in health care costs. Some indicators: health employment, quality of primary care and mental health care were lower than the OECD average, and health determinants showed a worsening trend. Therefore, policy-makers need to take this into account and make efforts for sustainable health care.
Purpose: The purposes of this study were to explore the concept of uncertainty and to examine the relationships among uncertainty, appraisal of uncertainty, depression, anxiety, and perceived health status in patients with atrial fibrillation. Method: The study utilized a descriptive correlational survey design using a face to face interview method. A convenience sample of 49 subjects were recruited from K university hospital over 8 months. The data were analyzed by t-test, ANOVA, Pearson correlation and partial correlation analysis. Results: 1) Subjects perceived with moderately high uncertainty(M=65.98); moderate physical health(M=39.80), mental health(M=47.38), and general health(M=2.94); moderate anxiety(M= 44.78); and slightly low depression(M=15.33). 2) There were significant differences in uncertainty by gender and education. 3) Uncertainty and danger appraisal were significantly correlated(r=.32, p=.03) while the uncertainty was not associated with opportunity appraisal. 4) Uncertainty was significantly correlated with mental health(r=-.31, p=.04), anxiety(r=.38, p=.01), and depression(r=.37, p=.01). Conclusion: This study was the first trial to explore uncertainty and to examine the relationships among its associated factors in Korean patients with atrial fibrillation. Thus, based on the findings of this study, directions for nursing practice and further nursing research for patients with atrial fibrillation were suggested.
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