• Research in Community and Public Health Nursing
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• v.4 no.2
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• pp.117-130
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• 1993

There has been a rapid growth in Korea since 1962 because of the success of the 5-year Economic Plan. The number of industrial work and workers has also made had a rapid increase. Consequently, the management of occupational health for the purpose of promoting health in industrial workers is needed especially in the health examination program. The purpose of this study was to analyze the Knowledge, and Attitude among industrial workers of health examination programs. The target population was 402 industrial workers from 4 factories in Kangwon province. A survey was conducted to collect data by a self administered questionnaire from October 29 to November 5. A sixty four item questionnaire was designed to collect data concerning Knowledge, and Attitude of health examination of industrial workers. The data was analyzed by means of percentage, mean, T-test, ANOVA, Pearson's correlation coefficient. The major findings were as follows : 1. The respondents presented the following picture : The male population was 88%. 57% of respondents were age 25-34 years old. 69.4% of respondents were married. 73.4% of respondents were high school graduates. 80.8% of the respondents were working over 48 hours per week. The respondents with over 10 years on the job were 31.9% of the respondents. Health examination were given to the respondents as: pre-employment health examination 90.5%, general health examination 91.5%, and special health examination 31.5%. 2. The Knowledge level was different in health examination items. 80.5% of respondents had knowledge about hearing test, body weight, visually, chest X-ray like simple things. Below 50% of respondents had knowledge of urine test, liver function test, and career history. 3. Attitude status about health examination showed an average score 36.5(median 33) of satisfaction, 26.93(median 21) of importance, 13.84 (median 21) of content, 10.46(median 12 of reliability on health examination results. 4. The level of Attitude on health examination was significantly different than the Knowledge level. 5. The relationship among stated variables such as satisfaction, the perceptions of importance on health, health examination, the result and follow up after health examination were shown to reflect neither positively nor negatively on each other.

• Korean Journal of Health Education and Promotion
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• v.3 no.1
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• pp.83-98
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• 2001

Although periodic health examination has been one of the most common practices of preventive medicine, its effect on modification of risk behavior has been seldom assessed. Thus, this study attempted to demonstrate the influence of a health examination on modification of cardiovascular disease related health risk behaviors such as smoking, physical inactivity, and obesity. Data of 893 adults were derived from two types of a popular and highly acclaimed health examination program. With a conceptual model constructed using Persuasive Communication variables, McNemar tests examined Source-Outcome association, hypothesizing that different health examination programs would yield different levels of behavior change in smoking, physical inactivity, and obesity. No significant behavior change was found in any of the two health examination programs. Instead, previously established Receiver-Outcome relationship was reconfirmed by logistic regression modeling where gender was the most prominent predictor of all three behaviors. Men were more likely to be current smokers (OR=0.029), exercisers (OR=2.629), and obese (OR=0.237). The importance of followups after health examination is highly stressed as well as that of gender-specific health education strategies. This study recommends applying the social-ecological approaches in health examination, which emphasizes the support and collaboration at individual, family, organizations, community, and policy level to improve health. Long term and qualitative evaluation of health examination may provide more foundation for increasing the effectiveness of health education and communication in health examinations.

• Quality Improvement in Health Care
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• v.12 no.1
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• pp.40-51
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• 2006

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

• Journal of The Korea Institute of Healthcare Architecture
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• v.18 no.4
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• pp.53-65
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• 2012

Purpose: With the increasing national interest in health, the number of health examination centers is growing rapidly, and it is growing as independent medical institutes separated from hospitals. With the growing functions and size of health examination institutes, considerations for testees, who are the most important users of the health examination centers, have taken the back seat. In particular, for health examination programs that take on a sequential traffic line, it is important to be aware of the space of each examination room, but the lack of a scientific evaluation method for this has resulted in great discomforts for testees using the health examination center. Method: Thus, this study proposes risk evaluation indices (RCF TCF, RC3, RR, ARR), and set a standard health examination program based on the national health examination program. This was applied to 11 different sized health examination centers to find their features, and together with identifying the trends of the indices, the following results were deduced. Result: 1) ARR showed a wide-range feature as the number of unit spaces increased, while RR were discovered regardless of the size, thus displaying local features. 2) The increase of ARR is affected more by internal factors in the health examination center than from outside factors. 3) By gender, when separating the basic health examination fields, the connective relation of the comprehensive health examination fields had a big effect on ARR. 4) By becoming larger, the fields of function become independent and the waiting space that results from it increases the number of total movement, so there is space for improvement in this.

• Journal of Digital Convergence
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• v.10 no.9
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• pp.397-407
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• 2012

This study aims to develop the methods for effective managing national health screening patients in the health examination center using digital data from national health screening in Dae-Jeon health examination center. To achieve this, we collected about national health screening for 10 years from 2002 to 2011 in Dae-Jeon health examination center and developed re-examination predictive model, private examination predictive model and stomach cancer examination predictive model for national health screening patients by using this data. According to the predictive model results, age, residence, group or individual health examination and the previous number of national health screening were statistically associated with re-examination, private examination, stomach cancer examination. We came up with a plan for health examination center system based on the predictive model and logic in Dae-Jeon. Customized service based on patient management system for national health screening will contribute to efficiency in health examination center.

• Korean Journal of Adult Nursing
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• v.18 no.2
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• pp.261-271
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• 2006

Purpose: The purpose of this study was to investigate factors that have influence on a health examination among the middle aged living in Busan. Method: The survey was conducted with 235 participants who were the parents of students of five nursing schools in Busan, living in Busan, and subjects to a health examination under the National Health Insurance Corporation. The data was collected from September to November 2004 using a structured self-administered questionnaire that contained general characteristics, characteristics related to a health examination, and health belief variables. Collected data were analyzed using SPSS/WIN 10.0. Results: Among the subjects, 122(51.9%) had performed a health examination in the past, and 113(48.1%) had not. Variables that have a significant influence on getting a health examination were: previous disease experience, perceived barrier and perceived seriousness. Those who did not have previous disease experience(2.6 times) and whose perceived seriousness was high(1.1 times) were more likely to have a health examination, and those with perceived barrier high(0.9 times) were less likely. Conclusion: Therefore, to increase the rate of health examinations, it is necessary to advertise the importance of health examinations particularly for the people who had disease experience and the seriousness of target diseases; and furthermore, to remove barriers of a health examination.

• Health Policy and Management
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• v.24 no.3
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• pp.261-270
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• 2014

Background: This study examined what factors affected a complete examination of infant health checkup. Methods: We used Korean national health insurance claim data of 2,936,650 infants, taking examination in 2012. These claim data included enrollment status of householders and records of infant health checkup from 2008 to 2013. Results: Our results shows that for infant characteristics, the likelihood of complete examination of infant health checkup is significantly lower in female, older aged, and handicapped ones. For householder characteristics, the likelihood of complete examination of infant health checkup is also significantly lower in female, older group and self-employed ones. For household characteristics, the likelihood of complete examination is also significantly lower in single-parent families, multi-cultural families, parent with unexperienced health checkup and lower monthly premiums. Conclusion: It is necessary to support an additional use-guide and follow-up management services to improve incomplete examination of infant health checkup.

• Korean Journal of Occupational Health Nursing
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• v.9 no.1
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• pp.30-38
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• 2000

This study was carried out to investigate what factors affect satisfaction of periodic health examination undertaken by employees. The purpose of the study was to improve quality of periodic health examination and to increase the rate of workers participation in the screening test. The content of questionnaire was designed with focus on the satisfaction and attitude on the periodic health examination. Data were analyzed with 212 males, 181 females among 393 samples who took periodic examination at a general hospital in Seoul. Korea. The results were as follows: 1. Respondents were mainly in the thirties(42.7%), married(58.5%), more than 3 years working experiences(66.7%) and employed in Sales & Customers service industry(60.1%). 2. There were significant differences in the scores of satisfaction by general characteristics among the respondents. The highly educated and the single showed higher satisfaction on the periodic health examination than other respondents. 3. The scores of satisfaction in periodic health examination showed highly influenced by level of age, work duration, level of knowledge to the health screening and income. Based on the results, this study concluded that the periodic health examination might be necessary to modify its items according to the clients characteristics and their individual demands for maintenance of healthy life.

• Health Policy and Management
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• v.24 no.1
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• pp.35-46
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• 2014

Background: This paper describes the relationship and effect of health examination on personal medical cost by identifying the difference of the cost for medical care in physician visit between the population without and with health examination. Methods: After classifying into three cohorts in which, independent variables were designed according to the Andersen's behavioral model, the association of personal medical cost for medical care and prescription drugs which is dependent variable was analyzed by t-test and Mann-Whitney test for description and gamma regression model for inference. Results: In personal average medical cost, the population with health examination paid significantly more than without health examination, 11.6% more in cohort 2008, 26.6% more in cohort 2009, and 48.0% more in combined cohort. The odds ratio on medical expenditure of outpatients with health examination was 1.067, 1.126, 1.398 significantly in cohort 2008, 2009, and combined cohort respectively, comparing to the group without health examination. In independent variables, that is female, the elderly, never married, non-working, non-metropolitan, the higher family income, the smaller family size, people with disability, the people with chronic disease, and people with health examination have significantly being paid more tendency showing positive association with medical cost. Conclusion: This result showed that medical expenditure in physician visit has been increased after taking a health examination. Therefore reasonable limitation of getting preventive medical service is suggested to avoid medical shopping around and reduce being repeated health examination by unifying control to find out easily the clinical results from various medical facilities.

• Child Health Nursing Research
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• v.11 no.3
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• pp.308-315
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• 2005

Purpose: This descriptive study was conducted to examine the status of the health examination in child care centers. Method: The participants in this study were 631 child care centers. A self report questionnaire on health examination which has been examined for content validity, was distributed by mail to 2,000 child care centers using randomized sampling. Result: Of the sample, $76.2\%$ child care centers had done health examination for children. Height & weight, urinalysis, dental check, anemia test and visual acuity were the most frequently performed items. The rate for maintaining a health record was highest in the national/public child care centers. Child care centers more closely related to community health centers, showed higher rates of health examination. Conclusion: Health care personnel and financial aids should be provided for child care centers to enhance the level of health management of children.