• Title/Summary/Keyword: health gap

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The Implications on Healthcare System of the Unified Korea: Lesson from System Integration Countries (체제통합국 건강지표 비교를 통한 통일 후 보건의료에 대한 시사점)

  • Jun, Yeong;Huh, Sung-Eun;Lee, Joo Eun
    • Health Policy and Management
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    • v.30 no.3
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    • pp.301-310
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    • 2020
  • Background: In this study, we aimed to investigate the recent trends for health care indicators including maternal mortality ratio, infant mortality rate, under-five mortality rate, life expectancy, years of life lost, and healthcare resources in South Korea, North Korea, Germany, Russian Federation, Mongolia, Vietnam, China, Czech Republic, Poland, and Hungary. Methods: We used data from five sources: World Health Organization, Federal Institute for Population Research, World Bank, Organization for Economic Cooperation and Development health statistics, and national statistics. Results: In the early 1990s, health indicators continued to improve in countries that switched to the health insurance system, but the gap widened in North Korea as health indicators worsened. Conclusion: The establishment of a sustainable health care system after unification of the Korean peninsula requires substantial changes in the health care system and efforts to improve the health of North Koreans.

The National Health Plan 2030: Its Purpose and Directions of Development

  • Oh, Yumi
    • Journal of Preventive Medicine and Public Health
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    • v.54 no.3
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    • pp.173-181
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    • 2021
  • The National Health Plan 2030 (HP2030) started to be prepared in 2017 and was completed and announced in December 2020. This study presents an overview of how it was established, the major changes in policies, its purpose, and future directions. This study analyzed the steps taken in the past 4 years to establish HP2030 and reviewed major issues at the international and governmental levels based on an evaluation of HP2020 and its content. HP2030 establishes 6 divisions and 28 topic areas, and it will continue to expand investments in health with a total budget of 2.5 trillion Korean won. It also established goals to enhance health equity for the first time, with the goal of calculating healthy life expectancy in a way that reflects the circumstances of Korea and reducing the gap in income and healthy life expectancy between regions. The establishment of HP2030 is significant in that it constitutes a sustainable long-term plan with sufficient preparation, contains policy measures that everyone participates in and makes together, and works towards improvements in universal health standards and health equity. With the announcement of HP2030, which includes goals and directions of the national health policy for the next 10 years, it will be necessary to further strengthen collaboration with relevant ministries, local governments, and agencies in various fields to concretize support for prevention-centered health management as a national task and to develop a health-friendly environment that considers health in all policy areas.

Korea National Oral Health Survey Systems and recent oral health status in children (한국 공공의료 구강건강조사 체계 및 아동의 구강건강 현황)

  • Choi, Youn-Hee
    • The Journal of the Korean dental association
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    • v.58 no.1
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    • pp.28-37
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    • 2019
  • This study aimed to introduce what Korea national oral health surveys are and examine recent oral health status in Korean children. Korea Government has implemented national oral health-related surveys during the past two decades. The surveys with oral health examination are Korean Children's National Oral Health Survey (KCNOHS) since 2000 in 5-year-old and 12-year-old children and Korea National Hhealth and Nutrition Examination Survey (KNHANES) since 2007 aged 1 year and more. KCNOHS provides the information about the distribution of prevalence of dental caries, gingival health, behavioral factors, and dental clinic demands etc. KNHANES has huge amount of health data for representative Korean population including oral health and general conditions. Based on KCNOHS, the prevalence of dental caries and its experience has decreased steadily, and the status of oral hygiene and preventive treatment called sealents has been also improved after the year of 2000. However, there is still a gap to reach to those of Western developed countries. Therefore, more effective oral health policy plans and strategies for Korean children and adolescents are needed to prevent and manage for dental caries in private and clinical field of dentistry with public sector.

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The relationship between socioeconomic status and oral health inequality in the elderly in Korea (한국 노인의 사회경제적 위치와 구강건강 불평등)

  • Jung, Eun-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.22 no.5
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    • pp.417-424
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    • 2022
  • Objectives: This study aimed to find a way to solve oral health inequality in old age by understanding the effect of the socioeconomic level of the elderly on oral health. Methods: We used data from the 7th Korea National Health and Nutrition Examination Survey. A chi-square test was performed to investigate differences in oral health according to socioeconomic status and demographic and oral health-related factors. Socioeconomic status and oral health inequality were analyzed using multiple logistic regression. Results: The average number of teeth in the elderly was 17.20, which is insufficient for the minimum number of teeth required for mastication. In the analysis of the correlation between socioeconomic status and oral health inequality, education level, income level, and home ownership were factors influencing the oral health of the elderly; education level was found to have the strongest effect. Conclusions: Oral health inequality according to socioeconomic status was confirmed, and it is necessary to measure the level of oral health inequality with active efforts at the government level to resolve the gap in oral health by social class.

The Influence of Family Structure and Sex on Health Status (성별에 따른 가구형태가 건강상태에 미치는 영향)

  • Jeon, Gyeong-Suk;Lee, Hyo-Young
    • Journal of Korean Public Health Nursing
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    • v.23 no.2
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    • pp.162-173
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    • 2009
  • Purpose: This study investigated the health and socioeconomic status of single-parent and partnered families, and examined the intersection between sex and single-parent status focusing on inequalities of health and socioeconomic status. Methods: This was a cross-sectional study using the data from the nationally representative 2005 Korean National Health and Nutrition Examination Survey. A total of 14,827 respondents had custody of their own children and other family members (13,943 were coupled families and 891 were single-parent). Results: Our result indicate that single-parent had poorer health status and were more likely to have lower educational attainment, lower household income, no home ownership and be unemployed. However, the association between single-parent status and socioeconomic and health inequality were in divergent ways according to sex. The most socioeconomically disadvantaged were single-parent women. Inequalities in health differ markedly by sex but vary little according to single-parent status. Conclusions: An uneven distribution of socioeconomic resources might help us to understand why single-parent, both women and men, have worse health than parents who live together. Previously recognized sex gap with regard to health status also might help us to understand the difference in health between single-parent men and single-parent women found here.

Utility of Multidetector Computed Tomographic Angiography as an Alternative to Transesophageal Echocardiogram for Preoperative Transcatheter Mitral Valve Repair Planning

  • Craig Basman;Caroline Ong;Tikal Kansara;Zain Kassam;Caleb Wutawunashe;Jennifer Conroy;Arber Kodra;Biana Trost;Priti Mehla;Luigi Pirelli;Jacob Scheinerman;Varinder P Singh;Chad A Kliger
    • Journal of Cardiovascular Imaging
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    • v.31 no.1
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    • pp.18-23
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    • 2023
  • BACKGROUND: Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic. METHODS: We retrospectively analyzed data on patients who underwent or were evaluated for TMVr for dMR with preoperative MDCT and TEE between 2017 and 2019. Two TEE and 2 MDCT readers, blinded to patient outcome, analyzed: leaflet pathology (flail, degenerative, mixed), leaflet location, mitral valve area (MVA), flail width/gap, anterior-posterior (AP) and commissural diameters, posterior leaflet length, leaflet thickness, presence of mitral valve cleft and degree of mitral annular calcification (MAC). RESULTS: A total of 22 (out of 87) patients had preoperative MDCT. MDCT correctly identified the leaflet pathology in 77% (17/22), flail leaflet in 91% (10/11), MAC degree in 91% (10/11) and the dysfunctional leaflet location in 95% (21/22) of patients. There were no differences in the measurements for MVA, flail width, commissural or AP diameter, posterior leaflet length, and leaflet thickness. MDCT overestimated the measurements of flail gap. CONCLUSIONS: For preoperative TMVr planning, MDCT provided similar measurements to TEE in our study.

모든 병의 타깃, 만성질환 - 당뇨병, 왜 위험한가?

  • Heo, Gap-Beom
    • 건강소식
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    • v.34 no.4
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    • pp.16-17
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    • 2010
  • 지금처럼 흔하지 않았지만 당뇨병의 역사는 생각보다 깊다. 고대 테베스의 묘지에서 발견된 파피루스에도 '극도의 다뇨'라는 사인(死因)이 기록되어 있을 정도로 이미 기원전부터 인류를 괴롭혀왔다. 그렇다면 당뇨병이 사람들에게 크게 관심을 받기 시작한 것은 언제부터일까? 그리고 당뇨병은 얼마나 위험한 병일까?

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