• Health Policy and Management
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• v.28 no.3
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• pp.202-209
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• 2018

Health care has two different facets. One is commodity and another is a right of human being. Health care as a commodity is utilized by demand approach in market. Demand is determined by economic factors such as price and income. From the last third of the 19th century until the early 1920s, priority of sickness insurance was replacing the income that workers lost as a result of illness and injury. By the 1920s, the capacity of applied biological and medical science was remarkably developed. Development of medical science stimulated the cost of medical care, and the burden of increased medical care cost required new role of medical care security system. In 1942, Beveridge report was published in United Kingdom, and health care was considered as a right of human being. In 1948, United Nations declared heath care as a right in the Universal Declaration of Human Right. In most countries introduced new medical care security policy based on health care as a right. The viewing health care as a commodity must be shifted toward need based care as a right. Need were understood to rest on demographic, epidemiological, scientific, and medical knowledge factors. Bring needed care to the population could best be achieved institutionally by a hierarchy of provider organizations, guided by planning bodies, which would provide comprehensive benefits. In Korea, health care in social health insurance (SHI) is considered as a commodity not a right. However, health policies under SHI must be need approach based on health care as a right. Mismatch between health policies and ideology of SHI made big troubles. It is important to realize ideology of SHI for good health policies.

• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.143-156
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• 2008

Purpose: It is important to identify problems in elders' health through health examination as a part of health service for elders and to execute health education so that elders have appropriate abilities to manage and protect themselves. This study was attempted to assess the need of health education in the elderly and to analyze factors affecting the need of health education. Method: The participants in this study were 354 elderly people living independently in the Jeju Special Self-Governing Province of Korea, and a questionnaire survey was conducted through personal interviews from June 25 to July 26, 2007. The methodology was a descriptive study. Data were collected and analyzed using SPSS Win 12.0. Results: As for the contents of education, elders preferred most the area of 'prevention and management of elderly diseases.' Detailed education contents preferred by elders were the prevention of accidents, diet habits, exercise and weight management, mental health and stress management, complementary and alternative therapies, management of drinking and smoking, etc. Conclusion: According to elders' concerns and needs, systemic health education for the elderly should provide right health knowledge, health maintenance, health promotion and setting of appropriate health education.

• Health Policy and Management
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• v.29 no.2
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• pp.184-194
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• 2019

Background: The extent of coverage rate of the public health insurance is still insufficient to meet healthcare needs. Private health insurance (PHI) plays a role to supplement coverage level of national health insurance in Korea. It is expected that reduce unmet need healthcare. This study was aimed to identify relationship between PHI type and the unmet healthcare need and its associated factors. Methods: Data were obtained from the 2014 Korea Health Panel Survey using nationally representative sample was analyzed. Respondents were 8,667 who were adults over 20 years covered by PHI but have not changed their contract. According to the enrollment form, PHI was classified into three types: fixed-benefit, indemnity, and mixed-type. To identify factors associated with unmet needs, multiple logistic regression conducted using the Andersen model factors, which are predisposing factors, enabling factors, and need factors. Results: Our analysis found that subjects who had PHI with mixed-type were less likely to experience unmet health care needs compared than those who did not have it (odds ratio, 0.80; 95% confidence interval, 0.66-0.98). As a result of analyzing what affected their unmet healthcare needs, the significant factors associated with unmet medical need were gender, marital status, residence in a metropolitan area, low household income, economic activity participation, self-employed insured, physically disabled, low subjective health status, and health-risk factors such as current smoking and drinking. Conclusion: The results of this study suggest that having PHI may reduce experience of unmet healthcare needs. Findings unmet healthcare needs factors according to various subjects may be useful in consideration of setting policies for improving accessibility to healthcare in Korea.

• The Korean Journal of Health Service Management
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• v.8 no.1
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• pp.125-134
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• 2014

The purpose of this study was to identify influencing factors associated with infantile oral health knowledge among pregnant women. The participants were 300 pregnant women who agreed to participate in this study. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and simultaneous multiple regression using the SPSS 21.0 ver program. Findings of the study can be summarized as follows. First, the infantile oral health knowledge of primigravida total score was $28.80{\pm}3.02$, and multigravida total score was $30.23{\pm}2.94$. Second, infantile oral health knowledge different according to education, experience of delivery, experience of oral health education and need of oral health education, Third, a positive correlation existed between need of oral health education, experience of delivery, education, and experience of oral health education. Forth, the predictors that affect the infantile oral health knowledge were experience of delivery, need of oral health education, experience of oral health education, education,. Consequently, it was necessary to encourage primigravida to take part in infantile oral health education program and oral health projects.

• Korean Journal of Health Education and Promotion
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• v.3 no.1
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• pp.71-81
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• 2001

This study was administered to analyze important needs for the health education among Chinese, Korean-Chinese adolescents in Gilin, China and Korean adolescents in Seoul, Korea. The data were collected from 400 chinese and 200 Korean-Chinese boys and girls of 3 high schools in Gilin, China and 396 boys and girls of 3 high schools in Seoul, Korea. The results were as follow: 1. The prevalence of smoking and drinking in Korean students was quite high among three groups. More than one third of Korean students had behaviors of smoking and drinking. Forty two point five percent of Korean students were sick during the past 4 weeks, but only 10.8% of Korean-Chinese students and 11.5% of Chinese students were sick during the past 4 weeks. More than 70% of Chinese and Korean-Chinese students had health concern, but only 22.7% of Korean students were interested in health status and education. 2. Korean-Chinese and Chinese students had higher health education needs than the Korean students. They were not interested in sex education. On the other hand, Korean students were interested in mental health and health habits. 3. Korean-Chinese students had more health education needs than Chinese or Korean adolescents and the difference was statistically significant (p<0.05). 4. For the Chinese and Korean-Chinese students, the higher prevalence of drinking behavior, the higher needs of health education, and the difference was statistically significant (p<0.05). 5. The Chinese students tended to need health education after their illness experience, but the Korean students, the higher the self- rating health status, the higher health education need scores were(p<0.05).

• Journal of the Korean Society of School Health
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• v.16 no.2
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• pp.57-69
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• 2003

This study investigates the school resources and programs for health promotion services, especially in areas of smoking cessation and acohol-reducing. The health of students is very important because of students' long life-span remained and their impacts on the community. A three-stage survey model was established. Three stages include a current status of school health resources and programs, an attitude to get rid of health risks at school, and a behavioral intention to provide health promotion programs in the near future. Three hundred and thirty-six schools filled up and returned the questionnaire by mail. The results showed that the facility and personnel for health management are equipped sufficiently in general, except in rural area located, small sized, or middle schools. But provided programs are not good enough in both quantity and quality. Frequently, schools provide the programs such as advertisement, mass education by internal lecturers, and individual. counselling. The programs of special lectures, group activities or rather active use of suppresants are provided rarely, because of the lack of special knowledge or financial supports at school. However, behavioral intention to provide such programs was high. Therefore, the role of health department at school should be fortified. The health teachers need to be trained as a consultant, and the education materials need to be provided to them The school also need to be supported with external experts for special lectures or group activities. In conclusion, schools need to pay more attention to the health risk of students and develop the effective and efficient school health programs for students' health.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.2
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• pp.1175-1181
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• 2015

This study applied comparative analysis on the need of medical checkup and subjective oral health of adults above 19 years old based on based on the 5th primitive data of Korea National Health and Nutrition Examination. From the analysis of the need of medical checkup for left and right molar teeth on upper and lower jaw, it is reported that 90% of the cases that cognize themselves having poor oral health on the first and second moral tooth turned out no need of treatment and the same result has shown in the lower jaw. Also, the number of people who cognize their oral health as good on the first and the second moral tooth was only 10% of all and those who cognize their oral health neither good nor bad shows 96% of results in no need of treatment.

• Korean Journal of Health Education and Promotion
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• v.22 no.3
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• pp.173-186
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• 2005

This paper develops the argument that the 'Healthy Cities Approach' extends beyond the boundaries of officially designated Healthy Cities and suggests that signs of it are evident much more widely in efforts to promote health in the United Kingdom and in national policy. It draws on examples from Leeds, a major city in the north of England. In particular, it suggests that efforts to improve population health need to focus on the wider determinants and that this requires a collaborative response involving a range of different sectors and the participation of the community. Inequality is recognised as a major issue and the need to identify areas of deprivation and direct resources towards these is emphasised. Childhood poverty is referred to and the importance of breaking cycles of deprivation. The role of the school is seen as important in contributing to health generally and the compatibility between Healthy Cities and Health Promoting Schools is noted. Not only can Health Promoting Schools improve the health of young people themselves they can also develop the skills, awareness and motivation to improve the health of the community. Using child pedestrian injury as an example, the paper argues that problems and their cause should not be conceived narrowly. The Healthy Cities movement has taught us that the response, if it is to be effective, should focus on the wider determinants and be adapted to local circumstances. Instead of simply attempting to change behaviour through traditional health education we need to ensure that the environment is healthy in itself and supports healthy behaviour. To achieve this we need to develop awareness, skills and motivation among policy makers, professionals and the community The 'New Health' education is proposed as a term to distinguish the type of health education which addresses these issues from more traditional forms.

• Journal of Korean society of Dental Hygiene
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• v.1 no.1
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• pp.111-123
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• 2001

Objectives : The purpose of this study was to investigate distribution of periodontal status and treatment need between smokers and nonsmokers. Methods : Interview and measurement was completed by 82 smoker students and 59 nonsmoker students in Taegu Health College from April 1 to 31, 2001. The community periodontal index of treatment needs(CPITN) was analyzed by percentage. Results : In distribution of CPITN by age, almost all subjects had periodontal diseases except for aged 20~24 years nonsmokers(4%). Smoking 5 cigarettes per a day, up to 10, and above 10 increased 5.3%. 7.1%. and 9.5% in 4 score of CPITN, respectively. In years of smoking, smokers who had above 5 years(13.5%) were higher than below those(6.7%), 20% for smoker who take tooth brushing once per a day had higher than 8.3%(or three in depth of pocket above 6mm. In treatment need, all subjects should take education(or oral health except for aged 20~24 years nonsmokers(4%), 96% of smokers and nonsmokers were need scaling. Conclusion : This study indicated that treatment needs for periodontal diseases and scaling in smoker were higher than nonsmoker those.

• Child Health Nursing Research
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• v.14 no.3
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• pp.295-304
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• 2008

Purpose: This study was conducted to identify the status of health management and to evaluate the need for health professionals in day care centers in the South Korea. Method: Data were obtained from 360 child care providers in 16 provinces from May to August, 2007. Data was analyzed using SPSS WIN 14.0. Results: Safety education (traffic. 83.8% general safety. 71.6%) was provided more often than the other topic of education. All health related education was provided by child care providers. When minor health problems occurred, the most common management strategy was to send the child home (36.1%). During emergency conditions, majority of child care providers preferred taking the children to medical centers without giving any emergency care and 19.4% reported sending the child home without any immediate care. Child care providers recognized the need for health care professionals. Conclusion: The results of this study suggest the need for services of health professionals in day care centers to satisfy the needs and expectations for health management in these centers. As health professionals, public health nurses or pediatric nurse practitioners may play an important role in health management of children in day care centers.