• 제목/요약/키워드: preventive policy

검색결과 1,327건 처리시간 0.027초

우리나라 고혈압·당뇨병 예방관리사업 정책 동향과 분석 그리고 한국형 만성질환 예방관리 모형 (Directions and Current Issues on the Policy of Prevention and Management for Hypertension and Diabetes, and Development of Chronic Disease Prevention and Management Model in Korea)

  • 이무식;이경수;이중정;황태윤;이진용;유원섭;김건엽;김상규;김종연;박기수;황보영
    • 농촌의학ㆍ지역보건
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    • 제45권1호
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    • pp.13-40
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    • 2020
  • Objectives: The purpose of this manuscript was to propose the policy and perspectives of prevention and management for hypertension and diabetes in Korea. Methods: Authors reviewed the chronic disease prevention and management projects and models were executed in Korea until now, and analyzed and evaluated their performances. Results: In the circumstances of Korea, the following several requisites should be improved ; Specific Korean strategy for development and pursuing of national level policy agenda for chronic disease management must be established. There are a need to establish several means of supplementing the weaknesses of the current chronic disease management policies and programs. Firstly, development and distribution of contents of guidelines on the systematic project execution regime (regarding systematization of local community, subjects and contents of the projects) with guarantee for the quality of chronic disease prevention and management are necessary. Secondly, there is a need for development of information system that can lead the chronic disease management programs currently being implemented. Thirdly, there is urgent need to develop resources such as cultivation of manpower and facilities for provision of education and consultation for the patients and holders of risk factors of chronic disease. Fourthly, there is a need for means of securing management system and financial resources for operation of policies and programs. Conclusions: The results can be able to use as a road map, models, and direction and strategies of policies for chronic disease prevention and management of Korea.

Measuring the Burden of Disease in Korea, 2008-2018

  • Jung, Yoon-Sun;Kim, Young-Eun;Park, Hyesook;Oh, In-Hwan;Jo, Min-Woo;Ock, Minsu;Go, Dun-Sol;Yoon, Seok-Jun
    • Journal of Preventive Medicine and Public Health
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    • 제54권5호
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    • pp.293-300
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    • 2021
  • The study aims to examine the current status and differences in the burden of disease in Korea during 2008-2018. We calculated the burden of disease for Koreans from 2008 to 2018 using an incidence-based approach. Disability adjusted life years (DALYs) were expressed in units per 100 000 population by adding years of life lost (YLLs) and years lived with disability (YLDs). DALY calculation results were presented by gender, age group, disease, region, and income level. To explore differences in DALYs by region and income level, we used administrative district and insurance premium information from the National Health Insurance Service claims data. The burden of disease among Koreans showed an increasing trend from 2008 to 2018. By 2017, the burden of disease among men was higher than that among women. Diabetes mellitus, low back pain, and chronic lower respiratory disease were ranked high in the burden of disease; the sum of DALY rates for these diseases accounted for 18.4% of the total burden of disease among Koreans in 2018. The top leading causes associated with a high burden of disease differed slightly according to gender, age group, and income level. In this study, we measured the health status of Koreans and differences in the population health level according to gender, age group, region, and income level. This data can be used as an indicator of health equity, and the results derived from this study can be used to guide community-centered (or customized) health promotion policies and projects, and for setting national health policy goals.

데이터마이닝 기법을 이용한 효율적인 DRG 확인심사대상건 검색방법 (Efficient DRG Fraud Candidate Detection Method Using Data Mining Techniques)

  • 이중규;조민우;박기동;이무송;이상일;김창엽;김용익;홍두호
    • Journal of Preventive Medicine and Public Health
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    • 제36권2호
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    • pp.147-152
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    • 2003
  • Objectives : To develop a Diagnosis-Related Group (DRG) fraud candidate detection method, using data mining techniques, and to examine the efficiency of the developed method. Methods ; The Study included 79,790 DRGs and their related claims of 8 disease groups (Lens procedures, with or without, vitrectomy, tonsillectomy and/or adenoidectomy only, appendectomy, Cesarean section, vaginal delivery, anal and/or perianal procedures, inguinal and/or femoral hernia procedures, uterine and/or adnexa procedures for nonmalignancy), which were examined manually during a 32 months period. To construct an optimal prediction model, 38 variables were applied, and the correction rate and lift value of 3 models (decision tree, logistic regression, neural network) compared. The analyses were peformed separately by disease group. Results : The correction rates of the developed method, using data mining techniques, were 15.4 to 81.9%, according to disease groups, with an overall correction rate of 60.7%. The lift values were 1.9 to 7.3 according to disease groups, with an overall lift value of 4.1. Conclusions : The above findings suggested that the applying of data mining techniques is necessary to improve the efficiency of DRG fraud candidate detection.

Health Promotion at Work: A Comparison of Policy and Practice Across Europe

  • Verra, Sanne E.;Benzerga, Amel;Jiao, Boshen;Ruggeri, Kai
    • Safety and Health at Work
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    • 제10권1호
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    • pp.21-29
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    • 2019
  • Background: Promoting healthy lifestyles at work should complement workplace safety programs. This study systematically investigates current states of occupational health and safety (OHS) policy as well as practice in the European Union (EU). Methods: OHS policies of EU member states were categorized as either prevention or health promotion provisions using a manifest content analysis. Policy rankings were then created for each prevention and promotion. Rankings compared eight indicators from the European Survey of Enterprises on New and Emerging Risks-2 data on prevention and promotion practices for each member state using Chi-square and probit regression analyses. Results: Overall, 73.1% of EU establishments take preventive measures against direct physical harm, and about 35.4% take measures to prevent psychosocial risks. Merely 29.5% have measures to promote health. Weak and inconsistent links between OHS policy and practice indicators were identified. Conclusion: National OHS policies evidently concentrate on prevention while compliance with health and safety practices is relatively low. Psychosocial risks are often addressed in national policy but not implemented by institutions. Current risk assessment methods are outdated and often lack psychosocial indicators. Health promotion at work is rare in policy and practice, and its interpretation remains preventive. Member states need to adopt policies that actively improve health and well-being at the workplace.

미병(未病)에 대한 연구 경향 분석 : 국내 논문을 중심으로 (Analysis of Studies on 'Mibyung')

  • 강소현;박선주
    • 대한예방한의학회지
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    • 제23권2호
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    • pp.77-89
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    • 2019
  • Objectives : In this study, We overviewed study trend on 'Mibyung' by analyzing articles published in Korea from 1997 to 2019. Methods : We collected research articles on 'Mibyung' from 7 Korean research databases using the keyword '미병' and '아건강'. Then we analyzed them by publish year, journal, and research subjects. Research subjects were categorized into 'diagnosis', 'relationship with other factors', 'trend', 'concept', 'application development', 'policy research', 'prevalence and recognition', 'clinical report' or 'animal study'. Results & Conclusions : The largest number of related articles was published in 2017(12 articles, 26.7%). 'Journal of Society of Preventive Korean Medicine' was the journal with the most published articles(16 articles, 35.6%). Most of the research subjects were about diagnosis(11 articles, 24.4%) and analysis on relationship with other factors(10 articles, 22.2%). Little were published on policy(4 articles, 8.9%) and clinical study(1 article, 2.2%). More research on policy and clinical trials should be implemented for future mibyung study.