• Journal of Korean Academy of Rural Health Nursing
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• v.19 no.1
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• pp.44-54
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• 2024

Purpose: This study identifies the factors influencing unplanned readmissions among participants of the medical aid community care pilot program. Methods: This descriptive study analyzed data from 1,013 participants in a medical aid community care pilot program. Data were analyzed using multiple logistic regression analysis. Results: The presence of mental illness, injury-related conditions, long-term care grades, and activities of daily living scores are key factors influencing the likelihood of readmission. In particular, the presence of a mental disorder or an injury-related condition increased the probability of readmission, whereas individuals with long-term care grades 1~2 showed a decreased likelihood of readmission. Conclusion: This study emphasizes the importance of enhancing the management of mental and injury-related conditions, effective utilization of long-term care services, and improvement of ADL scores to reduce readmission. These findings offer crucial insights for enhancing the efficiency of home medical care benefit programs and sustainable expansion of services.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.8
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• pp.610-617
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• 2019

The urban-rural complex area in Korea has a distinctive spatial structure where the urban area and rural area coexist. Therefore, in order to cope with the over-depopulation in the rural region of the urban-rural complex area, it is necessary to explore various policies that can prevent the existing residents from leaving, and in fact support them to remain where they currently reside. In this context, this current study analyzed the factors affecting the existing residents' continuous intention to remain by employing the '2017 Chuncheon City Social Survey' as a countermeasure for the over-depopulation of the rural region in the urban-rural complex area. Especially, since a regional identity is determined endogenously, this study used a simultaneous bivariate ordered probit model with giving consideration to the endogenous relationship between a regional identity and a regional residents' intentions. As a result, it was found on analysis that the regional residential intention was higher as the regional identity was stronger. Furthermore, the regional identity was stronger as a householders' age and residence period were longer, and also as the residents were satisfied with their work leisure and life residence balance. It was also found that the residents' intention was higher as the residents' satisfaction with the local medical service and their work was increased. Thus, supporting policy is needed that can provide appropriate quality-of-life services in a timely manner, but only after identifying the demand for these services by the rural residents in the urban-rural complex area.

• The Korean Chronic Disease News
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• no.319
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• pp.1-18
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• 2007

복지시대의 첨병-구례군보건의료원 김영락 원장/노인복지시설 통합.개편/비만치료도 건강보험급여 대상/보건소 중심, 만성질환 관리시스템 구축/임의왕진 의료급여비 환수/적절한 운동이 '대장암' 예방한다/모유수유 오래하면 유방암 감소/50대 두통, 어지러움은 중풍 의심/축수산물 항생제 잔류 기준 엄격 적용/담배연기 없는 깨끗한 병원/레이저 이용 암 세포만 선택적 파괴/'주민 삶의 질 적인 개선' 지향-구례구보건의료원/농촌지역 공공보건의료 질적 발전에 정열 쏟아-김영락 원장/동아제약, 유럽 시장 본격진출/LG, 세계 최초 항구토 패치 도입/한미약품, 의약사 금융지원 한다/국내 첫 생약제제 임상시험 지침 마련/암환자 완치율 44.4% 수준/고혈압.당뇨병치료율 2배 증가/혈압 없어도 '코골면' 고혈압 위험 높아/조기위암 전체 위암 절반 넘었다/항암면역세포치료제 NKM 허가/OECD Health Data 2007 보건의료실태분석

• Journal of agricultural medicine and community health
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• v.48 no.4
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• pp.262-274
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• 2023

Objectives: This study examined the evaluation and potential improvements of 'Integrated Healthcare and Social Welfare service model' based on the experiences of practitioners from institutions participating in the 'Dalgubeol Health Doctor Services' and the service recipients. Methods: Qualitative research was conducted from September to November 2022 in this study, focusing on 4 providers from the dedicated Dalgubeol Health Doctor Services Team, 5 contact partners from affiliated organizations, and 6 service beneficiaries. The data gathered underwent thematic analysis. Results: The evaluation indicated that Dalgubeol Health Doctor Services has proven to be effective in addressing the complex needs of vulnerable populations. By providing integrated services through quick and simple beneficiary selection and resource linkage, it has contributed to the resolution of complex demands, recovery of positive attitudes towards life, and improvement in quality of life for users who have fear the use of medical and welfare services. Dalgubeol Health Doctor Services has established an integrated health care system involving not only public but also private organizations, from the referral agency to the service provider. Centered around Daegu Medical Center and involving five tertiary hospitals, it has established a model that supports treatment appropriate to the severity of the patient, from mild to severe. Conclusions: These findings indicate an enhancement in health equity, achieved through the active identification and subsequent health and welfare issue resolution of individuals marginalized from medical benefits.

• Journal of agricultural medicine and community health
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• v.35 no.2
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• pp.151-164
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• 2010

Objective:Korea has 3,170 islands with about 188,000 inhabitants. These inhabitants' needs for health services might go unmet because of geographic isolation, slimmer availability of health services, and higher proportion of the elderly compared with the mainland population. Unmet health service needs might result in serious health problems for these island residents. Therefore, the purpose of this study was to investigate their unmet health service needs and related factors from population of Nowha island. Methods: The survey was conducted from July 30 to August 1 by trained interviewers. Target population were residents in Nohwa island and the sampling method was incomplete quota sampling. General characteristics, socioeconomic status, utilization of health service, and unmet medical service needs were investigated. First univariate and then multivariate logistic analyses were done for the statistical analysis. Results: 324 residents were surveyed and the proportion of unmet health services needs was 26.5%. People living alone and of female sex had increased health services needs based on univariable analysis. From the multivariate analysis, those living alone increased the health services needs. Self-determined low socioeconomic status and medical aid increased the proportion of unmet medical needs, but these were not statistically significant. Conclusion:In Nowha island, those who are elder, and of lower socioeconomic status had much higher unmet medical needs. The results suggest the need for more social support by qualified health services to solve this unmet medical needs problem.

• Journal of agricultural medicine and community health
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• v.27 no.1
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• pp.143-153
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• 2002

This study was performed to examine the want for home-visit health care of health center and health sub-center in rural olders and to provide the basic data to develop strategies for efficient and effective home-visit health care delivery of public health facilities. The questionnaire survey by interview was conducted to 355 olders whose ages were all over 65 years, residing at a rural community, Myun, Gyeongsangbuk- do. Among study population, 64.5% replied that their self-rated health status were 'poor', 14.1% had low ADL and 14.9% had low IADL. Among study population, 73.5% replied that they had health problem which were in need of medical personnel's care. The existence of health problem were significantly different according to sex, age, marital status, health security status, occupation, economic status, circumstances for medical care, self-rated health status, ADL, and IADL(p<0.05). Among olders with health problem which were in need of medical personnel's care, 19.5% wanted to receive the home-visit health care. The degree of want for home-visit health care was higher significantly in olders whose ages were 75-year old or more(p<0.05), jobless olders(p<0.01), the aged persons who were not in harmony with other family members, olders whose self-rated health status were 'poor' and olders with low IADL. The major reasons why they wanted to receive the home-visit health care services were 'they had no helpers when they were sick' (64.7%), 'long distance to the medical facilities from their residence'(23.5%). The medication service was the most need service among home-visit health care services. The reasons why they didn't want to receive the home-visit health care services were 'we could walk and move' (60.0%), 'we wanted to have a direct contact with doctor' (25.7%) in the order of high rate. In multiple logistic regression analysis, the degree of want for home-visit health care were higher significantly in olders who were not in harmony with other family members and olders whose self-rated health status were 'poor'(p<0.05).

• Journal of agricultural medicine and community health
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• v.28 no.2
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• pp.135-154
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• 2003

Objectives: This study was performed to investigate attitude and participation status on district health planning of officials in Health Centers. Methods: The data collected by self-administered questionnaire survey of 674 officials of Health Centers and the data on district health planning of 28 Health Centers in Gyeongsangbuk-do and Daegu metropolitan city were analyzed. Results: Only 13.6% of officials of Health Centers responded that they had read 'the second district health planning paper' thoroughly and 12.5% of officials of Health Centers replied that they had known contents of 'the second district health planning paper' fully. 56.9% of officials of Health Centers didn't have 'the second district health planning paper'. Thirty five point four percent(35.4%) of health center officials replied that the mayor's or county executive's concern about the district health planning was high, 22.4% in councilors, 77.8% in Health Center chiefs, 44.9% in Health Center officials, 43.9% in him or her. Among respondents, 58.6% of Health Center officials replied that district health planning was necessary and 38.0% of subjects replied that the degree of utilization of district health planning was high. About thirty seven percent(36.9%) of respondents participated in making out 'the second district health planning paper' and 49.6% in 'the third district health planning paper'. Health Center officials replied that the most serious problem of district health planning was 'lack of budget and personnels'(39.8%), 'lack of concern for district health planning'(21.4%) and the most important thing to improve district health planning was 'establishing department for health planning', 'adjustment of establishment time for district health planning'. Conclusions: In order to establish effective district health planning, it would be necessary to secure budget and personnels, to promote the county executive's concern and Health Center officials' concern about the district health planning, to establish department for health planning, and to adjust establishment time for district health planning.

• Journal of agricultural medicine and community health
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• v.28 no.2
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• pp.87-105
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• 2003

Objectives: The purpose of this study was to examine the health care utilization pattern and its related factors of low-income population with abnormal results through health examination. Methods: Analysed data were collected through a questionnaire survey, which was given to 263 persons who 30 years or over with abnormal results through health examination at Health Center. This survey was conducted in March, 2003. This study employed Andersen's prediction model as most well known medical demand mode and data were analysed through 2-test, and multiple logistic regression analysis. Results: The proportion of medical utilization for thorough examination or treatment among study subjects was 51.0%. In multiple logistic regression analysis as dependent variable with medical utilization, the variables affecting the medical utilization were 'feeling about abnormal result(anxiety versus no anxiety: odds ratio 2.25, 95% confidence intervals 1.07-4.75)', 'type of health security(medicaid type I versus health insurance: odds ratio 2.82, 95% confidence intervals 1.04-7.66; medicaid type II versus health insurance: odds ratio 3.22, 95% confidence intervals 1.37-7.53)', 'experience of health examination during past 2 years(odds ratio 2.39, 95% confidence intervals 1.09-5.21)' and 'family member's response for abnormal result(recommendation for medical utilization versus no response: odds ratio 4.90, 95% confidence intervals 1.75-13.75; family member recommended to utilize medical facilities with him/her versus no response: odds ratio 19.47, 95% confidence intervals 5.01-75.73)'. The time of medical utilization was 8-15 days after they received the result(29.9%), 16-30 days after they receive the result(27.6%), 2-7 days after they received the result(20.9%) in order. The most important reason why they didn't take a medical utilization was that it seemed insignificant to them(32.4%). Conclusions: In order to promote medical utilization of low-income population, health education for abnormal result and its management would be necessary to family member as well as person with abnormal result. And follow-up management program for person with abnormal result through health examination such as home-visit health care would be necessary.

• Journal of Agricultural Extension & Community Development
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• v.20 no.2
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• pp.431-450
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• 2013

The present study aims to evaluate the potential accessibility of public healthcare facilities in rural areas. Population is prepared and analyzed in spatially microscopic level using dasymetric mapping method. According to the analysis on the accessibility to public facilities which is conducted using shortest distance, Gun areas and Eup/Myeon areas are 1,845m and 1,777m from residential areas respectively. Areas in Gangwon-do and Gyeongsangbuk-do have relatively low accessibility while Eup areas tend to have higher accessibility. The present study is meaningful in that it shows the status quo of and regional differences of potential accessibility of rural public facilities in Korea. Furthermore, the findings are also meaningful as they can be utilized as fundamental data to locate the facilities and improve the service delivery of medical facilities.

• Journal of Digital Convergence
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• v.11 no.11
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• pp.499-508
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• 2013

This study was done to examine the affecting factors of successful aging to provide basic information for developing intervention program for the rural elderly. Methods: A cross-sectional descriptive design was used. Data was collected through questionnaire from 208 people with age over 65 residing in an rural community. They were recruited by convenience sampling. Collected data were analyzed by independent t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression through SPSS/WIN 21.0 program. Results: Explanatory factors affecting the rural elderly's successful aging were social support, depression, cognitive function, productive activity and Activities of daily living, respectively, and these five factors accounted for 42.1% of the variance in successful aging. Conclusion: The rural elderly's successful aging requires establishment of social support system such as health medical service supply and social activities by being connected with social communities, and for this, this study suggests that there be a necessity of developing customized nursing intervention program.