• Safety and Health at Work
• /
• v.7 no.3
• /
• pp.185-193
• /
• 2016

Background: Management and workers in small and medium-sized enterprises (SMEs) often find it hard to comprehend the requirements related to controlling risks due to exposure to substances. An intervention study was set up in order to support 45 SMEs in improving the management of the risks of occupational exposure to chemicals, and in using the control banding tool and exposure model Stoffenmanager in this process. Methods: A 2-year intervention study was carried out, in which a mix of individual and collective training and support was offered, and baseline and effect measurements were carried out by means of structured interviews, in order to measure progress made. A seven-phase implementation evolutionary ladder was used for this purpose. Success and failure factors were identified by means of company visits and structured interviews. Results: Most companies clearly moved upwards on the implementation evolutionary ladder; 76% of the companies by at least one phase, and 62% by at least two phases. Success and failure factors were described. Conclusion: Active training and coaching helped the participating companies to improve their chemical risk management, and to avoid making mistakes when using and applying Stoffenmanager. The use of validated tools embedded in a community platform appears to support companies to organize and structure their chemical risk management in a business-wise manner, but much depends upon motivated occupational health and safety (OHS) professionals, management support, and willingness to invest time and means.

• The Journal of Korean Society for School & Community Health Education
• /
• v.11 no.1
• /
• pp.67-78
• /
• 2010

Background & Objectives: Current trend is that funding agencies require investigators to share their data with others. However, there is limited guidance how to access and utilize the shared data. We sought to determine what common data sharing practices in U.S.A. are, what data-related to adolescent health are freely available, and how we deal with the large dataset adopting the complex study design. Methods: The study included only research data-related to adolescent health which was collected in USA and unlimitedly accessible through the internet. Only the raw data, not aggregated, was considered for the study. Major keywords for web search were "adolescent", "children", "health", and "school". Results: Current approaches for public health data sharing lacked of common standards and varied largely due to the data's complex nature, large size, local expertise and internal procedures. Some common data sharing practices are unlimited access, formal screened access, restricted access, and informal exclusive access. The Inter-University Consortium for Political and Social Research and the Center for Disease Control and Prevention were the best data depository. "Data on the net" was search engine for the website providing data freely available. Six datasets related to adolescent health freely available were identified. The importance and methods of incorporating complex research design into analysis was discussed. Conclusion: There have been various attempts to standardize process for open access and open data using the information technology concept. However, it may not be easy for researchers to adapt themselves to this high technology. Therefore, guidance provided by this study may help researchers enhance the accessibility to and the utilization of the open source data.

• The Journal of Korean Society for School & Community Health Education
• /
• v.11 no.2
• /
• pp.89-102
• /
• 2010

Objectives: This study was conducted to compare health behavior between obese children and those with standard body weight, analyzing the correlation in their health behavior, and further making it useful data for the development of programs for a better education on health. Methods: To achieve the goal of this survey as mentioned, we have carried out a research targeting on a total of 636 elementary school students, 505 children of standard body weight and 131 children of obesity, all of whom belong to elementary school students in Seoul, the capital city of Korea. And we have itemized the research into 'eating habits', 'physical activity, 'dieting experience in the past', and 'stress and release management' in order to spot the specific health behavior leading to obesity. Results: 1. Factors for diseases mainly from obesity were statistically significantly differentdepending on degree of the subjects' self-respect and a history of obesity in their families, father($x^2$=7.172, p=.007), mother($x^2$=9.011, p=.003), and siblings($x^2$=12.431, p=.000). 2. Regarding the subjects' eating habits, some items were statistically significantly different: taking algae($x^2$=3.324, p=.043), eating breakfast($x^2$=6.070, p=.010), and eating fast($x^2$=8.551, p=.002). 3. There were some statistically significant differences in the subjects' dieting experience. For the latest 1 year, they made some attempts for that: fasting($x^2$=4.229, p=.040), reduction of eating($x^2$=25.377, p=.000), eating one meal a day($x^2$=5.582, p=.018) 4. OR(Odd Ratio)of Percieued obesity was 0.15 in the subjects' under weight than normal weight. And there was OR(Odd Ratio) 11.72 in the subjects' over weight. We can witness obese children think that they are over weight(p=.000).

• The Journal of Korean Society for School & Community Health Education
• /
• v.14 no.3
• /
• pp.15-26
• /
• 2013

Objectives: The purpose of this study was to evaluate self-reported symptoms of periodontal diseases. We performed a comprehensive analysis of periodontal health related factors. Methods: 581 volunteers representing a broad range of age from 20 to 65 were recruited from Seoul and Gyeonggi provinces. They participated in a self-administered survey of which the results were analyzed through the decision tree analysis using the data mining program. Results: 67% of the participants reported 'bad breath,' whereas 13.9% of participants reported 'toothache'. The decision analysis revealed that age was the most determining factor of adult periodontal health. Participants in 20s with a profound understanding of their periodontal health status exhibited a low vulnerability to periodontal diseases, whereas those lacking the awareness were more susceptible to the diseases. However, other participants in 30s and older showed a higher vulnerability to periodontal illness than those in 20s, whether or not they had suffered from chronic diseases. Conclusions: In order to effectively prevent periodontal diseases, an age-appropriate clinical approach will be necessary. For the younger age group it will be crucial to enhance the self-awareness of their current oral health status. On the other hand, those in 30s and older will need to pay a close attention to the prevention of chronic periodontal disease.

• Health Policy and Management
• /
• v.29 no.4
• /
• pp.445-453
• /
• 2019

Background: This study is to investigate the association between the distribution of multimorbidity and length of stay and medical expenses among inpatients in a municipal hospital to achieve an integrated care setting. Methods: We used the exploratory factor analysis and the generalized estimating equation model to analyze the data from patients living in the northeast region of Seoul, who were hospitalized from January 2017 to December 2017 in a municipal hospital. Results: As a result of the factor analysis, seven types of multiple chronic diseases were classified. Among the elderly patients admitted to municipal hospitals, the burden of medical expenses was mainly influenced by the length of stay (B=310,719, p-value <0.0001), not the type of disease (all not significant). Length of stay were mainly due to psychiatric illness (factor 1: B=4.323, p-value <0.0001) related to the brain and metabolic diseases (factor 2: B=2.364, p-value=0.003). Conclusion: This study showed that the medical expenses of the elderly patients were largely due to prolonged hospitalization, not multimorbidity. Therefore, it is necessary to develop an integrated care paradigm strategy cope with the multimorbidity of the elderly in the community and to alleviate the socio-economic burden.

• Journal of Korean society of Dental Hygiene
• /
• v.11 no.5
• /
• pp.759-771
• /
• 2011

Objectives : The aim of study is the comparison of effect in oral health education frequency and contents for elementary school students from a part of community child center to run and suggest a practical and effective oral health promotion program for local community child center. Methods : The program has been running for 4 trials in G district in Seoul and 2 trials has been conducted in S city in Gyung gi province. The comparison was done in independent samples test of awareness, knowledge and behavior of children of community child center in both G district and S City and paired t-test was conducted before and after oral health promotion program to find out those same 3 items. Results : As a result, after the comparison of plaque control score of Oral health promotion program frequency, significantly better result was show in 4 trial program with 55.3 score(p<0.05), No significant result of plaque control score was shown in 2 trail program(p>0.05). Conclusions : As a result of the Oral Health Promotion program which has been conducted in 2 different session type, knowledge, awareness and behaviour has been changed, however, There were no significant difference between Oral health education frequency of those two different program. Also with the result of Plaque control score of those two programs were not satisfying level. Therefore, in conclusion, the management and operation of the Oral Health Promotion program is needed and it must be based on health promotion which it would change the behavior and attitude of the children.

• Journal of agricultural medicine and community health
• /
• v.45 no.4
• /
• pp.194-207
• /
• 2020

Purpose: The purpose of this study is to develop and evaluate the curriculum, that was the continuing professional development program, for cultivating physician's competencies in public health. Methods: This study was conducted through in-depth interview and survey in the frame of ADDIE, from 2 May to 30 June in 2019. Participants were 7 physicians by in-depth interview and Respondents were 46 physicians worked in public health by survey. Results: The results were analyzed and described in the frame of ADDIE model. In the stage of Analysis, physician's core competencies in public health was presented to practical education, management of organization and labor force, communication with community, and director' role of public health center in the community as core competencies by in-depth interview. The skill - knowledge-attitude competencies were highest in order in the survey for placing priority (by Borich score) of 29 core competencies. In design stage, the educational objective of curriculum was established, that is to develop the competencies of knowledge, skills, and attitude needed for physician of public health in 21th century. In development and implementation stage, it is important to decide to lecturer, to get in advance educational materials to do the maintenance and management of curriculum. In the stage of evaluation, the educational satisfaction was high on the whole and educational effect was statistically significant. Conclusions: This study was an initial study of Korean doctors, and it aims to pursue competency-based education as a continuing professional development (CPD) beyond continuing medical education (CME) including knowledge, skills, and attitudes.

• Health Policy and Management
• /
• v.32 no.3
• /
• pp.247-257
• /
• 2022

The presidential election and the inauguration of the new government are a period of the policy window opening. The newly launched government is expected to improve the quality of life of the people. The Yoon Suk-yeol Government is also launched with new expectations with a transitional period in health care. The sustainability of health care in Korea is threatened. The environment of health care and the main policy issues of health care are difficult to secure the necessary finance for health care in spite of the increasing health care burden. Accordingly, the Yoon Suk-yeol Government's health care policy aims to provide intensive support to those in need of health and welfare and to improve the health of the people through investment in health. And for integrating fragmented health care and welfare services and creating people-centered community-based health care, a health care innovation center will be established for the evaluation platform of new delivery and payment systems, a health care development plan will be established for the blueprint of health care, and reorganizing the central & local government should be reviewed. Although we are facing unfavorable situations such as the distribution of the National Assembly, inflation, and the possibility of economic recession, we expect that announced health care policies will be implemented, recognizing that health care innovation is the only way to improve health care sustainability.

• The Korean Journal of Health Service Management
• /
• v.11 no.3
• /
• pp.79-90
• /
• 2017

Objectives : The purpose of this study was to identify the prevalence of malnutrition and to explore its association with socioeconomic and social support factors among Korean elderly in the community. Methods : The study sample was a weighted population of 10,160 elderly who participated in the 2014 Korean Elderly Living Conditions and Welfare Survey. Multiple logistic regression analyses were performed to assess the association socioeconomic and social support factors have with malnutrition. Results : Of the Korean elderly 18.6% were at risk of malnutrition. Being uneducated (OR=1.40) and having a lower household income (OR=1.97) were significantly associated with malnutrition even after adjusting for other socio-demographic and health-related covariates. Elderly who lived alone (OR=1.86) and who had poor relationships with their children (OR=1.97) were at much higher risk of malnutrition than their counterparts. Their having poor relationships with acquaintances and poor social participation were also associated with malnutrition. Conclusions : Socioeconomic and social support resources are important factors in the nutritional status of the elderly.

• International journal of advanced smart convergence
• /
• v.10 no.4
• /
• pp.206-214
• /
• 2021

The purpose of this study is to identify the level of polypharmacy use, drug knowledge, and drug misuse behavior in the elderly, and to understand the correlation between them and their effect on drug misuse behavior. The study design was a descriptive survey study, and the participants of the study were 215 elderly people from the local community center. The research tool used drug knowledge, drug misuse behavior, and the data collection period was from February 8 to 19, 2021. The data analysis were descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient, and regression analysis. As a result of the study, a significant correlation variable for the drug knowledge of the elderly showed a significant correlation with prescription and non-prescription, r=.145 (p<0.05), and r=.-. 136, which showed a negative significant correlation (p<0.05). As for the significant correlation variable in the drug misuse behavior of the elderly, when prescription and non-prescription were combined, there was a significant correlation with r=.256 (p<0.01), and when not using drugs, r=.-.225 was negative. showed a significant correlation (p<0.01). In terms of the effect on drug misuse behavior, chronic disease =.145, prescription and non-prescription use = .233, which had a positive effect, and non-prescription = -.328, indicating a negative and significant effect. The provision of education on the safe use of drugs by the elderly should first be provided in the community. In addition, we need systematic education and social support for the transmission of correct knowledge on multi-drug use by the elderly and for health management.