• 제목/요약/키워드: Contributing Factors

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The Contributing Factors to Surplus Medicine by Long-Term Users of Medical Aid in Korea (의료급여 장기이용 수급권자의 잉여약물 실태와 관련요인)

  • Shin, Sun-Mi;Kim, Eui-Sook;Lee, Hee-Woo
    • Journal of Preventive Medicine and Public Health
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    • 제42권6호
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    • pp.403-407
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    • 2009
  • Objectives : The amount of medical utilization by Medical Aid recipients was 3.7 times that of patients with Korean Medical Insurance. This study aims to describe the surplus medicine and the medication-related utilization, and to determine factors contributing to surplus medicine. Methods : Among those who used copayment-free Class I Medical Aid in 2005, 146,880 subjects who were $\geq19$ year-old and received >365 days medical treatment per year were studied with their case managers by conducting face-to-face interviews. The analytic methods were description, chi-square, t-tests, ANCOVA and multiple logistic regressions. Results : Most subjects were female (68.6%), the elderly (62.5%), and the separated (61.6%), had an elementary graduation or less (74.8%), and had disabilities (33.2%). The percentage of subjects with surplus medicine was 18.5%. However, the percentage of females, the elderly, those with non-disabilities, the separated, the uneducated, those with a very poor perceived health status and those with an economical burden for medical treatment was 19.3%, 18.9%, 19.0%, 19.3%, 19.0%, 20.2% and 24.3%, respectively. For subjects with surplus medicine, averages for the number of used pharmacies, the pharmacy-visit days and the medication costs were 4.6 drugstores, 34.9 days and approximately 1,124 thousand Won(₩). These values were higher than those without surplus medicine (4.4 drugstores, 33.8 days, and ₩1,110 thousand, respectively). The odds ratios of the contributing factors to surplus medicine were female 1.11 (95% CI=1.07-1.14), the elderly 1.06 (95% CI=1.02-1.10), those with non-disabilities 1.08 (95% CI=1.05-1.12), the separated 1.14 (95% CI=1.10-1.18), the unmarried 1.12 (95% CI=1.07-1.18), the uneducated 1.03 (95% CI=1.01-1.08), those with a very poor perceived health status 1.04 (95% CI=1.01-1.08) and experiencing an economical burden for medical treatment 2.33 (95% CI=2.26-2.40). Conclusions : 18.5% of subjects had surplus medicine with a higher mean of medication cost. Therefore, health education and health promotion programs to prevent surplus medicine and to improve the appropriate usage of medication are necessary.

Factors contributing to participation in food assistance programs in the elderly population

  • Hong, Seo Ah;Kim, Kirang
    • Nutrition Research and Practice
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    • 제8권4호
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    • pp.425-431
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    • 2014
  • BACKGROUND/OBJECTIVES: The study objectives were to examine the participation rate in food assistance programs and explore the factors that contribute to such participation among the Korean elderly population. SUBJECTS/METHODS: The study sample comprised 3,932 respondents aged 65 years or older who were selected from a secondary data set, the fourth Korean Welfare Panel Study (KoWePS). The factors, related to participation in programs were examined based on the predisposing, enabling and need factors of the help-seeking behavior model. Multiple logistic regression analysis was used to select the best contributors among the factors related to program participation. RESULTS: The predisposing rate in food assistance programs was 8.5% (7.1% for men and 10.4% for women). When all variables were included in the model, living without spouse, no formal education, low income, having social security benefits and food insecurity in elderly men, and age, low income, having social security benefits and feeling poor in elderly women were significantly related to a higher tendency to program participation. CONCLUSIONS: The predisposing and need factors, such as living without spouse, low education level, food insecurity and feeling poor were important for program participation, as well as enabling factors, such as household income and social security benefits. A comprehensive approach considering these factors to identify the target population for food assistance programs is needed to increase the effectiveness and target population penetration of these programs.

Adoption and Its Determining Factors of Computerized Tomography in Korea (우리 나라 전산화단층촬영기(CT)의 도입에 영향을 미치는 요인에 관한 연구)

  • Yoon, Seok-Jun;Kim, Sun-Mean;Kang, Chul-Hwan;Kim, Chang-Yup;Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • 제30권1호
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    • pp.195-207
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    • 1997
  • High price equipment is one of the major factors that increases national health expenditure in developed countries. Computerized Tomography(CT), one of the important high price equipment, has been concerns of health service researchers and policy makers in many countries. In Korea, CT, first introduced in 1984, have spreaded nationwide with rapid speed. Though the Committee for Approving Import of High Price Medical Equipment, founded in 1981, tried to regulate the introduction of high price medical equipment including CT, the effort resulted in failure. The exact situation of diffusion of the high price equipment, however, was not yet investigated. We aimed at the description of the diffusion of CT in Korea and analysis of influencing factors on hospitals for the adoption of CT. We mainly used the database of CT, made in 1996 by the National Federation of Medical Insurance for the purpose of insurance payment for CT. Also characteristics of hospitals were gathered from yearbooks published by the central and local governments and by the Korean Hospital Association. We calculated the cumulative number of the CT per one million population year by year. In turn, multiple linear logistic regression was done to find out the contributing factors for the adoption of CT by each hospital. In the logistic regression model, it is regarded as dependent factor whether a hospital retained CT or not in 1988 and 1993. The major categories of the independent factors were hospital characteristics, environmental factors and competitive conditions of hospitals at the period of the adoption. The results are as follows: Number of CT scanners per one million persons in Korea marked more higher level compared with those of most OECD countries. Major influencing factors on the adoption of CT scanners were hospital characteristics, such as hospital referral level, and competitive condition of hospitals, such as number of CT scanners per 10,000 persons in each district where the hospital was located. In Korea, CT diffused with rather rapid speed, comparable with those of the United States and Japan. The major factors contributing on the adoption of CT for hospitals were competitive condition and hospital characteristics rather than regional health care need for CT. In conclusion, a kind of regulating mechanism would be necessary for the prevention of the indiscreet adoption and inefficient use of high price equipment including CT.

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On the Seasonal Prediction of Traffic Accidents in Relation to the Weather Elements in Pusan Area (기상요소에 따른 부산지역 계절별 교통사고 변화와 예측에 관한 연구)

  • 이동인;이문철;유철환;이상구;이철기
    • Journal of Environmental Science International
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    • 제9권6호
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    • pp.469-474
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    • 2000
  • The traffic accidents in large cities such as Pusan metropolitan city have been increased every year due to increasing of vehicles numbers as well as the gravitation of the population. In addition to the carelessness of drivers, many meteorological factors have a great influence on the traffic accidents. Especially, the number of traffic accidents is governed by precipitation, visibility, cloud amounts temperature, etc. In this study, we have analyzed various data of meteorological factors from 1992 to 1997 and determined the standardized values for contributing to each traffic accident. Using the relationship between meteorological factors(visibility, precipitation, relative humidity and cloud amounts) and the total automobile mishaps, and experimental prediction formula for their traffic accident rates was seasonally obtained at Pusan city in 1997. Therefore, these prediction formulas at each meteorological factor may by used to predict the seasonal traffic accident numbers and contributed to estimate the variation of its value according to the weather condition it Pusan city.

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A Study of Effect of SNS News Consumption on Social Engagement and Government Transparency in Cambodia

  • Chhaya, PhalPheaktra;Cho, Wan-Sup;Kwon, Sun-Dong
    • Journal of Information Technology Applications and Management
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    • 제22권3호
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    • pp.19-33
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    • 2015
  • SNS is perceived as an effective tool for sharing news and enabling news content to reach many more users than before. And some users think that SNS is an important source to get news. This study's purpose is to understand the key factors contributing to behavior of news consumption on social network sites in Cambodia and its influence. We identified three key factors including convenience, recency, and variety; however, recency showed less significant effect on news consumption on SNS. Besides the key factors, it also seeks to understand the impact of news consumption on social engagement and government's transparency in Cambodia. The analytical results achieved through the Partial Least Squares (PLS) approach.

Residential Preferences by Occupation and Health Status for the Elderly (노인의 취업여부와 건강 상태에 따른 주거선호)

  • 곽인숙
    • Journal of the Korean Home Economics Association
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    • 제36권11호
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    • pp.43-59
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    • 1998
  • The purpose of this study was to analyze the residential preferences, the type of house, the size of living space, and the region for later life and contributing factors to their housing plan. The sample in this study consisted of 572 aged couple living in Korea. Statistics employed for the analysis were frequencies, means, X2test, logit analysis and multiple regression. The results could be summarized as follows. They preferred 31.2 pyung as living space, the single detacted house(81.1%) and living in middle-small cities or rural area. The present living space, present living area, satisfaction of economic status had significant effects on the living space in later life. Those who had a plan to live in the single detached house were affected by husband's educational attaintment, the type of present house, present and future living region. And the factors affecting furture living region were present living region, household income, household expenditure, total asset and preferred housing type. The affecting factors were different from future residential preferences by occupation and health status.

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Functional Genomics of Vibrio vulnificus: from Survival to Toxigenesis

  • Choi Sang Ho
    • Proceedings of the Microbiological Society of Korea Conference
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    • 한국미생물학회 2004년도 International Meeting of the Microbiological Society of Korea
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    • pp.132-136
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    • 2004
  • Understanding the molecular pathogenesis of the multifaceted host-pathogen interaction is critical in the development of improved treatment and prevention, as well as elucidating how certain bacteria can circumvent host defenses, multiply in the host, and cause such extensive damage. Disease caused by infection with V. vulnificus is remarkable for the invasive nature of the infection, ensuing severe tissue damage, and rapidly fulminating course. The characterization of somatic as well as secreted products of V. vulnificus has yielded a large list of putative virulence attributes, whose known functions are easily imagined to explain the pathology of disease. These putative virulence factors include a carbohydrate capsule, lipopolysaccharide, a cytolysin/hemolysin, elastolytic metalloprotease, iron sequestering systems, lipase, and pili. However, only few among the putative virulence factors has been confirmed to be essential for virulence by the use of molecular Koch's postulates. This presentation describes molecular biological characterization of the virulence factors contributing to survival as well as to toxigenesis of V. vulnificus.

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Design Method of Test Road Profile for Vehicle Accelerated Durability Test (차량의 가속내구시험을 위한 TEST ROAD PROFILE 설계방법)

  • Min, B.H.;Jung, W.W.
    • Transactions of the Korean Society of Automotive Engineers
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    • 제2권1호
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    • pp.128-141
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    • 1994
  • This roport explain the basic theory of desinging the accelerating durability test road and the role of each factors contributing to test road surface profile. Also this road is designed by considering the charactors of vehicle suspension system and condition of driving. In test road, the factors affecting to the vehicle Structural durability are correlation among surface shape of road profile, frequency of vehicle suspension system, distribution of axletwist angle and vibration profile height Road PSD magnitude and frequency delay is used to control these factors relation.

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Differences in Incidence, Mortality and Survival of Breast Cancer by Regions and Countries in Asia and Contributing Factors

  • Kim, Yeonju;Yoo, Keun-Young;Goodman, Marc T
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권7호
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    • pp.2857-2870
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    • 2015
  • Although the incidence of breast cancer in Asia remains lower than in North America, Western Europe, and Oceania, rates have been increasing rapidly during the past few decades, and Asian countries now account for 40% of breast cancer cases diagnosed worldwide. Breast cancer mortality has also increased among Asian women, in contrast to decreased mortality in Northern America, Western Europe, and Oceania. These increased rates are associated with higher prevalence of breast cancer risk factors (e.g., reduced parity, delayed childbirth, increased obesity) that have accompanied economic development throughout the region. However, Asian regions (western, south-central, south-eastern, and eastern) and countries differ in the types and magnitude of changes in breast cancer risk factors, and cannot be viewed as a single homogeneous group. The objective of this paper was to contrast the heterogeneous epidemiology of breast cancer by Asian regions and countries, and to suggest potential avenues for future research.

Determinants of Father's Role Performance (아버지 역할수행의 결정요인 연구)

  • 강란혜
    • Journal of the Korean Home Economics Association
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    • 제38권6호
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    • pp.15-28
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    • 2000
  • The purpose of this research was to examine variables contributing to the father's role performance. The study has been designed to measure the quantitative(i.e. amount of involvement) and the qualitative(i.e. depth of affection/care) values in their modes of child-rearing practices by taking a clouter look at the father's views on their careers and on offspring. Subjects were 516 fathers of school-age children. Analyzing the factors that determine the quantitative and qualitative aspects of child-rearing practices by the fathers, the sense of fulfillment/value in life is the decisive factor behind the affection(i.e. qualitative) in the child-rearing practices. The resets indicated that the father's perceptions on their careers and on their children constitute the critical factors behind the qualitative and quantitative aspects of child-rearing practices, albeit holding such factors as the parents'working hour or as mothers with outside jobs under control.

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