• Title/Summary/Keyword: General Health

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An Empirical Study on General Deterrence Effects of the On-site Investigation System in the Korean National Health Insurance (건강보험 현지조사제도에서 일반적 억제이론에 대한 경험적 연구)

  • Kang, Hee-Chung;Hong, Jae-Seok;Kim, Se-Ra;Choi, Jee-Sook
    • Health Policy and Management
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    • v.19 no.3
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    • pp.109-124
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    • 2009
  • Background: This study aimed to examine whether cases of punishing false claimants threat general physicians to check their medical cost claims with care to avoid being suspected, and identify empirically general deterrence effects of the on-site investigation system in the Korean National Health Insurance. Methods: 800 clinics were selected among a total of 15,443 clinics that had no experience of on-site investigation until June 2007 using a stratified proportional systematic sampling method. We conducted logistic multiple regression to examine the association between factors related to provider's perception of on-site investigation and high level of perceived deterrence referring to fear of punishment after adjusting provider's service experiences and general characteristics. Results: The probability of high perceived deterrence was higher 1.7 times (CI: 1.13-2.56), 2.73 times (CI: 1.68-4.45) each among clinics exchanging the information once or more per year or once or more for 2-3 months than among clinics no exchanging the information about on-site investigation. Also, the probability of high perceived deterrence was higher 2.27 times (CI: 1.28-4.45) among clinics that knows more than 3 health care institutions having experienced an on-site investigation than among clinics knowing no case. Conclusion: A clinic knowing more punishment cases by onsite investigation and exchanging more frequently information about on-site investigation is likely to present high perceived deterrence. This result will provide important information to enlarge preventive effects of on-site investigation on fraud and abuse claims.

Investigation of Working Conditions and Health Status in Platform Workers in the Republic of Korea

  • Hyoungseob Yoo;Munyoung Yang;Ji-Hun Song;Jin-Ha Yoon;Wanhyung Lee;Jinhee Jang;Minjoo Yoon;Mo-Yeol Kang
    • Safety and Health at Work
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    • v.15 no.1
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    • pp.17-23
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    • 2024
  • Background: The present study aimed to analyze several aspects of the working conditions and health status of platform workers in the Republic of Korea, such as ergonomic and emotional hazards. We also compared the health status of the platform workers with that of the general population. Methods: A total of 1,000 platform workers participated in this survey from August 7 to August 17, 2022. The participants included 400 designated drivers, 400 food-delivery drivers, and 200 housekeeping managers. A face-to-face survey with a structured questionnaire was conducted by researchers who had received specific instructions. The focus of the survey extended to the work environment, encompassing factors such as workplace violence, as well as physical, chemical, and ergonomic hazards. Health-related data for the previous year were also collected, covering a range of issues such as hearing problems, skin problems, musculoskeletal symptoms, headaches, injuries, mental health issues, and digestive problems. Subsequently, we compared the health symptom data of the responders with those of the general population in the Republic of Korea. Results: Platform workers, including designated drivers, food-delivery drivers, and housekeeping managers, existed in the blind spot of social insurance, facing frequent exposure to physical and chemical hazards, ergonomic risk factors, and direct or indirect violence. The prevalence of health problems, including musculoskeletal symptoms, general fatigue, and depressive symptoms, in each occupational group was statistically higher than that in the general population after standardization for age and gender. Conclusion: The results revealed unfavorable working environment and inferior occupational health of platform workers compared with those of the general population.

Lifestyle Characteristics and Health Related Quality of Life in Korean Adult (성인의 생활양식과 건강관련 삶의 질에 대한 연구)

  • Kim, Aekyung;Kim, Jung A
    • Korean Journal of Adult Nursing
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    • v.17 no.5
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    • pp.772-782
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    • 2005
  • Objectives: The purpose of this study was to investigate the relationship between Korean lifestyle characteristics and health status and to identify the variables influencing health in Korea. Methods: A cross-sectional descriptive correlational design was used to explore the lifestyle characteristics and health status of 397 Korean adults. Correlational analysis calculated the correlation between lifestyle and health status. To examine the relationship among demographic characteristics, lifestyle, and health status we used the t-test and one-way ANOVA. Stepwise multiple regression was conducted to examine the significant predictors of general health among subjects. Results: Positive correlations were seen between general health (GH) and the overall score and subscales of the Lifestyle. The stepwise regression model showed that vitality (VA), body pain (BP), nutrition, and occupation were significant variables influencing general health (GH). Conclusions: These findings provide evidence regarding the lifestyle patterns and healthstatus among Koreans. When planning intervention strategies for this population, exercise and physical activity should be principal focus areas.

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Effects of general and oral health status on dementia in the elderly in some areas (일부 지역 노인의 전신건강과 구강건강상태가 치매에 미치는 영향)

  • Kim, Yu-Rin;Heo, Seong-Eun;Jang, Kyeung-Ae;Kang, Hyun-Kyung
    • Journal of Korean society of Dental Hygiene
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    • v.21 no.2
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    • pp.151-158
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    • 2021
  • Objectives: The purpose of this study was to identify the effects of general and oral health status on dementia. Methods: Questionnaires were used for the KDSQ-C (Korean Dementia Screening Questionnaires-Cognition) and to investigate the oral health status of the participants. An independent t-test was conducted to analyze the differences between general health and oral health status depending on the normal and suspected dementia groups. Logistic regression analysis was performed to assess the effects of general and oral health status on dementia. Results: Regarding the health status of the subjects assessed by the KDSQ-C, the higher the current health status and the higher the exercise status, the lower was the dementia level (p<0.05). During the assessment of oral health conditions in KDSQ-C subjects, dementia was more suspected in subjects with dental decay and periodontal disease than in those without dental decay (p<0.05). Conclusions: Dementia has been confirmed to be closely related to general and oral health conditions. Therefore, oral health-related programs are essential for dementia prevention programs. Since dental hygienists are best suited for providing oral care to older adults with dementia, it is considered essential to reflect their occupation in future national policies.

Comparison of depression and oral health-related quality of life between the military personnel and public (군인과 일반인에서의 우울감과 구강건강관련 삶의 질 비교분석)

  • Kim, Myoung-Hee;Hwang, Young Sun;Kim, Tammy;Baek, Seol-Hwa;Lee, Ju-Hyun;Lee, Kyung-Ae
    • Journal of Korean Academy of Dental Administration
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    • v.7 no.1
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    • pp.29-38
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    • 2019
  • The goals of this study were to investigate depression and oral health-related quality of life in the military and public and to identify the factors affecting depression. The respondents were 278 soldiers and 228 general people of similar ages. An independent t-test was used to examine the differences between the two groups in the oral health impact profile and Self-rating Depression Scale. A multivariate logistic regression analysis was performed to examine the factors associated with depression in soldiers and the public. The depression level was significantly higher in the general population than in the military personnel (p<0.001). In contrast, the oral health-related quality of life was better in the general population than in the military, but without a statistical significance (p=0.056). Among soldiers, the military rank was the only factor associated with depression, showing a gradient based on the rank. In the general population, the type of work displayed significant associations with depression. As there are some limitations to investigating the factors affecting depression, comparative analyses of the general population groups with similar soldier groups are rare. This study encourages future investigations of the advancements in mental health and improvement programs for oral health in each group.

Job Analyses of Health Care Managers in Group Health Care System (보건관리대행사업에서 보건관리자의 직무분석)

  • Kim, Kyoo-Sang;Park, Chong-Yon;Roh, Jae-Hoon
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.4 s.48
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    • pp.777-791
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    • 1994
  • For developing the Group Health Care System, health managers' job structure were analysed in the aspects of content, amount, and process. As a trial research, data were collected by a standardized job analysis table to 6 doctors, 40 nurses, and 11 industrial hygienists of Group Health Care System. Health care managers were performing complex and intellectual jobs such as healh education for workers, managing health care, conference as well as more simple jobs like as filling diary. Especially, job was consisted of general job and health care management job in the proportion of 1:2.18. The major general job were data management related with the health statistics, and major health care management jobs were managing health care, health counselling, environmental management of working sites. Each specific jobs were required differentiated intellectual capacity, creativity, autonomy, psychic stress, and physical work; most respondents perceived that health care management jobs should require more inputs than general jobs. Additionally job satisfaction and perceived need on specific Job items were anzlysed. Results of this research, suggested through the field experiences in working sites, should be considered for improving the Group Health Care System.

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Relations between oral health status and subjective oral health recognition in Korean adolescents (한국 청소년의 구강건강 실태와 주관적 구강건강인식의 관련성)

  • Lee, Dong-Geon;Yoo, Wang-Keun
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.4
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    • pp.593-602
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    • 2015
  • Objectives: The purpose of the study is to investigate the relations between oral health status and subjective oral health recognition in Korean adolescents. Methods: The survey data were extracted from the 2012 Korea National Oral Health Survey from June to November, 2012. The survey consisted of oral checkup data and the oral health interviewing data of 9,981 adolescents(5,335 male, 4,646 female) by proportional distribution. The questionnaire included general objective oral health status and subjective oral health recognition. The subjective oral health recognition consisted of general characteristics of the subjects, oral health status, oral health behavior, and subjective oral health recognition. Results: According to multiple regression analysis for the relations between general characteristics and subjective oral health recognition, subjective health recognition, the influencing factors were gender, age, the number of tooth brushing per day, intake of snacks and carbonated drinks, regular oral examination, decayed teeth (DT), missing teeth (MT,) and DMFT. Conclusions: The routine oral checkup is the most important method to improve the oral health management in the adolescents. The continuing oral health improvement project must be implemented based on the law and will keep the adolescents in good oral health status.

Comparison of oral health related characteristics between a long-term patients and general population (장기입원환자와 일반인의 구강건강관련 특성 비교)

  • Jeon, Ju-Hyeon;Kwon, Ji-Ae;Nam, Jeong-Min;Park, Hyeon-Bin;Song, Ye-Jin;Choi, Jun-Seon
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.11-18
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    • 2016
  • Objectives: The purpose of the study was to compare the oral health related characteristics between a long-term patients and general population. Methods: A direct interview questionnaire was completed by 160 patients and 165 general people from January 16 to April 31, 2014. The questionnaire consisted of general characteristics of the subjects, subjective health status, oral health behaviors, and needs of oral health. The data were analyzed using SPSS 18.0 program. Results: The long-term patients reported that most of them were denture wearers(38.1%), and had oral disease symptoms(62.5%) and xerostomia(65.6%). Most of the long-term patients were ex-smoker(31.3%) and did not receive regular dental check-up(92.5%). They did not know tooth brushing method(31.3%) and brushed their teeth less than twice a day(47.5%). Those who used tooth brush for more than 6 months accounted for 47.5%. Most of them did not use auxiliary oral hygiene devices(85.6%). The patients answered that oral health is not important(6.9%), oral health education is not necessary(7.5%), and oral cleaning(26.3%) should be included in oral health education. Conclusions: The self-reported oral health status of the long-term patients much more serious than the general population. It is necessary to educate the continuing oral health management program for the long-term patients.

Health Literacy of Inpatients at General Hospital (입원 환자의 건강정보문해력에 관한 연구)

  • Hong, In Hwa;Eun, Young
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.477-488
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    • 2012
  • Purpose: The purpose of this study was to investigate the health literacy of inpatients at general hospitals. Methods: The sample of this study was 157 inpatients from secondary general hospitals located in a J city during April 1st to April 15th, 2011. The linguistic health literacy was measured by Korean Health Literacy Assessment Tool (KHLAT). The functional health literacy was measured by Korean Functional Health Literacy Test (KFHLT). Results: The mean score of the linguistic health literacy was $36.03{\pm}16.33$ (percent of correct answer: 54.6%). The mean score of the functional health literacy was $9.62{\pm}4.75$ (percent of correct answer: 56.6%). The linguistic and functional health literacy were by age, education level, marital status, socioeconomic status and their health status. There was statistically a significant correlation between the linguistic health literacy and the functional health literacy (r=.75, p<.001). Conclusion: The health literacy of inpatients was strongly related to education level and age. There is a need to develop the educational materials for adjusting the health literacy level of inpatients.

Geographical Distribution of Physician Manpower under the Influence of Public Health Physician (의사인력의 지역간 분포양상 및 공중보건의사의 영향)

  • 서용덕;차병준;박재용
    • Health Policy and Management
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    • v.3 no.2
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    • pp.81-99
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    • 1993
  • The purpose of this research is to assess the geographical distribution of physicians and dentists and the degree of maldistribution of the physician. Data were obtained form the Korean Medical Association's report on physicians registry and census for 1990. To assess the degree of disparity in the rural-urban distribution of physician manpower and to identify changes in the distribution pattern, the Gini index of concentration was used. Major findings are as follows; 1. Urban-rural disparity in the distribution of physician manpower exists in all categories of manpower, i.e. physician, dentist, oriental medical doctor, general practitioner, medical specialist, practitioner, public health physician and public health dentist. Urban area which had 74.4% of nation's population, accounted for over 90% of all physician manpower. 2. In terms of the ration of physician manpower per 10, 000 population, in urban area, they were 8.2 physicians, 2.7 general practitioners, 5.5 specialists, 3.0 practitioners, 1.8 dentists and 1.3 oriental medical doctors. In rural area, the ratios were 1.4 physicians, 0.6 general practitioners, 0.9 specialists, 1.0 practitioners, 0.4 dentists and 0.4 oriental medical doctors. 3. Gini indicies computed to measure inequality of physician manpower distribution were 0. 3675 for physicians, 0.3372 for general practitioners, 0.3338 for specialists, 0.2263 for practitioners, 0.3132 for dentists and 0.3293 for oriental medical doctors. 4. Inspite of increase in the number of physician manpower, urban concentration of physician manpower intensified from 1980 to 1990. However, the Gini index for all physician manpower fell by 18.3~36.7% from 1980 to 1990, indicating more even distribution. 5. In rural area, the public health physicians and dentists had increased the ratios of physicians, general practitioners, practitioners and dentists per 10, 000 population remarkebly, and had decreased the Gini indicies of physicians, general practitioners, practitioners and dentists. Thus, public health physicians and dentists contributed to improve the distribution of physician manpower in rural area. Based on the results of this study, long-term and rational manpower policies should be developed to solve the problem of geographical maldistribution of physician manpower as well as short-term policy for inducing physicians to the rural areas.

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