• Title/Summary/Keyword: Preventive management program

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Research on the Plan of Oriental Medical Participation in the Industrial Health (산업보건에의 한의학적 참여방안에 관한 연구)

  • Lee E.K.;Chong M.S.;Chun E.J.;Kim S.T.;Kang S.H.;Lee S.K.;Han J.M.;Kim S.C.;Yu T.S.;Jeung J.Y.;Song Y.S.;Lee K.N.
    • Journal of Society of Preventive Korean Medicine
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    • v.3 no.2
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    • pp.55-77
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    • 1999
  • Oriental Medical Service established foundation that Oriental medical clinic can take part in industrial health service by being specified industrial calamity medical treatment organ, but research which develope program that Oriental Medical Service approach on the occupational disease and industrial health only dealt in the Western Medical System was insufficient. So we studied on theoretical foundation and basic bearing about .program of oriental medical health examination in the workplace, it is based on explanation and assessment reformed by western medicine. We reached the conclusion as follows, 1. We must reconsider the concept that mind of Oriental medicine is preventive medicine, and assess positively result of social medicine. 2. Importance of industrial health is being enlarged in the category of health care. 3. Western medical health in including industrial health have faced much problems at this time, we can search by alternative proposal grafting on Oriental Medicine. 4. Oriental medical participation in the industrial health have various benefits at side satisfaction of workers, effect of prevention, efficiency of cost, and increasing rate of medical treatment and return to workplace of workers with industrial calamity. 5. We must consider Oriental Medical Health Examination as one way of health management program of workers, not as formality. 6. The advantage of Oriental Medical Health Examination can increase ability of individual health management in preventive medicine and the production in workers' health management.

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The Effectiveness of a Hospital-Based Obesity Management Program using Korean Medicine in Uzbekistan (우즈베키스탄 한방병원에서 진행한 한의약 비만관리 프로그램의 효과)

  • Lee, Eun-Kyoung;Chong, Myongsoo;Ryu, Young Jin;Kwon, Donghyun;Lee, Joonseok;Jang, Bo-Hyoung;Yun, Jin Won;Park, Yu Lee;Park, Haemo;Lee, Sundong;Ko, Seong-Gyu
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.2
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    • pp.23-35
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    • 2015
  • Objective : As part of the Korean Medicine Official Development Assistance(ODA) and Public Health Project, we implemented a obesity management program(OMP) using Korean medicine in Uzbekistan and its follow-up study was conducted to evaluate the effectiveness of the program. Method : We recruited the participants of whose Body Mass Index(BMI) were over $25kg/m^2$ and who agreed to participate in the program at the South Korea-Uzbekistan Friendship Korean Medical Hospital in Uzbekistan. The program consisted of auricular acupuncture, functional food, and education program on diet and exercise. It was provided once a week during 7-week period. Anthropometric measurements and blood test measuring total cholesterol, triglyceride, and glucose were performed at the baseline, the end of the program, and 10-month follow-up. At the end of the program and the follow-up, survey on satisfaction and self-evaluation of the effectiveness of the program was additionally conducted. Results : 43 out of 78 participants completed the program and were included in the analysis. The analysis of the main outcomes showed that there were significant decreases in anthropometric measurements such as body weight, waist circumference, body mass index (BMI) and body fat content as well as blood test including triglycerides, total cholesterol and blood glucose levels. In the follow-up study, 24 subjects participated and 19 subjects (79.1%) reported that they succeeded in weight control. Furthermore, many participants reported that they maintained healthy lifestyles like healthy diet and regular exercise. The satisfaction with the program was also relatively high, and the education program was selected as the most motivating intervention for weight control. The outcomes such as body weight, BMI, body fat content, and blood glucose level were maintained to be at the decreased level; however, waist circumference, total cholesterol and triglycerides levels either returned back to the baseline level or were elevated to the level higher than the baseline. Conclusion : This study suggests that the OMP using Korean medicine may contribute to weight control of obese population in Uzbekistan. It is meaningful in that the study shows the possibility of implementing health promotion programs using Korean medicine in other countries with different cultures. In the future, more efforts to evaluate the effectiveness of the programs using rigorous methodologies and utilize the effective programs in ODA project will be needed.

An Analysis of the Premarital Preparation Education Program (결혼준비교육 프로그램의 분석)

  • Moon Sook-Jae;Jung Young-A;Yoon So-Young
    • Journal of Family Resource Management and Policy Review
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    • v.10 no.1
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    • pp.33-51
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    • 2006
  • Today, the Korean society is experiencing an increase in serious problems, such as child abuse, unmarried mothers, single mothers, which cannot be overlooked as simply trivial family matters. The increase in these problems is caused by the rapid change that has taken place within our society, which has emasculated the power of our traditional values and behavior patterns to cope with contemporary life styles. Premarital Preparation Education is starting to gain attention as a preventive measure that can overcome this serious family crisis. Although the importance of the Premarital Preparation Education program cannot be overemphasized, there are only few cases where engaged couples and unmarried men and women are exposed to this type of program and actually experience its benefits. In other words, there is an urgent need to revitalize and increase the effects of the Premarital Preparation Education Program. This research was conducted in order to find a way to revitalize and to increase the effects of the program, so that more and more people can participate and receive benefits from it. First, we have analyzed the program's contents and the current condition on how the program is actually conducted. Then we have compared real case examples of the program and analyzed the current situation and its problems.

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Effects of an Aging Management Program for Middle-aged Women on Resilience and Successful Aging (중년여성의 노화관리 프로그램이 회복탄력성과 성공적 노화에 미치는 영향)

  • Jung, Hyeyun;Sung, Kyung Mi
    • Women's Health Nursing
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    • v.25 no.4
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    • pp.392-408
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    • 2019
  • Purpose: The purpose of this study was to examine the effects of an aging management program on the resilience and successful aging of middle-aged women. Methods: A quasi-experimental study with a non-equivalent control and pre-post test design was used. The participants were 39 middle-aged women living in urban areas in Korea. The experimental group (n=22) received the aging management program for a total of 10 weeks, 90 minutes to 120 minutes per week. The aging management program consisted of strategies to enhance the behavior, promotion conditions, and habits of the program, including various activities for middle-aged women. The data were analyzed using χ2 tests, independent t-tests, and repeated measures analysis of variance with the SPSS/WIN 21.0 program. Results: The resilience score of the experimental group was significantly higher level than the score of the control group in the time-to-group interactions (F=3.70, p=0.029). The successful aging score of the experimental group was significantly higher than the score of the control group in the time-to-group interactions (F=5.86, p=0.004). However, the sub-hypotheses of resilience (self-regulation and interpersonal relationships) and successful aging (physical aging adaptation and psychological age adaptation) were partially accepted. Conclusions: The aging management program for middle-aged women was identified as an effective intervention for promoting resilience and successful aging in middle-aged women. Therefore, this suggests that the aging care program could be a useful intervention program to improve the mental health of middle-aged women living in communities.

Implementation and Results of a Survey on Safe Community Programs in Gangbuk-gu, Korea: Focusing on Participants at a Local Public Health Center

  • Kim, Hyun-Joong;Hwang, Se-Min;Lee, In-Young;Cho, Joon-Pil;Kwon, Myoung-Ok;Jung, Jae-Hun;Byun, Ju-Young
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.1
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    • pp.47-56
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    • 2014
  • Objectives: The purpose of this study was to investigate the current status of and problems with the Safe Community Programs in Gangbuk-gu, one of the 25 districts of the capital city of Korea. Methods: The study subjects were 396 individuals who were involved in Safe Community Programs between 2009 and 2011. We examined the effectiveness and willingness of respondents to participate as a safety leader of the Safe Community Program with a questionnaire. We examined the injury death rates of Gangbuk-gu by using of the death certificate data of Korea's National Statistical Office. Descriptive statistics and chi-squared tests were used. Results: The effectiveness of programs did not differ but active participation differed significantly among subjects (p<0.05). The injury death rate of Gangbuk-gu as a whole increased during the implementation period. However, senior safety, in particular, may be a helpful program for reducing injuries in Gangbuk-gu. Conclusions: This study suggests that the lack of active participation may be a major problem of Safe Community Programs in Gangbuk-gu. Therefore, Safe Community Programs should be expanded to the entire district of Gangbuk-gu and more active participation programs should be developed.

An Analysis on Factors Relating to Fiscal Deficit for Regional Health Insurance Program in Korea (지역의료보험의 재정 적자요인 분석)

  • Kim, Han-Joong;Cho, Woo-Hyun;Lee, Sun-Hee;Kang, Hyung-Kon;Kim, Yang-Kyun
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.4 s.40
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    • pp.399-412
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    • 1992
  • This study was designed to investigate factors relating to fiscal deficit for regional health insurance. The financial statements for the fiscal year 1990 of nationwide 254 regional medical insurance societies were analyzed. Important findings are summarized below: 1. There were differences in the main reason fur the financial deficit among regions when deficit and surplus societies were compared by regions. The total revenue per enrollee, especially revenue from the premium contribution of a deficit society was significantly smaller than that of a surplus society in large cities and counties. On the other hand, the total expenditure per enrollee of a deficit society was larger than that of a surplus society in small cities. 2. Both low premium rate at the beginning of health insurance program and less effort to increase the premium rate were main factors for the smaller revenue from the contribution of a deficit society in large cities and counties. 3. Larger expenditures per covered person of a deficit society in small cities were explained with larger medical expenditures especially for out-patients services rather than larger administrative expenses. 4. A regression analysis showed that utilization rates in out-patient services were significantly associated with income and numbers of total medical care institution per capita within a region where a health insurance society located. Also expenses paid by insurer per visit were associated with the proportion of utilization for tertiary care hospitals as well as the proportion of utilization of public health centers.

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Relationship of Level of Stress, Life Style, Subjective Symptoms and Clinical Diagnosis in Clients taken Multiphasic Screening Program (종합검진 수검자의 스트레스 수준과 생활습관, 자각증상 및 임상적 진단의 관련성)

  • Park, Jun-Han;Chun, Jin-Ho;Kang, Jang-Mi;Son, Byung-Chul;Kim, Dae-Hwan;Lee, Chang-Hee;Jeong, Kui-Won;Urm, Sang-Hwa
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.728-739
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    • 1998
  • To improve wellness and quality of life by recognizing the health efforts of stress, the author estimated the relationships between stress, subjective symptoms and clinical diagnosis through a questionnaire and a battery of specified laboratory tests; electrocardiography, blood pressure, cholesterol, aspartate aminotransferase(AST), alanine aminotransferase(ALT), gamma glutamyl transferase$(\gamma-GTP)$, fasting blood sugar, gastro-endoscopy or UGI, abdominal sonography, etc. The data was gathered from 337 clients who were undergoing multiphasic screening program at a University Hospital from January to March 1998. The mean age of subjects was $46.5{\pm}11.2$ years and the mean of body mass index was $24.0{\pm}3.7kg/m^2$. The mean vol of stress was $18.5{\pm}6.0$ expressed as the score out of 40. By general characteristics and lift style among male, mean level of stress was significantly higher in case of lower socioeconomic status, habitual drug use, longer daily working time(>10 hours), no regular exercise, drinkers, irregular meal, skip-ping breakfast(p<0.05). In case of female, that was significantly higher in case of lower education, lowe. socioeconomic status, longer daily working time(>10 hours), no regular exercise, drinkers, smokers, irregular meal, skipping breakfast(p<0.05). Significant correlations were observed between stress and subjective symptoms in all kinds of organ system (p<0.01). Correlation coefficients of stress among male were relatively high with neuro-psychiatric symptom$(\gamma=0.476)$ and cardio-vascular symptom$(\gamma=0.361)$ in order, and correlation coefficients of stress among female was highest with neuro-psychiatric symptom$(\gamma=0.371)$. The prevalence of the diagnosis through the battery of laboratory tests was high in upper gastrointestinal disorders and hypercholesterolemia in order in both sex group. Among male the mean score of stress was significantly high in ulcerative peptic disorder of upper gastrointestine and hepatopathy in order (p<0.05) . Among female that was significantly high in diabetes mellitus. In summary, it is likely that there are associations between stress, subjective symptoms and clinical diagnosis. To promote wellness and quality of life it would be of value that periodic stress evaluation program and stress management including apropriate control of smoking and drinking, regular exercise and meal.

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Cancer Survival and Status of National Health Insurance in a Community (A일개 군지역 암등록자료의 국민건강보험 보장유무에 따른 암 생존율 차이)

  • Kweon, Sun-Seog;Choi, Jin-Su;Shin, Min-Ho;Kim, Hye-Yeon;Choi, Seong-Woo;Lee, Young-Hoon
    • Health Policy and Management
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    • v.19 no.2
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    • pp.127-134
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    • 2009
  • It is known that socioeconomic status(SES) of the cancer patient is associated with survival in recent studies, performed in other countries. The purpose of this study was to determine whether the association between status of national health insurance and survival is also present in a community in Jeonnam province, South Korea. The Gwangju-Jeonnam Cancer Registry, a population-based cancer registry, provided information to identify the cancer cases of study community diagnosed from 1998 to 2007. Total of 2,046 cases were identified during the period. There were significant associations between the status of national health insurance and survival for total cancer after adjusted by age, geographic accessibility to health care, and stage at diagnosis. However, this differences were not found in the analysis using only stomach and colorectal cancer cases. Despite of some limitations, this results suggest that the policy for reducing the difference according to the SES is required in national cancer management program.