The purpose of this study was to provide basic data necessary for revitalizing adult oral care by identifying the correlation between depression, social self-efficacy and self - perceived oral health. To collect data, people in their forties or older in North Jeolla Province were convenience sampling to complete a self-administered questionnaire from April 2 to May 21, 2016. The data were analyzed by SPSSWIN 20.0, Chi-square test, t-test and one way ANOVA, Scheffe' post hoc test, Pearson correlation. Depression was negatively correlated with self-efficacy and oral health. Social self-efficacy was positively correlated with oral health. In pursuit of steady prevention and management, therefore, it is necessary to develop an oral health promotion program reflecting social efficacy, giving another consideration to education related to psychological oral health cognition.
This study aimed to investigate the factors influencing the decision on whether to receive regular oral check-ups among the national health insurance beneficiaries with income and aged over 20 years in Korea. This was a cross-sectional study, using the data from the 2014 6th Korea National Health and Nutrition Examination Survey (KNHANES VI-2), conducted by the Korea Centers for Disease Control and Prevention. The final sample included 2,843 subjects who participated in the health examination survey and oral check-ups. The IBM SPSS Statistics ver. 20.0 was used for the statistical analysis, based on the complex sampling design. The Rao-Scott chi-square test was used to verify the difference in the distribution of independent variables with regard to oral check-ups. The binary logistic regression analysis was used to determine the influencing factors. The ratio of beneficiaries who received oral check-ups was less than half of those who received medical examinations. The Rao-Scott chi-square test, revealed significant differences in the age group (p<0.05) of the predisposing factors, toothache within a year (p<0.001), untreated dental caries (p<0.001) of the need factors, personal income level (p<0.001), educational level (p<0.001), type of medical insurance (p<0.001), and private health insurance (p<0.01) of the enabling factors. In the binary logistic regression analysis, factors influencing oral check-ups were age group, personal income level, educational level, toothache within a year, and untreated dental caries. These findings show a variety of factors influencing the utilization of regular oral check-ups.
The right to petition is a classical right of the people in constitutional states, and in Korea, it is a statutory right in the Constitution, the National Assembly Law, the Petition Law, and the Local Autonomy Act. The healthcare community first made a successful petition to the National Assembly when it achieved the amendment of the Government Organization Act through a petition to the National Assembly for the independence of the Ministry of Health, and this achievement served as the basis for further petitions. Since then, the healthcare community has successfully achieved the enactment and amendment of related occupational laws through National Assembly petitions, such as the amendment of Article 41, Paragraph 7 of the former Medical Insurance Act (Korean Medical Association, 14th Assembly), enactment of the Dental Health Act (Korean Dental Association, 15th Assembly), and amendment of the Health Functional Foods Act (Korea Pharmaceutical Association, 16th Assembly). Its petition accomplishment rate is higher than the total petition accomplishment rate of the Health and Welfare Committee of the National Assembly. However, along with the overall decrease in the number of National Assembly petitions, the Korean Medical Association and Korea Pharmaceutical Association have not achieved any results through petitioning since the 16th Assembly (June 2000), and the Korean Hospital Association and Korean Nurses Association have not achieved any results through petitioning since the 17th Assembly (April 2004). Furthermore, no National Assembly petitions have been made at all for 5 years (2014-2018). The Korean Medical Association and Korea Pharmaceutical Association previously showed a high petition accomplishment rate through their accumulated experience with National Assembly petitions and vigorous policy assistance from doctors/pharmacists/nurses turned lawmakers. More specifically, healthcare organizations have achieved results by actively conducting organized activities with the National Assembly, as implemented by a national assembly director and employees, and in case of petitions for legislation, each group has established infrastructure for reviewing the relevant laws by appointing a legislative director, as well as a legal advisor and advisory counsel. Although the organization that has submitted the most petitions to the National Assembly is the Korean Hospital Association, the group with the highest petition success rate is the Korean Medical Association, which may be linked to the relatively high proportion of doctors who have become lawmakers. Furthermore, the fact that other healthcare organizations were highly interested in petitioning the National Assembly has had major implications for the petition activities of healthcare organizations.
Journal of agricultural medicine and community health
/
v.28
no.1
/
pp.67-77
/
2003
Objectives: This study is designed to suggest the health service goals necessary for providing the more efficient services relevant to the requests of the community, through the evaluation on the operating status of the unified health subcenters. Methods: We visited total 5 unified health subcenters comprising 3 ones located in Gyeongsangbuk-do and 2 ones located in Gyeongsangnam-do from December 2000 to January 2001, and interviewed about the pre- and post-unified status related to manpower, facilities, equipment, medical service and health service quality, and the problems and improvement plans of the unified management. Results: According to the evaluation on the manpower before and after the unification of the health subcenters, the total employees increased by 2.8 persons on average from 6.8 to 9.6 persons in the investigated subjects. The numbers of doctors, dentists and nurses were almost the same as before. There were no clinical pathologic technician and radiological technician before but they were appointed to duty in 3 unified health subcenters later. The unification of the health subcenters has produced slight increases in the frequency of the medical service and dental treatment and considerable increases in that of the physical therapy and laboratory tests. In relating to the changes of the health service, the cases of visiting health care and ambulatory medical service, and the total number of health education participants were greatly increased after the unification. The number of cases undergoing the vaccination and cervical cancer screening was similar to that of the pre-unification while the patient number of the registration to hypertension or diabetes showed a tendency to increase a little. Since the unification of the health subcenters, the frequency of laboratory tests has been increased, but the quality of health service has not been improved yet. Nevertheless, the unification seems to be positive according to the result of the great improvement in visiting health care, ambulatory medical service and health education service. The problems of the unification of the health subcenters were indicated in indefiniteness of the service details between the workers; excessively large building hard to be effectively managed; insufficient medical instruments, inappropriation of working expenses, lack of professional training for the health education, etc. Conclusions: For further active functions of the unified health subcenters, the minimal allocation basis to appoint doctors, nurses and administrative workers to do the duty should be differentiated from the basis for a health subcenter, and the fundamental instruments needs to be expanded to improve the quality of the medical service and visiting health care service. Moreover, the unified health subcenter needs to have definite service details between the workers, and should improve the working efficiency through the development of service-related guidelines.
The purpose of this study is to verify the mediating effects of psychological flexibility on the relationship between emotional dissonance and mental health(depression, anxiety, somatic symptoms) in university administration staff. For this study, a sample of 191 university administration staff completed the questionnaires. The data was analyzed using the SPSS program and Sobel Test. The results of the analysis are as follows: 1. Most of the university administration staff had difficulties with emotional dissonance(52.36%), depression(47.12%), anxiety(58.12%), and somatic symptoms(62.83%). 2. The risk group of emotional dissonance had a significantly higher level of depression, anxiety and somatic symptoms compared with the normal group. 3. Emotional dissonance and psychological flexibility had a significant effect on depression, anxiety and somatic symptoms. 4. The mediating effects of psychological flexibility on the relationship between emotional dissonance and mental health(depression, anxiety, somatic symptoms) was verified. Finally, We suggested the need to intervene in emotional labor and mental health in university administration staff and psychological flexibility as an intervention and prevention method.
The aim of this study was to evaluate the correlation between senile eye diseases such as age-related macular degeneration (AMD), glaucoma and oral health behaviors. Data from the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VII-2) were used to analyze oral health behaviors according to the presence of AMD and glaucoma. Demographics and oral behaviors were analyzed using the complex chi-square test and complex logistic regression to compare participants with AMD and glaucoma with those without AMD and glaucoma. According to the presence or absence of AMD and glaucoma, there were statistically significant differences in age, education level, oral care product use, and difficulty in speaking variables. The results of this study provide evidence of a significant association in some variables between oral behaviors and senile eye diseases.
This study has surveyed patient education and counseling, based on the data you want to utilize the expectations on dental prosthetic appliances (denture, bridge) and implants among 307 workers who participated in reservists mobilization training of Hyundai Heavy Industries located in Ulsan City. The reliability of expectations on dental prosthetic appliances and implants were fairly high at cronbach'${\alpha}$ of .971 and .967 respectively. The collected data was analyzed through IBM SPSS Statistics. v. 19.0 program at the significance level of 0.05. The research findings are as follows. First, the expectations on prosthetic appliances scored an average of 3.98. Second, the expectations on implants scored an average of 3.74. Third, the expectations on implants depending on subjective health status scored an average of 3.74, which were statistically significant (p=0.003). Fourth, the differences in expectations on implants depending on the concerns for oral hygiene care scored an average of 3.74, which were statistically significant (0<0.001). Fifth, the expectations on prosthetic appliances and implants were strongly correlated at 0.392. As a result of implants of prosthodontics need for accurate information transfer.
It has been found that the incidence and mortality of COVID-19 are high in patients with underlying chronic diseases. Amid COVID-19 pandemic, tooth brushing is as important as hand washing for health care. The aim of this study was to identify factors related to the rate of tooth brushing and hand washing in hypertensive patients. We analyzed 62,762 hypertensive patients over the age of 40 from the Community Health Survey 2020. The practice rate of hand washing was higher among women, younger age, higher education level, mask wearers when going out, and tooth brushing practitioners after lunch. The hand washing practice rate was higher in hypertensive patients who practiced tooth brushing. In conclusion, there was the relationship between oral hygiene and personal quarantine. It is necessary to prepare sustainable measures to increase the practice rate of infectious disease prevention behaviors for patients with underlying chronic diseases who are susceptible to COVID-19.
This study aims to provide basic information necessary to find an efficient management plan for patients using auto insurance. The analysis was conducted on the five-year auto insurance medical expenses review data registered in the health care bigdata Hub from 2016 to 2020. As a result of the analysis, the number one composition ratio of auto insurance inpatient treatment expenses was treatment and surgery fees for Certified tertiary hospitals, hospitalization fees for general hospitals, hospitals and clinics, and treatment and surgery fees for oriental medical institutions and dental hospitals. outpatient treatment expenses was doctor's fee for medical institution, treatment and surgery fees for oriental medical institutions and dental hospitals. The ratio of medication, anesthesia, and special equipment significantly affected the cost of inpatient. And the ratio of physical therapy significantly affected the cost of outpatient.
Journal of the Korean Association of Oral and Maxillofacial Surgeons
/
v.49
no.5
/
pp.243-251
/
2023
Objectives: Although a few studies have investigated the relationship between kidney and oral function (number of remaining teeth), their results remain inconclusive. Therefore, this study aimed to investigate the relationship between kidney function and oral health in community-dwelling healthy elderlies and examine the factors associated with kidney function. Materials and Methods: We used cross-sectional data from the Shimane prefecture cohort recruited by the Center for Community-Based Health Research and Education in 2019. We collected clinical data on dental status, background factors and kidney function (estimated glomerular filtration rate [eGFR], mL/min/1.73 m2 and creatinine levels, mg/dL). Results: The study enrolled 481 participants, whose mean age was 66.7±7.4 years, and 223 (46.4%) participants were men. Multivariate analysis revealed significant correlations between eGFR (B=0.17, P=0.04), creatinine (B=-0.54, P<0.01), and the number of remaining teeth. The number of remaining teeth was associated with creatinine and eGFR, which are indicators of kidney function. Conclusion: This study suggests that preserving the teeth may prevent decline in kidney function. Dental professionals should provide instructions and professional care to reduce the risk of systemic diseases such as kidney dysfunction.
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