• Title/Summary/Keyword: health services research

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Analysis of Basic Emergency Obstetric and Neonatal Care (PONED) Services in Baso Public Health Center, Indonesia: Recommendations from Qualitative Interviews

  • Hasnita, Evi
    • Asian Journal for Public Opinion Research
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    • v.3 no.3
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    • pp.131-144
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    • 2016
  • One of the main indicators of the health status of a country is the Maternal Mortality Rate (MMR). In order to improve the MMR in Indonesia, the government has made a number of primary health centers (PHC) capable of providing basic obstetric and neonatal emergency care (PONED) services. The aim of this research is to learn how well PONED services have been implemented at the Baso PHC in Agam Regency as of 2015. We used a qualitative approach, with in-depth interviews and observations from June-August 2015. Ten respondents participated in the in-depth interviews, and observations were made about the infrastructure. The validity of the data is based on the standard of credibility, transferability, dependability, and confirmability of the content of the interviews. The analysis shows that there are still some obstacles in PONED PHC implementation, including the lack of human resources at the PHC and insufficient facilities, funding, and oversight, which causes many cases that should be handled by a PONED team to be referred to the hospital. Suggestions are provided to help improve policies and ultimately patient care.

A Single Measure of Cancer Burden in Korea from 1999 to 2010

  • Cho, Kyoung-Hee;Park, Sohee;Lee, Kwang-Sig;Jang, Sung-In;Yoo, Ki-Bong;Kim, Jae-Hyun;Park, Eun-Cheol
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.9
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    • pp.5249-5255
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    • 2013
  • Background: The purpose of this study was to develop a single measure of cancer burden (SMCB), which can prioritize cancer sites by considering incidence and mortality. Materials and Methods: Incidence data from 1999 to 2010 were obtained from the Korea Central Cancer Registry. Mortality data from 1999 to 2010 were obtained from Statistics Korea. The SMCB was developed by adding incidence and mortality scores. The respective scores were given such that incidence and mortality were classified by ten ranges of equal intervals. Results: According to the SMCB in 2010, stomach cancer ranked $1^{st}$ in males with 20 points, and colorectal cancer was $2^{nd}$ with 11 points. Breast cancer and thyroid cancer were joint $1^{st}$ with 11 points for females. The SMCB for females was less than that for males. The burden of stomach cancer was $1^{st}$ in males from 1999-2010. The incidences of lung cancer and liver cancer decreased, whereas thyroid cancer and colon cancer increased during the period. Breast cancer and thyroid cancer burden showed tendencies to increase in females. Comparison of SMCB with disability-adjusted life years (DALY) and socioeconomic costs in 2005 showed that the top five cancer sites were similar, but there were differences in the size of the cancer burden. Conclusions: The SMCB indicated that the burdens of stomach cancer in males and thyroid and breast cancers in females were large. The single measure showed an advantage, reflected as the equivalent dimensions of incidence and mortality, whereas DALY and economic costs showed tendencies to reflect premature death.

Unmet Healthcare Needs Status and Trend of Korea in 2017 (2017 미충족의료율과 추이)

  • Kim, Hwi Jun;Jang, Jieun;Park, Eun-Cheol;Jang, Sung-In
    • Health Policy and Management
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    • v.29 no.1
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    • pp.82-85
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    • 2019
  • Unmet healthcare needs are being used as an important indicator of the accessibility of healthcare services worldwide. To examine current status and trends of unmet needs in Korea, we used data from four sources: the Korea National Health and Nutrition Examination Survey (KNHANES, 2007-2017); the Community Health Survey (CHS 2008-2017); the Korea Health Panel Survey (KHP 2011-2015); and the Korean Welfare Panel Study (KOWEPS 2006-2017). The proportion of individual reporting unmet healthcare needs as of 2017 was 8.8% (KNHANES), 10.6% (CHS), and 12.4% (KHP as of 2015). The proportion of households reporting unmet healthcare needs due to cost was 0.5% (KOWEPS). Annual percentage change was -19.2%, -13.3%, -5.8%, and -13.3% respectively. Low income populations had more unmet healthcare needs than high income populations. However, unlike the last two studies, the main reason for unmet medical reasons was that there was no time regardless of income level.

A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province (사회계층에 따른 영유아 맞춤형 방문건강관리사업 요구도)

  • Kim, Hee-Ja;Bang, Kyung-Sook;Yoo, Jae-Soon;Kim, Hyun-Sook;Tak, Yang-Ju;Huh, Bo-Yun
    • Research in Community and Public Health Nursing
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    • v.22 no.2
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    • pp.212-222
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    • 2011
  • Purpose: This study was conducted to survey children's health status and need of customized visiting health care services in one province. Methods: The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center. Results: Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care. Conclusion: These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

Strengthening Occupational Health Services through Monitoring Exposure to Health Hazards (유해인자 노출감시를 통한 산업보건서비스 강화)

  • Park, Seung-Hyun;Bae, Gyewan;Kim, Joonbeom;Kim, Se-dong
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.31 no.2
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    • pp.147-155
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    • 2021
  • Objective: The purpose of this study was to find ways for strengthening occupational health services through monitoring exposure to health hazards. Methods: About 70,000 workplaces that have conducted the work environment measurement(WEM) over the last three years(2017~2019) were classified according to the Korean Standard Industry Classification(KSIC), and the current status of WEM by industry was analyzed. The authors considered ways to monitor exposure to health hazards in order to strengthen occupational health services and protect workers' health. Results: Based on the KSIC, 934 of the 1,196 total sub-classified industries have conducted WEM in at least one workplace over the last three year(2017~2019). In the case of manufacturing, out of a total of 477 sub-classified industries, 474 have conducted WEM at more than one workplace. However, in some industries, WEM was not conducted or the implementation rate was low, so it was necessary to examine whether WEM should be expanded based on a detailed analysis of the WEM database. To this end, it is necessary to form an exposure monitoring committee in which various experts from different fields can participate. The committee needs to discuss the overall matters necessary for selecting industries that require detailed investigation or research, review the results, and prepare a final recommendation. Conclusion: In conclusion, the government needs to come up with a plan to strengthen occupational health services through surveys and research on the current status of WEM and work environment management models by industry.

A Comparison of the Cancer Incidence Rates between the National Cancer Registry and Insurance Claims Data in Korea

  • Seo, Hee Jung;Oh, In-Hwan;Yoon, Seok-Jun
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.12
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    • pp.6163-6168
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    • 2012
  • Although much health services research has been conducted using national health insurance claims data in Korea, the validity of this method has not been ascertained. The objective of this study was to validate the use of claims data for health services research by comparing incidence rate of cancers found using insurance claims data against rates of the national cancer registry of Korea. An algorithm to estimate incidence rates using claims data was developed and applied. The claims data from 2005-2008 were acquired and the patients admitted to hospitals due to cancer in 2008 without admission to hospital from 2005-2007 by the same diagnosis code were regarded as incident cases. The acquired results were compared with the values from the National Cancer Registry of Korea. The incidence rate of all cancers found using claims data was 363.1 per 100,000 people, which is very similar to the 361.9 per 100,000 rate of the national cancer registry. Also the age-, gender- and disease-specific rates between the two data sources were similar. Therefore, national health insurance claims data may be a worthwhile resource for health services research if appropriate algorithms are applied, especially considering the cost effectiveness of this method.

Effect of Motivations and Attitudes toward Nutrition Information on College Students' Use Intentions of Menu Labeling at University Dining Services (대학급식 영양정보 표시에 대한 태도 및 이용동기가 이용의도에 미치는 영향)

  • Ham, Sunny;Kim, Youngshin;Jeong, Yunhui;Park, Shinhye;Joe, Meeyoung
    • Journal of the Korean Dietetic Association
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    • v.23 no.1
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    • pp.94-105
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    • 2017
  • A menu labeling initiative is a lawful regulation with an aim to promote public health by providing customers the right to make informed menu choices. As college years are a critical period in which students form dietary habits, which are sustained throughout their lives, provision of nutritional information at the university dining services is important to students' health and life. Due to the lack of research on menu labeling at university dining services, the purpose of this study was to examine college students' attitudes and motivations toward menu labeling at university dining services, as well as their use intentions toward nutrition information at university dining services. Data were collected from a self-administered survey distributed to 484 college students who had experienced university dining services. Motivations of university students toward menu labeling were categorized into 'knowledge pursuit' and 'health pursuit'. Students' attitudes toward menu labeling had a positive effect on their intention to use menu labeling at university dining services. The findings of the study indicated that female students, or those who frequently used nutrition information, tended to have higher attitudes, motivations, and use intentions toward nutrition information. The study results suggest that facilitation of healthy eating environments at university dining services by offering nutrition information, and nutrition and health education is necessary.

A Study on Developing the Guideline for CHI Reference Service (소비자건강정보(CHI) 참고서비스 가이드라인 개발에 관한 연구)

  • Noh, Younghee
    • Journal of Korean Library and Information Science Society
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    • v.44 no.2
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    • pp.345-376
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    • 2013
  • Because of increased concern regarding health and well-being, interest in consumer health information (CHI) has also increased, leading to a growing number of health-related websites. As a result, research has shown that public libraries are experiencing an increased demand for CHI-related reference services. The task of providing these services then falls on the public reference librarian, who is often untrained and inexperienced in this area. Therefore, improvements to how public libraries provide CHI reference services effectively are needed. This study analyzed the previous research at home and abroad, and developed CHI reference guidelines for public librarians. Guidelines developed in this study went through a verification process utilizing expert advice and a survey of public librarians.

Identifying the Types of Collaboration in Community Health Promotion (지역사회 건강증진사업의 협력유형 분류)

  • Jang, Myung-Wha;Cho, Won-Sup;Yoon, Nan-He;Kwak, Min-Son;Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.26 no.3
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    • pp.125-135
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    • 2009
  • Objectives: This study attempts to identify and categorize the types of collaboration that community health centers in Seoul planned to form in order to conduct health promotion programs. Methods: A content analysis was performed by reviewing the Phase 4 Community Health Plans for 2007-2010 of the 25 districts in Seoul. Results: In total, 614 cases of collaboration were identified which the community health centers in Seoul had planned for 2007-2010. These cases were grouped into 10 categories of collaboration activities: offering direct services through external venues utilizing external facilities; providing health education materials to partner agencies promoting health messages through media; running committees with collaborators inviting external experts; participating in external events; referring clients to external health services; connecting services; and miscellaneous. These types and cases were compared across community health promotion programs. Conclusion: Collaboration and partnership should be clearly defined for community health research and practice. Further research is needed to investigate the potential gap between plans for collaboration and actual collaboration activities, and to develop Korean models for collaboration building for community health promotion.

A Study on Life Safety Services Support for Single Elderly in Rural Areas (농촌독거노인의 생활안전서비스지원에 관한 연구)

  • Lee, Mi Young;Cho, Hee Keum;Choi, Yoon Ji
    • Journal of Family Resource Management and Policy Review
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    • v.20 no.1
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    • pp.43-60
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    • 2016
  • The purpose of this study was to investigate what life safety services the elderly living alone in rural areas need and to propose the life safety services that they actually need. The research subjects were 1,000 people aged 65 years and over living in the rural areas of Korea. Among the total 1,000 respondents, 283 elderly people who did not live together with their married children were included in this study. Data were analyzed through frequency analysis, descriptive statistics, and multiple regression analysis. The results of this study were as follows. First, the needs of health care services and vehicle support services (when the elderly went to the hospital or walked out) were high. These were services related to health, which means that the health of the elderly is not good and that they are interested in health. Of course, it is important to treat the disease. However, it is more important to prevent disease and maintain health. An expansion of these services is urgently needed. Second, the need for life safety services was affected by the frequency of contact with neighbors, uncomfortable housing, exercise, the frequency of contact with children, gas accidents, and nutrition variables. Through this analysis, we propose to include the housing improvement service, nutrition improvement services, and expanding social relations services in the life safety services.