• Title/Summary/Keyword: health system

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DEVELOPING ORAL HEALTH SERVICE DELIVERY SYSTEM FOR THE DISABLED (장애인의 구강건강권 확립을 위한 구강의료 서비스 전달 시스템 개발)

  • Paik, Hye-Ran;Kim, SoYun;Jin, Bo-Hyoung;Lee, Jae-Young;Lim, Yeongwoo;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.14 no.2
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    • pp.111-120
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    • 2018
  • The need for oral health rights for people with disabilities is very high, and current oral health care system does not fully reflect these demands. Efforts to promote oral health of people with disabilities are urgently needed. In order for the disabled to have oral health rights, access to oral health services for people with disabilities should be improved and barriers to access should be resolved. In this study, we propose oral health service delivery system to guarantee oral health rights for the disabled. In addition, before applying the proposed oral medical delivery system, the external effects of the system application were predicted and the expert verification was conducted to find out the solution. There are some controversies about the development of the service delivery system proposed in this study. As a result of the expert verification, there were disagreements about the suitability of the service provider, the suitability of the service recipient, the appropriateness of the service content and scope, and the appropriateness of the cost and the revenue source. Subsequent Delphi surveys require the development of structured questionnaires for discussions that require consensus. It is expected that a reasonable consensus of expert opinions will be derived.

Associations of physical activity with gut microbiota in pre-adolescent children

  • Santarossa, Sara;Sitarik, Alexandra R.;Johnson, Christine Cole;Li, Jia;Lynch, Susan V.;Ownby, Dennis R.;Ramirez, Alex;Yong, Germaine LM.;Cassidy-Bushrow, Andrea E.
    • Korean Journal of Exercise Nutrition
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    • v.25 no.4
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    • pp.24-37
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    • 2021
  • [Purpose] To determine whether physical activity (PA), primarily the recommended 60 minutes of moderate-to-vigorous PA, is associated with gut bacterial microbiota in 10-year-old children. [Methods] The Block Physical Activity Screener, which provides minutes/day PA variables, was used to determine whether the child met the PA recommendations. 16S rRNA sequencing was performed on stool samples from the children to profile the composition of their gut bacterial microbiota. Differences in alpha diversity metrics (richness, Pielou's evenness, and Faith's phylogenetic diversity) by PA were determined using linear regression, whereas beta diversity (unweighted and weighted UniFrac) relationships were assessed using PERMANOVA. Taxon relative abundance differentials were determined using DESeq2. [Results] The analytic sample included 321 children with both PA and 16S rRNA sequencing data (mean age [SD] =10.2 [0.8] years; 54.2% male; 62.9% African American), where 189 (58.9%) met the PA recommendations. After adjusting for covariates, meeting the PA recommendations as well as minutes/day PA variables were not significantly associated with gut richness, evenness, or diversity (p ≥ 0.19). However, meeting the PA recommendations (weighted UniFrac R2 = 0.014, p = 0.001) was significantly associated with distinct gut bacterial composition. These compositional differences were partly characterized by increased abundance of Megamonas and Anaerovorax as well as specific Christensenellaceae_R-7_group taxa in children with higher PA. [Conclusion] Children who met the recommendations of PA had altered gut microbiota compositions. Whether this translates to a reduced risk of obesity or associated metabolic diseases is still unclear.

The Changes in the Public Health Laws and in the Legal Policies of the National Health Insurance over the Past Decade (최근 10년 보건의료법 환경 및 건강보험법정책의 변화)

  • Kim, Un-Mook
    • The Korean Society of Law and Medicine
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    • v.10 no.2
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    • pp.37-82
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    • 2009
  • Korea has gained the much more performances in the fields of pubic health laws and related policies on the basis of the substantial economic achievements. In 1977, the social medical insurance was established for companies with more than 500 employees, and in 1989, Korea successfully achieved the national medical insurance system covering the total population within only 12 years beginning with multiple insurers. There remained some problems, however, to be improved such as both the low level of contribution rates and benefit packages due to the inefficiency in utilizing limited medical resources. In 2000, all insurers were unified into a single insurer (National Health Insurance Corporation), and special independent Health Insurance Review & Assessment Service (HIRA) was also established. From the origin of medical insurance system in 1977, the Korean reimbursement system has been fee-for-service system, and after the establishment of HIRA, it has been providing objective and expert medical cost review services and health quality assessment services.

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The Development Path of China's Private Health Insurance and Its Role in the Health Care System (중국 민간의료보험의 발전경로와 의료보장체계에서의 역할)

  • Jung, Kee Taig;Fan, Jian Cheng;Chen, Wan Yun
    • Health Policy and Management
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    • v.31 no.4
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    • pp.423-436
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    • 2021
  • This article summarizes the structure of China's current social health insurance system and reviews the development status of China's private health insurance (PHI). China's medical security system is mainly composed of two parts: basic medical insurance (BMI) and PHI. Among them, the BMI provides reimbursement of basic medical expenses for the insured persons according to different proportions. PHI is a necessary supplement to the BMI and provides assistance to the insured persons in the event of illness or accident. By having PHI, people can obtain medical protection outside the coverage of BMI. In the development of PHI in China, the total medical cost is high and the insurance market size is large, but the proportion of PHI expenditure is low and the personal burden is high. Through this Chinese case, it will be helpful for mutual development between Korean PHI and national health insurance, for Korean insurance companies to enter the Chinese market, and for removing the medical burden on the people.

Development of the Parental Educational Multimedia System for Health Promotion of Children in Chungnam Province (충남지역 아동의 건강증진을 위한 멀티미디어 재택 부모교육 시스템 개발)

  • Yoo, Kyung-Hee;Lee, Hye-Kyung;Woo, Hee-Kyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.1
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    • pp.81-93
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    • 2001
  • The purpose of this study was to develop Parental Educational Multimedia System for Health Promotion of Children in Chungnam province. This system includes education programs for information of diseases, prevention of disease, and health promotion of children. Computer language used in this study were html, OS used was Microsoftware NT Server 4.0, the graphic tool was Adobe Photoshop 5.5, and Webpage tool was Notepade. The results of this study were show at internet 'www. ggomalove.co.kr'. Finally, the author suggests that this system could be adequately applied to promoting children's health. Further this study contributes to designing an appropriate health promotion strategy for children.

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The Korean Health Care Delivery System Early in the 21st Century (21세기 초 한국의 보건의료체계 - 공급체제를 중심으로 -)

  • Han, Dal-Sun
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.2 s.46
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    • pp.186-193
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    • 1994
  • This paper is an attempt to identify major challenges to be faced by the Korean health care delivery system for about 30 years in the future and to deliberate over possible policy responses to them. It is not intended to make a precise prediction of the future profile of the system, but the focus is given to understanding what we have to do from now on in order to develop health care in Korea toward a desirable direction. Although the discussion has been made in a rather fragmented manner, it would hopefully provide stepping stones for a systematic study of the Korean health care system from a long range perspective.

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A Prospect of Environmental Health Information System for Industrial Complex Areas in Korea

  • Kim, Dae-Seon;Park, Jaesung;Na, Jin-Gyun;Yongmoon Chae
    • Proceedings of the Korean Environmental Health Society Conference
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    • 2003.06a
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    • pp.196-198
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    • 2003
  • A prospect of environmental health information system was proposed for managing residents health of industrial complex area, which might imply the health effects by environmental pollution. From reviewing other environmental or health information system and making case database for past research, the direction and approach plans suggested construction of database and its structure for surveillance of health effects from an environmental pollution by environmental epidemiology in Korea. Results showed future requirement for developed algorithm which supports decision maker in environmental health policy and administration process.

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Occupational safety and health management system and regulation compliance in manufacturing enterprises (제조업 사업장의 산업안전보건경영체계와 규제 순응도)

  • Kim, Ki-Sik;Rhee, Kyung Yong;Yoon, Young-Shik
    • Journal of the Korea Safety Management & Science
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    • v.15 no.2
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    • pp.21-30
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    • 2013
  • OSHMS(Occupational Safety and Health Management System) is able to define as a typical convergence of all kinds of activities and elements that support maintaining safety at workplace and protecting employee's health. In particular, fundamental function of OSHMS is preventing diverse hazards at workplace through high level of regulation compliance. Furthermore, insuring safety in workplace, protecting employee's health and increasing effectiveness in manufacture are OSHMS's additional functions. Based on the division of manufacture in 2009 Survey on Current Status of Occupational Health & Safety data, the study analyses certain relation between OSHMS and level of regulation compliance. The main finding is that most activities and elements which formed by OSHMS are being affected by regulation clauses.

Policy Development on Health Administration System in the Era of Local Autonomous Government (지방자치제에 따른 보건의료사업을 위한 보건소 모델개발연구)

  • 남철현
    • Korean Journal of Health Education and Promotion
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    • v.16 no.1
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    • pp.101-126
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    • 1999
  • As the WTO system launches through the agreement of Uruguay Round, the Government has to revise the office regulations or reform the system. Also, Integrating and Coordinating the like affair in health care (i. e., children's home, industry health, school health, health manpower, the administration of health center, the administration on food hygiene, health environmental education, and so on.) which is now scattered into some government departments like the Ministry of Labor, the Ministry of Education, the Ministry of Home Affairs, the Ministry of Agriculture, and the Ministry of Environment, the Government has to prevent unspecialty, inefficiency, inconsistency, and uneconomy. The Government has to review and adopt above suggested the Proposal 1),2),3),4) of the Health Centers on the basis of the local autonomy law and it will help the successive settlement of the local autonomy system in Korea. According to the suggested proposal, the Central Government mainly takes charge of the Macro affairs as hardware, and transfer the Micro affairs as software into the Local Governments to attempt the appropriate functional allocation. To achieve it successfully, the Central Government also has to do the financial support, manpower training and technical support, allocation of health care resources, direction and control, research and development and the health care plan on the macro level. Local Governments which divided into the wide local government and basic local government also have to do their best for health improvement of the community societies like plan of health care program, implementation of health care service program, taking charge of the affairs of health insurance, activation of community residents' participation and security of health care resources etc. To achieve this goal, the Government have to be more active and reformative, the related social and health agencies and educational agencies have to cooperate and support for the goals, and especially, the community residents have to participate actively and voluntarily, When all these conditions promote, local health care administration will be developed, and health level of community residents will be secured. And going one step forward, the country and people will be more healthy

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A Study of Health Professionals Awareness, Satisfaction and Desirable Nutrition Labeling of Foods for Special Dietary Uses (특수영양식품의 영양표시에 관한 전문가의 인식, 만족도 및 바람직한 영양표시 방법에 관한 연구)

  • 송경희;박혜련;홍주영
    • Korean Journal of Community Nutrition
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    • v.6 no.3
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    • pp.361-370
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    • 2001
  • This survey was conducted to evaluate with 457 health professionals from July, 1999 to September, 1999 the awareness of and satisfaction with the nutrition labeling system in Korea and to determine a desirable labeling system. Professors of food and nutrition and nutrition researchers in the food industry had the hightest scores on awareness of the nutrition labeling system(75.6% and 73.4%, respectively), which was significantly different from each other by occupation(p < 0.01). Frequently checked labeling information were expiration date, production date, price, and company respectively. Special nutrient food producers(56.9%), dietitians(49.3%), nurses(48.1%), researchers(42.3%) answered moderately on satisfaction with nutrition information for products, which was statistically significant(p < 0.01). This suggests that health professionals were unsatisfied with the present nutrition labeling system. In nutrition focusing statements, nutrient content claims, health claims, and working periods were significantly related with nutrition focusing statements and health claims, but not with nutrient content claims : the subject who had been working for more than 10 years and less than 5 years had positive thoughts or those matters while the subjects whose working periods were between 10 and 5 years had the lowest score. The most desirable labeling units were serving size(65.1%). Ninety two percent of the subjects wanted absolute nutrient contents in food and their percentage of the KRDA. Eight nine percent of health professionals agreed that the health claims should be used only with scientific approval by the government or food research institutions. Only 4.4% of subjects were satisfied with current regulations of health claims(p < 0.001). More studies regarding labeling units, their range and nutrient reference values are needed. The opinions of health professionals in nutrition labeling system should discussed to establish a desirable nutrition labeling system.

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