• Title/Summary/Keyword: iCARE

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Impact of Changes in Medical Aid Status on Unmet Need and Catastrophic Health Expenditure: Data from the Korea Health Panel

  • Kim, Woo-Rim;Nam, Chung-Mo;Lee, Sang-Gyu;Park, So-Hee;Kim, Tae-Hyun;Park, Eun-Cheol
    • Quality Improvement in Health Care
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    • v.25 no.2
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    • pp.44-55
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    • 2019
  • Purpose: To investigate whether changes in Medical Aid (MA) status are associated with unmet need and catastrophic health expenditure (CHE). Methods: Data from the 2010 to 2014 Korea Health Panel (KHP) were used. The impact of changes in annual MA status ('MA to MA,' 'MA to MA Exit,' 'MA Exit to MA,' and 'MA Exit to MA Exit') on unmet need (all-cause and financial) and CHE (10% and 40% of household capacity to pay) were examined using the generalized estimating equation (GEE) model. Analysis was conducted separately for MA type I and II individuals. Results: In 1,164 Medical Aid type I individuals, compared to the 'MA to MA' group, the 'MA to MA Exit' group had increased likelihoods of all-cause and financial unmet need. This group also showed higher likelihoods of CHE at the 10% standard. The 'MA Exit to MA Exit' group showed increased likelihoods at the 10% and 40% CHE standards. In 852 type II recipients, the 'MA to MA Exit' group had higher likelihoods of CHE at the 10% standard. Conclusions: Type 1 MA exit beneficiaries had higher likelihoods of all-cause and financial unmet need, along CHE at the 10% standard. Type I 'MA Exit to MA Exit' beneficiaries also showed higher likelihoods of CHE at the 10% and 40% standards. In type II recipients, MA exit beneficiaries had higher likelihoods of CHE at the 10% standard. The results infer the importance of monitoring MA exit beneficiaries as they may be vulnerable to unmet need and CHE.

The Effects of Polydatin Isolated from Polygonum cuspidatum on Melanogenesis and Wrinkle Formation (호장으로부터 분리한 Polydatin의 미백 및 주름억제 효능에 대한 연구)

  • Jin, Mu-Hyun;Jeong, Eui-Taek;Kim, Mi-Sun;Song, Hye-Jin;Kwak, Taek-jong;Park, Sun-Gyoo;Lee, Sang-Min
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.37 no.4
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    • pp.327-335
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    • 2011
  • 5,4'-dihydroxystilbene-3-O-${\beta}$-D-glucopyranoside (Polydatin) is one of the stilbenes found in Polygonum cuspidatum (P. cuspidatum), however, the effects of polydatin on skin biology remain to be elucidated. In this study, we obtained polydatin from P. cuspidatum and investigated the effects of polydatin in skin-derived melanocytes and fibroblasts. In melanocytes, polydatin inhibited not only the tyrosinase activity and melanin production but the expression of melanogenic factors, tyrosinase and microphthalmia-associated transcription factor (MITF). In addition, the level of type I procollagen in fibroblasts was analyzed, and polydatin significantly induced the production of type I procollagen in a dose-dependent manner. Finally we conformed that topical treatment of polydatin improved wrinkle and induced whitening of human skin in vivo. These data provide evidence that polydatin can be a potent candidate for the improvement of both skin wrinkle and whitening from the point of industry view.

Time Spent for Child Care among Employed and Non-Employed Mothers with Young Children (취업 여부에 따른 어머니의 미취학자녀 돌봄시간 사용 양태 : 단독주행동, 동시주행동, 동시부행동을 기준으로)

  • Kwon, SoonBum;Chin, Meejung
    • Journal of Families and Better Life
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    • v.34 no.3
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    • pp.27-43
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    • 2016
  • This study aims to better estimate the amount of time spent for child care and to understand the characteristics of time spent for child care among employed and non-employed mothers with children under age 6 by taking concurrent activities into account. To assess time spent for child care, I differentiate child care activities into three types: primary activity without concurrent activities, primary activity with concurrent activities, and secondary activity with concurrent activities. The Major results of this study are as follows: First, employed mothers spent 145 minutes less than non-employed mothers in the total amount of time spent for child care during weekdays and this difference diminished to 62 minutes on weekends. Specifically there were differences in all types of time spent for child care among employed and non-employed mothers during weekdays, while the difference was only significant in the average amount of primary time spent for child care without concurrent activities on weekends. Second, there was no difference in the average ratio of time spent for child care with concurrent activities among employed and non-employed mothers during weekdays. By contrast, the average ratio of time spent for child care with concurrent activities of employed mothers was 5% higher than non-employed mothers on weekends. Lastly, the highest concurrent activity with child care activities was leisure followed by housework. This means that child care, leisure, and housework are somewhat related to each other among mothers.

Development of Patient Classification System based on Nursing Intensity in Stroke Unit (뇌졸중 전문치료실의 간호강도에 근거한 환자분류도구 개발)

  • Kim, Eunjung;Kim, Heejung;Kim, Miyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.5
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    • pp.545-557
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    • 2014
  • Purpose: The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. Methods: Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. Results: The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and Class IV. Conclusion: The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.

A Study on the Type of Role Awareness for Medical Institutions Home Health Care Specialists : A Q-Methodological Approach (의료기관 가정전문간호사의 역할인식)

  • Seo, Yun-Jin;Nam, Mi-Ra;Ahn, Ok-Hee
    • Research in Community and Public Health Nursing
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    • v.16 no.3
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    • pp.320-328
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    • 2005
  • Purpose: This study is to identify the types of role awareness of home health care specialists working at medical institutions, to understand their role awareness correctly by grasping the quality of each type, and to provide useful help in the education of home health care specialists. Method: Q-methodology is used to objectify role awareness of medical institution specialists who may recognize situations differently according to their individual experience and comprehension based on the view of behavior. Q-classification was carried out on 30 home health care specialists working at medical institutions using 30 selected questions. Collected data were examined through factor analysis using QUANL PC program. Results: Three different types of role awareness of home health care specialists working at medical institutions were identified. Type I is 'educational-function-centered', Type II 'patient-centered' and Type III 'professional-service-centered'. Conclusion: Regardless of these types, home health care specialists commonly had a high pride as a specialist and a sense of mission regarding themselves as important persons responsible for patients' health.

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The Influence of Pre-Service Child Care Teachers' Behavioral Characteristics on Self-Efficacy : Focused on the Mediating Effects of Social Support (예비보육교사의 행동특성이 자기 효능감에 미치는 영향 : 사회적 지지의 매개효과를 중심으로)

  • Seol, Hee-Jeong;Moon, Hyuk-Jun
    • Journal of Families and Better Life
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    • v.31 no.6
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    • pp.113-123
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    • 2013
  • This investigation studied 1)the correlations among pre-service child care teachers' behavioral characteristics, social support and self-efficacy, and 2)the mediating effects of pre-service child care teachers' behavioral characteristics and social support on self-efficacy. The subjects were 240 pre-service child care teachers working at S-center for nursery teacher education or I-center for nursery teacher education in the Incheon area. The findings are as follows. First, the relationships among pre-service child care teachers' behavioral characteristics, social support and self-efficacy were examined by showing correlations. Second, we found that in terms of the mediating role of social support in the relationship between pre-service child care teachers' behavioral characteristics and self-efficacy, type D and type S show self-efficacy; they also have a direct impact on the social support indirectly affected through. Thus, social support can be seen as having a partial mediating effect.