Public Health Affairs最新文献

{"title":"Home medical care and Home health care system and roles of the public health care in Korea","authors":"Kun-Sei Lee","doi":"10.29339/pha.23.11","DOIUrl":"https://doi.org/10.29339/pha.23.11","url":null,"abstract":"In the face of rapid aging in Korea, the demand for appropriate medical services for the elderly at home is increasing. This study investigates the current status of home medical care and Home health care in Korea based on the concept of Home-based primary care, and proposes strategies to implement home-care in public health centers and public hospitals that play a major role in the field of public health care.First of all, by presenting a conceptual framework for the current status of Korea’s home medical care and Home health care provision system, and described according to three financial resources: National Health Insurance(NHI), Long-Term Care Insurance(LTCI), and public health care. At the current level, the home health care systems are fragmented and they should be redesigned to improve the home care services.In order to implement home care in public health care institutions, a model centered on public health centers and public hospitals is proposed. Public health centers have various advantages, responsibility positions, and access to information, but they have working conditions and difficulties in providing incentives, and medical and nursing limitations. Public hospitals can provide a variety of services, but community access and insufficient knowledge are pointed out as disadvantages. Therefore, it is important to establish a cooperative system between the two institutions.Finally, we proposes the division and cooperation between public health centers and private medical institutions according to the level of service. Private medical institutions could be in charge of active treatment, medical services and skilled nursing cares. public health centers could perform monitoring and follow-up the patients. it is necessary to establish a coordinating system to cooperate the two parts of institutions.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"78 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139131933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of COVID-19 on Medical Institutions in Korea: Focusing on Financial Losses","authors":"B. Ahn, Jin-Won Noh, Eunji Yun, Hey-Jin Ko, Jun Hyuk Koo, W. Jang, Hyejin Lee, Jinyong Lee","doi":"10.29339/pha.23.6","DOIUrl":"https://doi.org/10.29339/pha.23.6","url":null,"abstract":"Purposes: It is known that medical institutions suffered substantial financial losses due to the COVID-19 pandemic, but studies that specifically identified the size of losses are lacking. This study aims to analyze in detail how much financial loss medical institutions suffered in 2020, at the beginning of the COVID-19 pandemic.Methodology: This study used national health insurance claim data from 2018 to 2020 provided by the Health Insurance Review and Assessment Service. Financial losses were conceptualized and classified as the increase or decrease in total medical expenses or the proportion of increased or decreased institutions. The trend of total medical expenses was analyzed by medical institution type, health insurance qualification type, and treatment type (inpatient/outpatient).Findings: The results showed that the decrease in medical expenses due to COVID-19 was the largest at clinic-level medical institutions, and the distribution of each clinic’s increases and decreases was wide. In addition, almost all of the pediatrics and otolaryngology clinics had a reduction in medical expenses due to COVID-19.Practical Implications: Medical institutions have been pleading about the pain caused by the COVID-19 pandemic. However, it was known that the decrease in total medical expenses in 2020 compared to 2019 was insignificant. This study overcame the trap of average through more detailed analyses, confirming the need for differentiated policy support in the event of a similar situation.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"122 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139133911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Check-up Support for the Beneficiaries of Basic Livelihood Act: Two Years of the Coalition Experience and Outcomes.","authors":"Minhyun Kim, Jong Seung Kim, Bumjo Oh, Eunyoung Shin, Jung-sun Lim","doi":"10.29339/pha.23.2","DOIUrl":"https://doi.org/10.29339/pha.23.2","url":null,"abstract":"Objective: Self-sufficiency Center is a organization which provide support for individual skill acquisition and work opportunities to beneficiaries of basic livelihood act. The goal of this study is to provide health care, customized counseling, and treatment at the community level to improve their health status.Methods: The subjects of this study were participants in three district self-sufficiency center of Seoul that received welfare funds in 2015 and 2016. All examinations included self-written surveys, body measurement, blood and urine tests, abdominal ultrasound and gastroscopy. Optional biopsy, colonocopy, lung CT and thyroid ultrasound were charged extra.Result: Through this examination, one case of colon cancer, two cases of cervical cancer, two cases of thyroid cancer and one case of lung cancer were found for malignant tumors. One case of internal carotid artery occlusion, one case of ascending aortic dilatation, three cases of hepatitis B antigen carrier and chronic liver disease, and diseases such as high blood pressure and dyslipidemia were newly diagnosed or found to be poorly controlled. Patients with all abnormal results were requested medical treatment with a specialist, and at least one year after the examination, approximately 45% of them found follow-up lost. In a retrospective telephone survey with 62 participants, they responded that they were not receiving medical treatment or health examinations because lack of time or cost. They responded that they will participate private health examinations again if economic support is provided.Conclusion: Through this private health examination whith people of low economic levels, it was confirmed that they were not in good health, but they have desire to do health examination and will voluntarily participate health examination if they have low economic burden. One clue to health inequality could be that people with low economic status are more likely to develop diseases due to cost burdens and neglect of health care.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"121 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139134784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning the Basics of South Korea’s Healthcare System as a Korean-American","authors":"Claire Jun","doi":"10.29339/pha.23.8","DOIUrl":"https://doi.org/10.29339/pha.23.8","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"48 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139131202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Construction and Utilization of Panel to Encourage Community Engagement in Public Health and Medical Services","authors":"Hyeran Jeong, Jiyoon Jeong, Jeehee Pyo, Mina Lee, Soae Lee, M. Ock","doi":"10.29339/pha.23.5","DOIUrl":"https://doi.org/10.29339/pha.23.5","url":null,"abstract":"Introduction: Task Forces to Support Public Health and Medical Services in Ulsan Metropolitan City (TSPMU) needs to establish a system for analyzing and collecting data on the public health status that can serve as the basis for local evidence-based projects and policy formulation. In order to engage citizens in this process, TSPMU has established an online panel (ULFAM) composed of Ulsan citizensMethods: In 2020, TSPMU planned the features to be implemented on the panel site by benchmarking similar sites. After a development period of approximately 5 months, the site was officially launched.Results: Currently, ULFAM has around 2600 Ulsan citizens as panel members. The panel site is organized into sections such as introduction to institution including vision, major projects, and information about affiliated organizations, as well as sections for survey participation and information board. Panel surveys are conducted through online questionnaires on the site. It also utilized as a means for recruiting participants. Various surveys have been conducted, including the Ulsan Medical Center establishment awareness survey, delivery workers’ health status survey, and more. The survey results are compiled into reports and used as foundational data for various projects. Additionally, the site is designed to link citizens to appropriate health and medical services based on the survey results. Furthermore, the panel is utilized for promotional activities related to Improvement of awareness regarding cancer screening and recognition of symptoms of cardiovascular diseases, and more. During these activities, collaboration with collaborating organizations has been undertaken, achieving a synergistic effect in promotion.Conclusion: The voluntary participation of residents in the field of public health is increasingly important. To implement effective policies, it is necessary to consider the opinions of the residents. ULFAM serves as a means of communication with Ulsan citizens, providing a platform for engaging with Ulsan residents on public health and medical issues in the community.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"11 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The necessity of a ‘Hospital-Led Total Care Center for Developmentally Disabled Individuals’ explored through autism spectrum disorders.","authors":"Seihee Park","doi":"10.29339/pha.23.7","DOIUrl":"https://doi.org/10.29339/pha.23.7","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":" 613","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139136746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainability Crisis of Korean Healthcare System: Service Delivery System","authors":"Juhwan Oh","doi":"10.29339/pha.23.9","DOIUrl":"https://doi.org/10.29339/pha.23.9","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139131518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health and Working Conditions of Delivery Workers in Ulsan, South Korea Article type","authors":"Jiyoon Jeong, Hyeran Jeong, Jeehee Pyo, Mina Lee, Soe Lee, M. Ock","doi":"10.29339/pha.23.4","DOIUrl":"https://doi.org/10.29339/pha.23.4","url":null,"abstract":"Objective: This study aimed to determine the current work environment and health conditions for delivery workers in Ulsan Metropolitan City.Methods: Data from 64 delivery workers were collected, including their sociodemographic and employment information, and their opinions on labor environment, health status, health check-ups, and national health services. Quantitative data were analyzed through frequency analysis to explore the results. Qualitative data, such as descriptive responses, were examined through a process of categorization and multi-frequency responses.Results: The primary risk exposure of delivery workers in workplace was vibration from machines, high temperatures enough to sweat even when not working, smoke, gas, dust, etc. (each at 50.0%). Physical threats during work included postures that caused fatigue or pain (76.6%) and direct interaction with people (76.6%). Challenges in welfare and support within the work environment included the lack of rest time or difficulty in utilizing it (60.9%), no regular mealtime (65.6%), and no provision of protective equipment by the company (57.8%). A total of 48.8% of delivery workers responded that there were health and safety risks in their work environment, and overall job satisfaction was low (59.4% expressed dissatisfaction). While the general health condition was good, there were numerous complaints of pain (79.7%). Specific health issues included upper limb muscle pain (70.3%), lower limb muscle pain (62.5%), and the most diagnosed disease was hyperlipidemia (23.4%). Over the past two years, 10.9% of the participants had not had health check-ups. 71.9% expressed their willingness to participate in health promotion services, followed by improvement in working conditions and the management of harmful substances, musculoskeletal disorders, and cardiovascular diseases.Conclusion: This study, by examining the health status of delivery workers in Ulsan Metropolitan City, provides valuable foundational data for improving their work environment and preventing occupational diseases among them.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"118 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139135316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-based Medical Care of Hospital - Transitional care","authors":"Sun Young Lee","doi":"10.29339/pha.23.3","DOIUrl":"https://doi.org/10.29339/pha.23.3","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"99 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139131738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nurse Wage Status and Wage determinants","authors":"Young-Kyoon Na","doi":"10.29339/pha.23.10","DOIUrl":"https://doi.org/10.29339/pha.23.10","url":null,"abstract":"Purpose: The purpose of this study is to identify the causes of the shortage of nurses in local small and medium-sized hospitals by confirming the wage status according to the characteristics of nurses and the characteristics of medical institutions and analyzing the factors affecting the wages of nurses.Methods: The study was conducted by linking the DB of medical institutions owned by the National Health Insurance Corporation, DB of medical personnel, and DB of health insurance qualification. As of the end of 2018, only nurses working at hospital-level medical institutions who were reported to the Health Insurance Review & Assessment Service were registered as registered members of the health insurance at the medical institution. The dependent variables were the monthly average wage of nurses, and the independent variables were age, institution establishment, medical institution type, region, and number of beds. In the analysis, first, wages by individual and institutional characteristics were identified through basic statistical analysis, and factors affecting wages were analyzed through regression analysis.Result: As a result, the wages of nurses increased 71,184 won as the age increased, and the establishment of medical institutions was 291,574 won less and corporations 660,725 won less than the national government. The types of medical institutions were 400,964 won less and 675,829 won less than general hospitals. The size of the city was 325,989 won less in metropolitan cities and 263,672 won less in metropolitan areas than in the metropolitan area. As the number of beds at medical institutions increased by one bed, it was 708 won higher.Conclusion: According to the analysis of the wage status according to the characteristics of nurses’ personal characteristics and medical institutions, and the wage determinants of nurses, the relatively low wages of nurses in local small and medium hospitals were the main cause of job shortage. The market principle is that the wage increases if there is a shortage of supply in the labor market compared to the demand of nurses. On the contrary, the wage is lower in local SMEs. As a result, there seems to be some nurses who give up their activities. In order to resolve the labor shortage in local small and medium-sized hospitals, it is necessary to narrow the wage gap, and to create a working environment such as elastic working so that the daily work can be balanced.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"113 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139133111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}