Korean Journal of Health Policy and Administration最新文献_第4页

The impact of comorbidity (the Charlson Comorbidity Index) on the health outcomes of patients with the acute myocardial infarction(AMI) 合并症(Charlson共病指数)对急性心肌梗死(AMI)患者健康结局的影响

Korean Journal of Health Policy and Administration Pub Date : 2011-12-31 DOI: 10.4332/KJHPA.2011.21.4.541

Ji-hye Lim, Jae-Yong Park

{"title":"The impact of comorbidity (the Charlson Comorbidity Index) on the health outcomes of patients with the acute myocardial infarction(AMI)","authors":"Ji-hye Lim, Jae-Yong Park","doi":"10.4332/KJHPA.2011.21.4.541","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.4.541","url":null,"abstract":"This study aimed to investigate health outcome of acute myocardial infarction (AMI) patients such as mortality and length of stay in hospital and to identify factors associated with the health outcome according to the comorbidity index. Nation-wide representative samples of 3,748 adult inpatients aged between 20-85 years with acute myocardial infarction were derived from the Korea National Hospital Discharge Injury Survey, 2005-2008. Comorbidity index was measured using the Charlson Comorbidity Index (CCI). The data were analyzed using t-test, ANOVA, multiple regression, logistic regression analysis in order to investigate the effect of comorbidity on health outcome. According to the study results, the factors associated with length of hospital stay of acute myocardial infarction patients were gender, insurance type, residential area scale, admission route, PCI perform, CABG perform, and CCI. The factors associated with mortality of acute myocardial infarction patients were age, admission route, PCI perform, and CCI. CCI with a higher length of hospital stay and mortality also increased significantly. This study demonstrated comorbidity risk adjustment for health outcome and presented important data for health care policy. In the future study, more detailed and adequate comorbidity measurement tool should be developed, so patients` severity can be adjusted accurately.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127758796","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}

引用次数: 7

Determinants of selecting a doctor in specialized medical institutions and general hospitals 在专业医疗机构和综合医院选择医生的决定因素

Korean Journal of Health Policy and Administration Pub Date : 2011-12-31 DOI: 10.4332/KJHPA.2011.21.4.599

Byeung-Ki An, Jae-Yong Park

引用次数: 3

Korean People's Perception of Longevity and its Determinants 韩国人对寿命的认知及其影响因素

Korean Journal of Health Policy and Administration Pub Date : 2011-12-31 DOI: 10.4332/KJHPA.2011.21.4.511

Hyoung-Sun Jeong, Yang-Min Song

{"title":"Korean People's Perception of Longevity and its Determinants","authors":"Hyoung-Sun Jeong, Yang-Min Song","doi":"10.4332/KJHPA.2011.21.4.511","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.4.511","url":null,"abstract":"This study aims at surveying how Koreans look upon and prepare for the age of longevity(\"age of 100 years\") drawing near at hand, analyzing factors affecting such a perception and behavior. To this end, a telephone survey was launched for 1200 persons sampled to evenly comprise the young, middle-aged, and elderly groups. Our findings indicate that more Koreans looked upon the upcoming \"age of 100 years\" as a \"disaster\" rather than a \"blessing.\" The sense of combined uneasiness over the aged life being further elongated while they are unprepared for it, anxiety over maintaining health and so forth came into play. However, the better a person is prepared by way of health management, savings for retirement, preparation for leisure activities and employment for the later life, the more positively he or she looked upon the \"age of 100 years\". An analysis by group indicates that women rather than men, the elderly rather than the young, the less educated rather than the highly educated, the low-income bracket rather than the high-income bracket looked upon the \"age of 100 years\" more negatively. Under such circumstances, it is suggested that the nation\"s social system tailored to a life expectancy of 80 years should be readjusted, tailored to a \"longevity paradigm\" and that to this end social systems should be reoriented toward the direction where \"healthy aging\" and \"active aging\" are fully supported.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"201 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114227108","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}

引用次数: 0

A Study on the Determinants of the Benefits of the Long-term Care Insurance in Korea 韩国长期护理保险福利的决定因素研究

Korean Journal of Health Policy and Administration Pub Date : 2011-12-31 DOI: 10.4332/KJHPA.2011.21.4.617

Jin Sakong, S. Yoon, M. Cho

{"title":"A Study on the Determinants of the Benefits of the Long-term Care Insurance in Korea","authors":"Jin Sakong, S. Yoon, M. Cho","doi":"10.4332/KJHPA.2011.21.4.617","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.4.617","url":null,"abstract":"The purpose of our study is to analyze the determinants of the benefits of the long-term care insurance in Korea using 2008 and 2009 cross-sectional data. Per capita long-term care insurance benefits can be divided into home care services utilization rate, institutional care services utilization rate, per capita home care services benefits, and per capita institutional care services benefits, which are used as the dependent variables in our regression analysis. Admission rate and the ratio of the admitted to the applicant also used as the dependent variables. The results of our analysis show that the explanatory variables such as income level, needs for care, family type, access to the services, and regional characteristics are statistically significant to explain the dependent variables, the long-term care insurance benefits. The higher is the regional income and the more of the female residents, the more are the long-term care insurance benefits. The easier is the access to the services, the more are the insurance benefits. In the rural area, the level of the insurance benefits is relatively high. We propose that copayment rates of the long-term care insurance should be examined and monitoring on the over-use of the services should be done. Also preventive services and care by the family member should be expanded.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121187855","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}

引用次数: 2

사회적 지지, 사회 조직망과 건강행태의 관련성 社会支持、社会组织网络与健康形态的关联性

Korean Journal of Health Policy and Administration Pub Date : 2011-12-31 DOI: 10.4332/KJHPA.2011.21.4.493

박준, 강길원, 탁양주, 장성훈, 이건세, 김형수

引用次数: 3

An Institutional and Ecological Analysis of the Healthcare Environment in Korea: Focus on Institutional Logics, Actors, and Governance structures 韩国医疗保健环境的制度和生态分析:关注制度逻辑、行为者和治理结构

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.457

김수진, 권순만, 유명순

{"title":"An Institutional and Ecological Analysis of the Healthcare Environment in Korea: Focus on Institutional Logics, Actors, and Governance structures","authors":"김수진, 권순만, 유명순","doi":"10.4332/KJHPA.2011.21.3.457","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.3.457","url":null,"abstract":"【The primary goal of our study was to investigate the vast transformations of the healthcare sector in Korea during the past half century. Official data reported in the Korean statistical yearbooks and secondary data suggested by previous studies were used for institutional analysis of healthcare environment. Information on hospital released by the Korean Hospital Association was also used for ecological analysis. Institutional analysis: We identified three distinctive eras based primarily on changes in institutional logics, institutional actors, and governance structures : 'professional dominance (1952-1976)', 'government involvement (1977-1999)', and 'coexistence of competing institutional logics (2000-present)'. During the first era, physician association supported by Korean government comprised the primary governance regime. During the second era, the government became a major actor as a regulator and purchaser in health care sector, introducing of the 'mandatory national health insurance'. During the third era, making healthcare system sustainable and providing health care efficiently was overarching goals although it was hard to find a single central logic dominating this period. Ecological analysis: Evidence from the analysis of hospital population suggested that the expansion of the bed capacity was made from different processes, shifting from the ecological process in 1980s to the adaptive process in 1990s. And Korean hospitals had changed following both 'directional process' and 'stabilizing process' over time. Based on our results, we concluded that more studies to compare more organizational populations other than hospitals and to empirically test the effects of institutional changes on organizational changes and vice-versa, need to be conducted.】","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125069585","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}

引用次数: 4

The relationship between the new-building of rural public health centers and outpatient medical utilization - review of confounding effect by IMF economic recession 新建农村公共卫生中心与门诊医疗利用的关系——IMF经济衰退的混杂效应述评

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.349

Sun-Hee Park, Su-Jin Lee, U. Soh, B. Na, Jin Yong Lee

引用次数: 0

Factors affecting regional rate of certification in Korean Long-term Care Insurance 影响韩国长期护理保险地区认证率的因素

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.381

Im-Oak Kang, Eun-Jeong Han, Chong-Yon Park

{"title":"Factors affecting regional rate of certification in Korean Long-term Care Insurance","authors":"Im-Oak Kang, Eun-Jeong Han, Chong-Yon Park","doi":"10.4332/KJHPA.2011.21.3.381","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.3.381","url":null,"abstract":"This study is to investigate the factors affecting the regional rate of certification for long-term care insurance benefits. Analyzed data were the 253,935 certified beneficiaries (equivalent to 4.9% of total elderly population) as long-term care degree (LTC degree) 1~3 extracted from the applicants for long-term care in the beginning stage of the system from April 15 2008 to July 1 2009. Although the data were collected from individuals, after restructured into regional data and then analysed in the unit of 225 administrative regions for the Korean Long-term Care Insurance. The rate of certification was operated as the percentage of people of LTC degree 1~3 to the elderly population in each region. The average rate of certification among regions was 4.91%, and ranged from 2.20% to 8.32%. In the analysing regression models, most socio-demographic variables, applicants` disease characteristics, regional service infrastructure, and the certification interviewer`s characteristics were included. The most influencing variables were the disease factors of applicants, especially dementia or cerebrovascular disease rather than arthritis, osteoporosis, or fracture patients were strong factors for the regional rate of certification. However, advanced studies adding more explainable factors on the regional variance of certification rate would be necessary to provide political agenda and measures for evidence-based certification process with high reliability and validity for a sustainable LTC system in Korea.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125187425","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}

引用次数: 2

Consumers' knowledge and attitudes toward antibiotic resistance 消费者对抗生素耐药性的认知和态度

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.365

S. Chae, E. Park, Sylvia Park

{"title":"Consumers' knowledge and attitudes toward antibiotic resistance","authors":"S. Chae, E. Park, Sylvia Park","doi":"10.4332/KJHPA.2011.21.3.365","DOIUrl":"https://doi.org/10.4332/KJHPA.2011.21.3.365","url":null,"abstract":"This study was conducted to investigate the association between socio-demographic factors and attitudes toward antibiotic resistance and consumer`s knowledge on antibiotic use for common cold. Telephone survey was conducted between June 24 and July 2, 2009, among 1,015 adults who were randomly stratified by age, sex and area. A total of 921 respondents were included in the analysis. Logistic regression was used to analyze the influence of socio-demographic factors on knowledge and attitudes. A total of 452 respondents(49.1%) recognised that they knew about antibiotic resistance and 769 respondents(83.5%) worried that antibiotic resistance is a serious problem in Korea. A total of 577 respondents(62.7%) had adequate knowledge on antibiotic use and resistance. Multiple logistic regression showed that younger age and higher education level were associated with adequate knowledge. The odds ratio of appropriate knowledge among persons with college degrees was 5.25(95% CI, 2.78-9.90) compared to those with elementary or less education. Sex and income variable were not predictors of adequate knowledge on antibiotic use and resistance. This study showed that consumers with less education had inadequate knowledge on antibiotic use for common cold. Even though consumers in their 40s and 50s thought they knew about antibiotic resistance, there is a need to improve their knowledge. Education campaigns for appropriate antibiotic use have to be differentiated among consumers with different socio-demographic characteristics.","PeriodicalId":253456,"journal":{"name":"Korean Journal of Health Policy and Administration","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2011-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126346955","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}

引用次数: 1

Relationship between Income and Healthcare Utilization in Cancer Patients 肿瘤患者收入与医疗保健利用的关系

Korean Journal of Health Policy and Administration Pub Date : 2011-09-30 DOI: 10.4332/KJHPA.2011.21.3.397

Jinhee Kim, Kyungjoo Kim, Jong Hyock Park

引用次数: 1