{"title":"How to solve the shortage of doctors","authors":"Seung-yeon Cho","doi":"10.29339/pha.22.9","DOIUrl":"https://doi.org/10.29339/pha.22.9","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125992925","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":"Payment and Delivery System Reform: Challenges and Opportunities for value based healthcare system","authors":"Juyeon Oh","doi":"10.29339/pha.22.11","DOIUrl":"https://doi.org/10.29339/pha.22.11","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124055327","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":"COVID-19 and the new challenges for Korean hospitals","authors":"Hyemin Jung","doi":"10.29339/pha.22.15","DOIUrl":"https://doi.org/10.29339/pha.22.15","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121951072","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}
Objective: In this study, it was assumed that the cause of the low health level problem represented by the high mortality rate in Ulsan was due to the change of address before the death of the deceased. We analyzed how many people moved to Ulsan before death by analyzing the address movement of the deceased from 2014 to 2018, and compared the results with those of Gwangju and Daejeon, which have similar population sizes.Methods: The socio-demographic characteristics of the deceased in Ulsan were summarized by year, and the proportions of the address of the deceased one year before and five years before the death was compared with those of Gwangju and Daejeon. In addition, a chi-square analysis was performed to determine whether there is a difference in the previous address according to the regions.Results: In the case of the address of the deceased one year before and five years before death in Ulsan, the proportions of areas other than Ulsan were about 4% and about 13%, respectively, indicating that the figures did not change significantly. When comparing and analyzing the addresses of the deceased in three metropolitan cities before death, the proportion of Ulsan for outside of Ulsan was generally about 1%p higher than those of Gwangju and Daejeon, but the level was significantly different.Conclusion: It was difficult to accept the hypothesis that one of the reasons for the low level of health in Ulsan was the change of address before death of the deceased. Other causes of Ulsan’s low health level need to be explored further.
{"title":"Estimation of the cause of low health level in Ulsan Metropolitan City: Focusing on the movement of the address of the deceased","authors":"Young-Kwon Park, Jeehee Pyo, M. Ock","doi":"10.29339/pha.22.4","DOIUrl":"https://doi.org/10.29339/pha.22.4","url":null,"abstract":"Objective: In this study, it was assumed that the cause of the low health level problem represented by the high mortality rate in Ulsan was due to the change of address before the death of the deceased. We analyzed how many people moved to Ulsan before death by analyzing the address movement of the deceased from 2014 to 2018, and compared the results with those of Gwangju and Daejeon, which have similar population sizes.Methods: The socio-demographic characteristics of the deceased in Ulsan were summarized by year, and the proportions of the address of the deceased one year before and five years before the death was compared with those of Gwangju and Daejeon. In addition, a chi-square analysis was performed to determine whether there is a difference in the previous address according to the regions.Results: In the case of the address of the deceased one year before and five years before death in Ulsan, the proportions of areas other than Ulsan were about 4% and about 13%, respectively, indicating that the figures did not change significantly. When comparing and analyzing the addresses of the deceased in three metropolitan cities before death, the proportion of Ulsan for outside of Ulsan was generally about 1%p higher than those of Gwangju and Daejeon, but the level was significantly different.Conclusion: It was difficult to accept the hypothesis that one of the reasons for the low level of health in Ulsan was the change of address before death of the deceased. Other causes of Ulsan’s low health level need to be explored further.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131998030","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}
Major health problems of the refugee and asylum seeker can be managed effectively to reduce vulnerability and risk of society, and contribute to population health. In this context, this article outlines the experience of the health and medical support for Afghan special contributors in 2021-2022, Yeosu, Republic of Korea. It is intended to find a meaningful implication in that it provided an opportunity to consider about the specificity of the migrant health and public health problems that our society faces in the process of providing a care of early stages of the migrant cycle. In other words, the management of health problems of ‘others’ who came from another places without awareness can be emphasized an important policy targets and means to reach the both goals, ‘human rights’ and ‘social safety.’
{"title":"Rights of Others and Public Health Strategies: Medical Support at the Subacute Stage in Arrival Phase of the Afghan Special Contributors’ Resettlement","authors":"Eojin Yi","doi":"10.29339/pha.22.2","DOIUrl":"https://doi.org/10.29339/pha.22.2","url":null,"abstract":"Major health problems of the refugee and asylum seeker can be managed effectively to reduce vulnerability and risk of society, and contribute to population health. In this context, this article outlines the experience of the health and medical support for Afghan special contributors in 2021-2022, Yeosu, Republic of Korea. It is intended to find a meaningful implication in that it provided an opportunity to consider about the specificity of the migrant health and public health problems that our society faces in the process of providing a care of early stages of the migrant cycle. In other words, the management of health problems of ‘others’ who came from another places without awareness can be emphasized an important policy targets and means to reach the both goals, ‘human rights’ and ‘social safety.’","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121842907","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}
Objective: Public hospitals play an important role in reducing health inequality among socially marginalized groups and local communities. The objective of this study was to investigate changes in healthcare utilization at public hospitals during the COVID-19 pandemic in Korea.Methods: The unit of analysis was public hospitals. This study adopted a retrospective longitudinal study design and used inpatient health insurance claim data from January 1, 2019 to December 31, 2020. In total, 206 public hospitals were analyzed. For statistical analysis, a generalized linear model using the number of health insurance claims was constructed.Results: The total number of patients who received COVID-19-related care was 44,949, with a length of stay (LOS) of 657,717 days. After controlling for hospital covariates, healthcare utilization at public hospitals decreased by 22.5% (relative risk [RR], 0.775; p=0.029) and 16.8% (RR, 0.832; p=0.045) for the actual number and total LOS of national health insurance patients, respectively. For beneficiaries of the Medical Aid program, the actual number and total LOS were reduced by 29.6% (RR, 0.704; p=0.001) and 35.8% (RR, 0.642; p=0.001), respectively. Interestingly, most of this reduction occurred at public hospitals providing general healthcare services.Conclusion: Despite significant changes in healthcare utilization, public hospitals played a critical role in providing healthcare regarding COVID-19. Healthcare policymakers need to pay more attention to the role of public hospitals in the next infectious disease pandemic.
{"title":"Changes in inpatient healthcare utilization at public hospitals during the Covid-19 pandemic","authors":"Young-Taek Park, Yongseok Choi","doi":"10.29339/pha.22.8","DOIUrl":"https://doi.org/10.29339/pha.22.8","url":null,"abstract":"Objective: Public hospitals play an important role in reducing health inequality among socially marginalized groups and local communities. The objective of this study was to investigate changes in healthcare utilization at public hospitals during the COVID-19 pandemic in Korea.Methods: The unit of analysis was public hospitals. This study adopted a retrospective longitudinal study design and used inpatient health insurance claim data from January 1, 2019 to December 31, 2020. In total, 206 public hospitals were analyzed. For statistical analysis, a generalized linear model using the number of health insurance claims was constructed.Results: The total number of patients who received COVID-19-related care was 44,949, with a length of stay (LOS) of 657,717 days. After controlling for hospital covariates, healthcare utilization at public hospitals decreased by 22.5% (relative risk [RR], 0.775; p=0.029) and 16.8% (RR, 0.832; p=0.045) for the actual number and total LOS of national health insurance patients, respectively. For beneficiaries of the Medical Aid program, the actual number and total LOS were reduced by 29.6% (RR, 0.704; p=0.001) and 35.8% (RR, 0.642; p=0.001), respectively. Interestingly, most of this reduction occurred at public hospitals providing general healthcare services.Conclusion: Despite significant changes in healthcare utilization, public hospitals played a critical role in providing healthcare regarding COVID-19. Healthcare policymakers need to pay more attention to the role of public hospitals in the next infectious disease pandemic.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125425218","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":"Optimal health system reform by the new government of Korea: Open advisory opinion in front of a new window","authors":"Juhwan Oh","doi":"10.29339/pha.22.14","DOIUrl":"https://doi.org/10.29339/pha.22.14","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122955419","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}
Yeonmi Choi, Hosong Cho, Dong-Sook Kim, Sang-Heon Yoon
Objective: In order to identify the status and factors of polypharmacy of elderly of medical aid, this study compared them with national health insurance.Methods: We established a cohort for the elderly using the Health insurance claim data of 2018. Polypharmacy is defined as the use of at least five concurrent medications for over 90 days annually. We compared the risk of polypharmacy by medical aid with that of national health insurance. To analyze the status of polypharmacy of medical aid and associated factors, and compare them with those of national health insurance, we conducted Chi-square test, t-test, and multivaiate logistic regression.Result: 46.4% of national health insurance and 67.8% of medical aid showed polypharmacy. After adjusting gender, age, comorbidity, Elixhauser Comorbidity Index (ECI) scores, and the number of outpatient visits, the odds ratio (OR) of polypharmacy was 1.80 (95% Confidence interval (CI), 1.79-1.82) times higher among medical aid. The number of prescriptions, the number of total prescribed medications a year, the number of daily average prescribed medications, and the cost of annual total prescribed medications are higher among medical aid. Major factors associated with polypharmacy were diabetes, cardio-cerebrovascular diseases, ECI of 2 points or higher, and at least 16 outpatient visits a year. The OR of medical aid aged 70~74 to those aged 65~69 was 0.88 (95%CI 0.86-0.90).Conclusion: To reduce the incidence of polypharmacy among elderly, a focus needs to be placed on patients with diabetes, cardio-cerebrovascular diseases and patients who visited outpatient at least 16 times a year. The medical aid need to be manage polypharmacy, regardless of severity and age. Efforts at the national level are needed to reduce the polypharmacy of the elderly of medical aid.
{"title":"The Polypharmacy status and factor analysis of the elderly of medical aid: A Nationwide Cohort study using Health Insurance Claims data","authors":"Yeonmi Choi, Hosong Cho, Dong-Sook Kim, Sang-Heon Yoon","doi":"10.29339/pha.22.5","DOIUrl":"https://doi.org/10.29339/pha.22.5","url":null,"abstract":"Objective: In order to identify the status and factors of polypharmacy of elderly of medical aid, this study compared them with national health insurance.Methods: We established a cohort for the elderly using the Health insurance claim data of 2018. Polypharmacy is defined as the use of at least five concurrent medications for over 90 days annually. We compared the risk of polypharmacy by medical aid with that of national health insurance. To analyze the status of polypharmacy of medical aid and associated factors, and compare them with those of national health insurance, we conducted Chi-square test, t-test, and multivaiate logistic regression.Result: 46.4% of national health insurance and 67.8% of medical aid showed polypharmacy. After adjusting gender, age, comorbidity, Elixhauser Comorbidity Index (ECI) scores, and the number of outpatient visits, the odds ratio (OR) of polypharmacy was 1.80 (95% Confidence interval (CI), 1.79-1.82) times higher among medical aid. The number of prescriptions, the number of total prescribed medications a year, the number of daily average prescribed medications, and the cost of annual total prescribed medications are higher among medical aid. Major factors associated with polypharmacy were diabetes, cardio-cerebrovascular diseases, ECI of 2 points or higher, and at least 16 outpatient visits a year. The OR of medical aid aged 70~74 to those aged 65~69 was 0.88 (95%CI 0.86-0.90).Conclusion: To reduce the incidence of polypharmacy among elderly, a focus needs to be placed on patients with diabetes, cardio-cerebrovascular diseases and patients who visited outpatient at least 16 times a year. The medical aid need to be manage polypharmacy, regardless of severity and age. Efforts at the national level are needed to reduce the polypharmacy of the elderly of medical aid.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"853 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122577561","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":"Characteristics of COVID-19 and future direction of health policy from the human security perspective","authors":"Changah Kim","doi":"10.29339/pha.21.12","DOIUrl":"https://doi.org/10.29339/pha.21.12","url":null,"abstract":"","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"652 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123291134","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}
Introduction: This study conducted a large-scale health survey in Namg-gu, Ulsan Metropolitan City. In specific, the survey results of Samho-dong, one of the 14 dongs in Nam-gu, and the rest of Nam-gu were compared. Also, the results were compared with the Community Health Survey results for implications.Methods: A total of 2,036 people participated in the large-scale survey. Descriptive analysis was performed to examine the socio-demographic characteristics of these two participant groups. The Chi-Square test or Fisher’s exact test was executed to identify differences between the two groups and the results were compared to the 2014-2019 Community Health Surveys results.Results: The exposure rate of secondhand smoke in public areas and the subjective obesity awareness rate were statistically significantly higher in Samho-dong residents than non-Samho-dong residents in Nam-gu. The same patterns of statistical significance were also observed in the rate of high mental stress, the rate of hypertension diagnosis (≥30), and the annual rate of unmet healthcare needs. Compared with the six-year cumulative data of Community Health Surveys, the rate of hypertension diagnosis (≥30) and the rate of diabetes diagnosis (≥30) of Samho-dong residents were lower than that of Community Health Surveys.Conclusions: It is suggested to prioritize designating smoking zones, strengthening mental health services, and operating chronic disease management programs in Samho-dong. The findings of this study support the need for large-scale surveys on the health status of local areas to reduce health disparities and serve as a foundation to reduce them.
{"title":"A large-scale health survey for a pilot project to reduce the health disparity in Samho-dong, Ulsan Metropolitan City: Results and implications","authors":"Haneul Lee, M. Ock","doi":"10.29339/pha.21.7","DOIUrl":"https://doi.org/10.29339/pha.21.7","url":null,"abstract":"Introduction: This study conducted a large-scale health survey in Namg-gu, Ulsan Metropolitan City. In specific, the survey results of Samho-dong, one of the 14 dongs in Nam-gu, and the rest of Nam-gu were compared. Also, the results were compared with the Community Health Survey results for implications.Methods: A total of 2,036 people participated in the large-scale survey. Descriptive analysis was performed to examine the socio-demographic characteristics of these two participant groups. The Chi-Square test or Fisher’s exact test was executed to identify differences between the two groups and the results were compared to the 2014-2019 Community Health Surveys results.Results: The exposure rate of secondhand smoke in public areas and the subjective obesity awareness rate were statistically significantly higher in Samho-dong residents than non-Samho-dong residents in Nam-gu. The same patterns of statistical significance were also observed in the rate of high mental stress, the rate of hypertension diagnosis (≥30), and the annual rate of unmet healthcare needs. Compared with the six-year cumulative data of Community Health Surveys, the rate of hypertension diagnosis (≥30) and the rate of diabetes diagnosis (≥30) of Samho-dong residents were lower than that of Community Health Surveys.Conclusions: It is suggested to prioritize designating smoking zones, strengthening mental health services, and operating chronic disease management programs in Samho-dong. The findings of this study support the need for large-scale surveys on the health status of local areas to reduce health disparities and serve as a foundation to reduce them.","PeriodicalId":161581,"journal":{"name":"Public Health Affairs","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130567355","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：