In Korea, reliable and affordable individual health information is obtained through national health examinations, which can be actively utilized in community health services based on examination data. The purpose of this study is to analyze national health examination data in order to identify the health behavior and health status of the elderly, and to incorporate the examination results into home visiting healthcare services provided at health centers. Methods: This study is a cross-sectional survey that analyzed the national health examination data of 2018 using the National Health Insurance Service-National Health Information Database. Data analysis was conducted using the SAS program. The overall results of the health examinations were presented in terms of frequency and percentage. Results: The national health examination rate was 72.6%, and 97% of the examinees had health needs such as improving health behavior and managing diseases. It was found that 52.2% of patients had high blood pressure, followed by diabetes and dyslipidemia. The health data generated from the national health examination includes information relevant to home visiting healthcare services. Conclusion: By utilizing health data generated from national health examinations, the process of collecting data in home visiting healthcare services can be simplified. By focusing on providing customized services, it will be possible to increase the efficiency of home visiting healthcare services.

본 연구는 국민건강보험공단의 장애와 건강통계 자료를 분석하여 장애인 건강검진 수검률을 살펴보고 건강검진에 따른 문제점과 향후 개선방안을 제시하고 건강검진 문진조사 결과를 바탕으로 장애인의 건강관리 형태 등을 소고하고자 한다. 연구대상은 장애인복지법 제2조에 따른 신체적, 정신적 장애로 오랫동안 일상생활이나 사회생활에서 제약을 받고, 2015. 12. 31. 기준 등록한 장애인2,479,080명중 건강검진과 건강형태 조사에 참여한 장애인으로 한정하여 정책적 의견을 제시하였다. 결론으로 장애인 건강검진은 첫째, 장애인에 적합한 건강검진 서비스를 준비하기 위해서는 장애인 당사자들의 의견이 필요할 것이다. 둘째, 장애유형 및 중증도별 건강검진 항목 개발이 필요할 것으로 생각된다. 셋째, 장애 인건강검진 의료장비 및 편의시설에 대하여 고민해 보아야 할 것이다. 넷째, 서비스 제공자에 대한 인력확보와 교육이 필요할 것으로 생각된다. 다섯째, 장애인의 이동권을 확보할 수 있도록 하여야 할 것이다. 장애인의 건강형태는 첫째, 장애인 건강증진을 위한 각 영역별 전문가 협의체를 구성하여야 할 것이다. 둘째 장애인 건강증진 프로그램과 이를 운영하는 시설 현황분석이 필요할 것으로 생각된다. 셋째, 장애인건강권 및 의료접근성 보장에 관한 법률에 나와 있는 중앙장애인 보건의료센터에서 장애유형 및 중증도별 표준화된 건강증진 프로그램 개발이 필요할 것으로 생각된다. 지금까지 장애인 건강검진과 건강형태에 대한 내용을 살펴보고 이에 따른 정책적 의견을 제시하였다. 따라서 향후 연구로 본 연구에서 제시하고 있는 과제를 바탕으로 세부적인 연구들이 추진되길 바라며 장애인의 건강과 관련된 프로그램의 인과관계가 지속적으로 밝혀져야 할 것이다.

The purpose of this report is to discuss the obtained findings gathered from ultrasound screenings of the liver. After running diagnostic tests health, screens were then conducted to analyze and compare the gained results. This data was then charted and used to strengthen our theorized hypothesis. From January 2013 to June 2013 a recorded 2906 people over the age of 20 visited Health Promotion Centers in various areas throughout Daejeon. Of those 2906 participants 1789 underwent screenings for abdominal ultrasonography; these participants as well as their ultrasound results were used as the bases of our study. For the establishment of our baseline and the comparison of our results, we gathered case-controlled studies from various reputable sources. Both the control and the experimental groups were tested to measure the following liver enzymes (AST, ALT, r-GTP, ALP, and etc.). Kidney functions were measured as well enzymes such as BUN, Creatinine, and Uric Acids levels were analyzed and recorded to see if any relationships existed between the levels documented in the liver and those in the kidneys. It was shown that the two primary causes of fat build up within the liver were significantly connected to obesity BMI(OR=4.14) and waist circumference(OR=3.88).

The purpose of this study was to analyze the dietary habits and food intake by age, based on the nutrition counseling data of medical health examination. The subjects were 5, 511 adults(3, 139 males and 2, 372 females) who took comprehensive medical test in Gyeonggi area, and they were evaluated from January 1, 2007 to December 31, 2007. Survey samples were divided by age groups: 30>, 30~39, 40~49, 50~59, 60~69, 70≤ years. The subjects were composed of 57% male and 43% female. The results showed that the dietary habits of ≥50 group were relatively good. On the other hand, in 30> yrs group had more dietary habit problems, they had irregular meals and the ratio of skipping breakfast was high. And they frequently had meals out. regularity of meals, eating breakfast was higher in ≥70 yrs groups than in other groups(p<0.001). frequency of overeating was higher in 30>, 30~39≥yrs groups than in other groups(p<0.001) and speed of eating meal were fast in 50~59 yrs groups than in other groups(p<0.01). For foods with high cholesterol and fat, it was shown that the older the subject, the fewer the frequency of consumption(p<0.001). For kimchi and salty foods, food intake showed a negative relationship with age(p<0.001), whereas for fresh vegetables and high-calcium fish, it showed a positive relationship(p<0.001). All in all, it was shown that as the people get older, their dietary habits tend to get more appropriate. In conclusion nutrition education based on their dietary habit by age should be taught, so that people have a healthy dietary habit and food intake for the rest of their life.

Objective : After arranged and estimated the result of Oriental Medical Health Examination Program, considered the way of improvement and how Oriental Medicine participate in industrial health service. Results : As a point at issue of occidental medicine examination, followings have been indicated, 1) Occidental medical examination is performed by mainly test and instrument and therefore, role of doctors could be excluded and it could be diagnosed only for target disease and 2) in Korea, it could not be conducted in public medical system and therefore improvement effect of public health promotion could not be made due to increase of total medical expenses and infirmity of post management. These points are substantial limit of paradigm resided in occidental medicine and also problem caused by unique characteristics of medical system of Korea. Conclusion : According to the estimate of present special health examination for workers, it seems that special health examination forworkers is a way of specializing the purpose of special health examination and searching the group that needs a special mediation for promoting the health and preventing the disease as a part of industrial health service that needs a connection with other industrial health service. A program replaced by the health effect-oriented methods that limits the purpose of special health examination be studied. After understood the potential health disorder of workers according to where they are exposed to, it also should be contained items for the disease which can be examined in health examination.

Purpose - This study aims to identify the priorities of medical service quality improvement by customer satisfaction characteristics and potential customer satisfaction improvement (PCSI) index based on the dualistic quality classification of Kano Model (1984) for Comprehensive Health Screeening Center in General Hospitals and Centers only for Comprehensive Health Screening and suggest a direction for future improvement. Research design, data, and methodology - Through advanced research on health screening medical service quality, this study set four service quality factors, including tangible, human, process and supportive factors, and 39 measurement items. Based on these items, the study used 117 questions, which consist of dualistic quality factors, customer satisfaction coefficients, positive and negative questions for PCSI index and questions for current satisfaction. 300 effective samples were collected for adults in their 20s who experienced health screening service in Seoul, Gyeonggi-do and Incheon within the past two years. Collected data were input in the quality evaluation duality table to categorize quality factors and calculate customer satisfaction coefficients by Timko(1993). The study also analyzed PCSI index in comparison with current satisfaction and identified priorities in quality improvement. Results - It was found that the most urgent factors to improve the quality in both groups were adequate waiting hours and emergency response for complications, which are process factors classified as unitary quality. It is urgently needed to improve the quality as the PCSI index was high in supportive factors (complaint response team) as attractive quality in Comprehensive Health Screening Center in General Hospitals and in process factors (prevention of infection) as unitary quality in Centers only for Comprehensive Health Screening. As the PCSI index was low in space use as a tangible factor, it was found that the current level can be maintained instead of improvement. Conclusions - To improve the health screening medical service quality, it is required to focus on process factors (adequate waiting hours, emergency response for complications, prevention of infection) and supportive factors (complaint response team) among service qualities perceived by users. It is proposed to ensure continuous efforts to manage and reinforce priorities as a direction for future improvement in health screening service.

본 연구는 건강검진센터에 내원 환자를 대상으로 방사선 검사 시 방사선피폭 인식에 대한 관련요인을 분석하여 방사선피폭 인식의 변화를 위한 교육 자료를 만드는데 기초자료를 제공하기 위해 시도하였다. 방사선 장치 중 가장 방사선 피폭을 가장 많이 받는 검사에 대해서는 전체 72.0%로 CT가 가장 높았으며, 방사선 검사 시 피폭에 가장 민감한 부위에 대해서는 생식선 63.5% 가장 많았고, 방사선에 대한 정보 파악은 전체 29.0%가 TV나 신문을 통해 습득하는 것이 가장 많았다. 방사선 인식도, 방사선 유해성, 방사선 검사 시 심리상태, 방사선 피폭방지, 방사선 필요성에 대해서는 성 별간 남자가 더 높게 나타났으며, 통계학적으로는 유의한 차이가 있었다. 본 연구를 통해서 환자들로 하여금 방사선피폭에 대하여 올바르게 인식을 할 수 있도록 교육프로그램의 개발이 시급하며, 방사선사들에게는 환자의 피폭선량을 경감을 위한 세심한 배려가 필요하다고 하겠다. 또한 환자들은 방사선에 대해서 올바르게 인식하는 것이 촬영 시 불안감과 방사선피폭을 줄일 수 있을 것이다.