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JPMPH : Journal of Preventive Medicine and Public Health


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Chai Hyun Yoon 2 Articles
Continuity of Care of Patient with Diabetes and Its Affecting Factors in Korea.
Chai Hyun Yoon, Sin Jae Lee, Sooyoung Choo, Ok Ryun Moon, Jae Hyun Park
J Prev Med Public Health. 2007;40(1):51-58.
  • 5,049 View
  • 88 Download
  • 14 Crossref
AbstractAbstract PDF
The objectives of this study were to estimate the continuity of care for all Koreans with diabetes and to identify factors affecting the continuity of care. METHODS: We obtained National Health Insurance claims data for patients with diabetes who visited health-care providers during the year 2004. A total of 1,498,327 patients were included as study subjects. Most Frequent Provider Continuity (MFPC) and Modified, Modified Continuity Index (MMCI) were used as indexes of continuity of care. A multiple linear regression analysis was used to identify factors affecting continuity of care. RESULTS: The average continuity of care in the entire population of 1,498,327 patients was 0.89+/-0.17 as calculated by MFPC and 0.92+/-0.16 by MMCI. In a multiple linear regression analysis, both MFPC and MMCI were lower for females than males, disabled than non-disabled, Medicaid beneficiaries than health insurance beneficiaries, patients with low monthly insurance contributions, patients in rural residential areas, and patients whose most frequently visited provider is the hospital. CONCLUSIONS: The continuity of care for patients with diabetes is high in Korea. However, women, the disabled and people of low socio-economic status have relatively low continuity of care. Therefore, our first priority is to promote a diabetes management program for these patients.


Citations to this article as recorded by  
  • Analysis of Continuity of Care and Its Related Factors in Diabetic Patients: A Cross-Sectional Study
    Ji Yeh Shin, Ha Jin Kim, BeLong Cho, Yun Jun Yang, Jae Moon Yun
    Korean Journal of Family Medicine.2022; 43(4): 246.     CrossRef
  • The Role of Continuity of Care in the Management of Chronic Disease
    Seung-Won Oh
    Korean Journal of Family Medicine.2022; 43(4): 207.     CrossRef
  • Trends in life expectancy among medical aid beneficiaries and National Health Insurance beneficiaries in Korea between 2004 and 2017
    Jinwook Bahk, Hee-Yeon Kang, Young-Ho Khang
    BMC Public Health.2019;[Epub]     CrossRef
  • The effects of continuity of care on hospital utilization in patients with knee osteoarthritis: analysis of Nationwide insurance data
    Boyoung Jung, Kyoung Hee Cho, Dong Hyun Lee, Soyoon Kim
    BMC Health Services Research.2018;[Epub]     CrossRef
  • Association between supplementary private health insurance and visits to physician offices versus hospital outpatient departments among adults with diabetes in the universal public insurance system
    Chang Hoon You, Ji Heon Choi, Sungwook Kang, Eun-Hwan Oh, Young Dae Kwon, Iratxe Puebla
    PLOS ONE.2018; 13(4): e0192205.     CrossRef
  • The effect of continuity of care on the incidence of end-stage renal disease in patients with newly detected type 2 diabetic nephropathy: a retrospective cohort study
    Yun Jung Jang, Yoon Soo Choy, Chung Mo Nam, Ki Tae Moon, Eun-Cheol Park
    BMC Nephrology.2018;[Epub]     CrossRef
  • Use of Western Medicine and Traditional Korean Medicine for Joint Disorders: A Retrospective Comparative Analysis Based on Korean Nationwide Insurance Data
    Boyoung Jung, Sukjin Bae, Soyoon Kim
    Evidence-Based Complementary and Alternative Medicine.2017; 2017: 1.     CrossRef
  • Effects of the Continuity of Care on Hospital Utilization : Convergence A Propensity Score Matching Analysis
    Lee-Su Ahn
    Journal of Digital Convergence.2015; 13(9): 323.     CrossRef
  • The Quality of Medical Care Provided to Homeless Diabetes Patients in a General Hospital in Seoul, and the Prevalence of Diabetes Comorbidities
    Sun Hee Beom, Moo Kyung Oh, Chul Woo Ahn
    Korean Journal of Medicine.2014; 86(5): 585.     CrossRef
  • Continuity of ambulatory care and health outcomes in adult patients with type 2 diabetes in Korea
    Jae-Seok Hong, Hee-Chung Kang
    Health Policy.2013; 109(2): 158.     CrossRef
  • The Comparison of Health Status and Health Behavior among Hypertension Group, DM Group, and Hypertension DM Group for the Aged Provided with Customized Home Care Service by Visiting Nurses
    Hee Kyoung Hyoung, Hyo-Soon Jang
    Journal of Korean Academy of Community Health Nursing.2011; 22(1): 11.     CrossRef
  • Educational disparities in quality of diabetes care in a universal health insurance system: evidence from the 2005 Korea National Health and Nutrition Examination Survey
    Y. K. Do, K. N. Eggleston
    International Journal for Quality in Health Care.2011; 23(4): 397.     CrossRef
  • Group Classification on Management Behavior of Diabetic Mellitus
    Sung-Hong Kang, Soon-Ho Choi
    Journal of the Korea Academia-Industrial cooperation Society.2011; 12(2): 765.     CrossRef
  • Continuity of Care for Elderly Patients with Diabetes Mellitus, Hypertension, Asthma, and Chronic Obstructive Pulmonary Disease in Korea
    Jae Seok Hong, Hee Chung Kang, Jaiyong Kim
    Journal of Korean Medical Science.2010; 25(9): 1259.     CrossRef
Alibi Verification and the PCR Method to Estimate the Source of Epidemic for a Few Notified Cases of S. sonnei.
Sin Jae Lee, Dai ha Koh, Chai Hyun Yoon
J Prev Med Public Health. 2005;38(4):420-424.
  • 1,774 View
  • 22 Download
AbstractAbstract PDF
A few culture-confirmed cases of S. sonnei have been notified from Korean hospitals. The source of epidemic can't be firmly determined in such cases because of the rarity of this illness in the local communities and the timing of the outbreaks. The objective of this study is to estimate the source of epidemic by investigating the patients' lifestyles. METHODS: Alibi verification was used to access the presumed source of the epidemic. PCR (Polymerase Chain Reaction) was used to rapidly detect the genes of Shigella in water specimens. RESULTS: The common lifestyle trait among the Shigellainfected patients was connected with Mt. Martyr in J city, Korea. The first patient's son had gone on a pilgrimage to Mt. Martyr with 41 friends and he had only eaten rice cakes on April 5th; the second patients had visited Mt. Martyr with their mother for a picnic on April 12th; the third patient had visited Mt. Martyr with 22 friends for a pilgrimage and the patient had only drunk holy water on April 13th. Therefore, the holy water of Mt. Martyr was reckoned to be the source of the epidemic. PCR detected the genes of Shigella two days before the S. sonnei was confirmed. CONCLUSION: The patients' lifestyles for 7 days before the onset of symptoms should be determined in terms of time, place and contacted people to find the source of infection when cases with food poisoning are seen in the hospital setting.

JPMPH : Journal of Preventive Medicine and Public Health