- Older Adults’ Perception of Chronic Illness Management in South Korea
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Minah Kang, Jaiyong Kim, Sang-Soo Bae, Yong-Jun Choi, Dong-Soo Shin
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J Prev Med Public Health. 2014;47(4):236-243. Published online July 31, 2014
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DOI: https://doi.org/10.3961/jpmph.2014.47.4.236
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- Objectives
Despite the recent emphasis on a patient-centered chronic care model, few studies have investigated its use in older adults in South Korea. We explored how older Korean adults perceive and cope with their chronic illness. Methods: We conducted focus group interviews in Seoul, Korea in January 2010. Focus groups were formed by disease type (hypertension and type 2 diabetes) and gender using purposive sampling. Inclusion criteria were patients aged 60 and over who had been diagnosed with diabetes or hypertension and received care at a community health center for at least six months prior to participation. Interview data were analyzed through descriptive content analysis. Results: Among personal factors, most participants felt overwhelmed when they received their diagnosis. However, with time and control of their acute symptoms using medication, their worry diminished and participants tended to denying being identified as a patient or sick person. Among socio-familial factors, participants reported experiencing stigma with their chronic illness and feeling it was a symbol of weakness. Instead of modifying their lifestyles, which might interfere with their social relationships, they resorted to only following their medicine regime prescribed by their doctor. Participants also reported feeling that their doctor only prescribed medications and acted in an authoritative and threatening manner to induce and reinforce participants’ compliance with treatment. Conclusions: For successful patient-centered management of chronic illnesses, supportive environments that include family, friends, and healthcare providers should be established.
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Summary
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Citations
Citations to this article as recorded by  - Trajectories of depressive symptoms in Korean adults with diabetes: Individual differences and associations with life satisfaction and mortality
Eun‐Jung Shim, Sang Jin Park, Gyu Hyeong Im, Ruth A. Hackett, Paola Zaninotto, Andrew Steptoe
British Journal of Health Psychology.2024;[Epub] CrossRef - Educational Needs and Priorities of People with Diabetes and Healthcare Providers in South Korea: A Mixed-Methods Study
Shinae Seo, Chun-Ja Kim, Hee Sun Kang, Elizabeth A. Schlenk
Journal of Transcultural Nursing.2024;[Epub] CrossRef - Moderating Effect of Self-Esteem on the Relationship between Depression and Family Conflict Coping Strategies in the Elderly with Chronic Diseases in Korea
Jae Hee Kim, Hwa-Mi Yang
Healthcare.2023; 11(18): 2569. CrossRef - Patient Perspectives of Chronic Disease Management and Unmet Care Needs in South Korea: A Qualitative Study
Kyunghee Yi, Sujin Kim
Journal of Patient Experience.2023;[Epub] CrossRef - Experiences of implementing a coping mechanism for the elderly who face chronic diseases while living with the family: a phenomenology study
Bahtiar Bahtiar, Junaiti Sahar, sWiwin Wiarsih
Frontiers of Nursing.2022; 9(1): 87. CrossRef - Development and validation of the Highly Effective Health Behavior Pattern Inventory – Short Form
Eunkyo Kang, Soojeong Kim, Ye E Rhee, Young H Yun
Chronic Illness.2021; 17(2): 81. CrossRef - Causal beliefs about hypertension and self-care behaviour in Korean patients
Hyun-E Yeom
Collegian.2021; 28(1): 48. CrossRef - Meaning of life among elderly individuals with chronic diseases living with family: A qualitative study
Makara Journal of Health Research.2020;[Epub] CrossRef - Self‐stigma among Korean patients with diabetes: A concept analysis
Kawoun Seo, Youngshin Song
Journal of Clinical Nursing.2019; 28(9-10): 1794. CrossRef - The Quality of Family Relationships, Diabetes Self-Care, and Health Outcomes in Older Adults
Daniel David, Joanne Dalton, Cherlie Magny-Normilus, Maura Moran Brain, Tyler Linster, Sei J. Lee
Diabetes Spectrum.2019; 32(2): 132. CrossRef - Utilization of traditional, complementary and alternative medicine and mental health among patients with chronic diseases in primary health care settings in Cambodia
Siyan Yi, Chanrith Ngin, Sovannary Tuot, Pheak Chhoun, Tyler Fleming, Carinne Brody
International Journal of Mental Health Systems.2017;[Epub] CrossRef - Limited understanding, limited services, limited resources: patients’ experiences with managing hypertension and diabetes in Cambodia
Bart Jacobs, Cheanrithy Men, Maryam Bigdeli, Peter S Hill
BMJ Global Health.2017; 2(Suppl 3): e000235. CrossRef - Developing a culturally tailored stroke prevention walking programme for Korean immigrant seniors: a focus group study
Sarah E. Choi, Ivy Kwon, Emiley Chang, Daniel Araiza, Carol Lee Thorpe, Catherine A. Sarkisian
International Journal of Older People Nursing.2016; 11(4): 255. CrossRef - Type 2 Diabetes Patients and Stigma:
Asuka Kato
Iryo To Shakai.2016; 26(2): 197. CrossRef
- An Evaluation of Sampling Design for Estimating an Epidemiologic Volume of Diabetes and for Assessing Present Status of Its Control in Korea.
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Ji Sung Lee, Jaiyong Kim, Sei Hyun Baik, Ie Byung Park, Juneyoung Lee
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J Prev Med Public Health. 2009;42(2):135-142.
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DOI: https://doi.org/10.3961/jpmph.2009.42.2.135
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5,185
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37
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- OBJECTIVES
An appropriate sampling strategy for estimating an epidemiologic volume of diabetes has been evaluated through a simulation. METHODS: We analyzed about 250 million medical insurance claims data submitted to the Health Insurance Review & Assessment Service with diabetes as principal or subsequent diagnoses, more than or equal to once per year, in 2003. The database was re-constructed to a 'patient-hospital profile' that had 3,676,164 cases, and then to a 'patient profile' that consisted of 2,412,082 observations. The patient profile data was then used to test the validity of a proposed sampling frame and methods of sampling to develop diabetic-related epidemiologic indices. RESULTS: Simulation study showed that a use of a stratified two-stage cluster sampling design with a total sample size of 4,000 will provide an estimate of 57.04% (95% prediction range, 49.83 - 64.24%) for a treatment prescription rate of diabetes. The proposed sampling design consists, at first, stratifying the area of the nation into "metropolitan/city/county" and the types of hospital into "tertiary/secondary/primary/clinic" with a proportion of 5:10:10:75. Hospitals were then randomly selected within the strata as a primary sampling unit, followed by a random selection of patients within the hospitals as a secondly sampling unit. The difference between the estimate and the parameter value was projected to be less than 0.3%. CONCLUSIONS: The sampling scheme proposed will be applied to a subsequent nationwide field survey not only for estimating the epidemiologic volume of diabetes but also for assessing the present status of nationwide diabetes control.
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Summary
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Citations
Citations to this article as recorded by - Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"
Ie Byung Park, Jaiyong Kim, Dae Jung Kim, Choon Hee Chung, Jee-Young Oh, Seok Won Park, Juneyoung Lee, Kyung Mook Choi, Kyung Wan Min, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Hwayoung Kim, Sunhee Lee, Im Bong Lee, Injeoung Choi, Sei Hyun Baik
Diabetes & Metabolism Journal.2013; 37(4): 233. CrossRef - Development of a Sampling Strategy and Sample Size Calculation to Estimate the Distribution of Mammographic Breast Density in Korean Women
Jae Kwan Jun, Mi Jin Kim, Kui Son Choi, Mina Suh, Kyu-Won Jung
Asian Pacific Journal of Cancer Prevention.2012; 13(9): 4661. CrossRef
- The Socioeconomic Cost of Injuries in South Korea.
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Kunhee Park, Jin Seok Lee, Yoon Kim, Yong Ik Kim, Jaiyong Kim
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J Prev Med Public Health. 2009;42(1):5-11.
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DOI: https://doi.org/10.3961/jpmph.2009.42.1.5
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5,804
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61
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12
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- OBJECTIVES
This study was conducted to estimate the socioeconomic cost of injuries in South Korea. METHODS: We matched claims data from national health insurance, automobile insurance and industrial accident compensation insurance (IACI), and mortality data obtained from the national statistical office from 2001 to 2003 by patients' unique identifier. Socioeconomic cost included both direct cost and indirect cost: the direct cost was injury-related medical expenditure and the indirect cost included loss of productivity due to healthcare utilization and premature death. RESULTS: The socioeconomic cost of injuries in Korea was approximately 1.9% of the GDP from 2001 to 2003. That is, 12.1 trillion KRW (Korean Won) in 2001, 12.3 trillion KRW in 2002, and 13.7 trillion KRW in 2003. In 2003, direct medical costs were 24.6% (3.4 trillion KRW), the costs for loss of productivity by healthcare utilization were 13.0% (1.8 trillion KRW), and the costs for loss of productivity by premature death were 62.4% (8.6 trillion KRW). CONCLUSIONS: In this study, the socioeconomic cost of injuries in Korea between 2001 and 2003 was estimated by using not only health insurance claims data, but also automobile insurance, IACI claims and mortality data. We conclude that social efforts are required to reduce the socioeconomic cost of injuries in Korea, which represented approximately 1.9% of the GDP for the time period specified.
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Summary
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Citations
Citations to this article as recorded by - The characteristics and clinical outcomes of trauma patients transferred by a physician-staffed helicopter emergency medical service in Korea: a retrospective study
Myung Jin Jang, Woo Sung Choi, Jung Nam Lee, Won Bin Park
Journal of Trauma and Injury.2024; 37(2): 106. CrossRef - The meaning and principles of damage control surgery
Gil Jae Lee
Journal of the Korean Medical Association.2024; 67(12): 732. CrossRef - Relationships between trauma death, disability, and geographic factors: a systematic review
Bona Hwang, Taewook Jeong, Jiyeon Jo
Clinical and Experimental Emergency Medicine.2023; 10(4): 426. CrossRef - Positive correlation between regional emergency medical resources and
mortality in severely injured patients: results from the Korean National Hospital
Discharge In-depth Survey
Hyo Jung Lee, Yeong Jun Ju, Eun-Cheol Park
CJEM.2017; 19(06): 450. CrossRef - Characteristics and Outcomes of Trauma Patients via Emergency Medical Services
Dae Hyun Cho, Jae Gil Lee
Journal of Trauma and Injury.2017; 30(4): 120. CrossRef - Disability-Adjusted Life Years (DALYs) for Injuries Using Death Certificates and Hospital Discharge Survey by the Korean Burden of Disease Study 2012
Won Kyung Lee, Dohee Lim, Hyesook Park
Journal of Korean Medical Science.2016; 31(Suppl 2): S200. CrossRef - Current status and future perspective of regional trauma center in Korea
Kang Hyun Lee
Journal of the Korean Medical Association.2016; 59(12): 917. CrossRef - Characteristics of Korean Trauma Patients: A Single-center Analysis Using the Korea Trauma Database
Youngeun Park, Min Chung, Gil Jae Lee, Min A Lee, Jae Jeong Park, Kang Kook Choi, Sung Youl Hyun, Yang Bin Jeon, Dae Sung Ma, Yong-Cheol Yoon, Jungnam Lee, Byungchul Yoo
Journal of Trauma and Injury.2016; 29(4): 155. CrossRef - Analysis of KTDB Registered Trauma Patients from a Single Trauma Center in Korea
Byungchul Yu, Min Chung, Giljae Lee, Mina Lee, Jaejeong Park, Kangkook Choi, Sungyeol Hyun, Yangbin Jeon, Daesung Ma, Young-cheol Yoon, Jungnam Lee
Journal of Trauma and Injury.2015; 28(3): 123. CrossRef - The costs of hepatitis A infections in South Korea
Kyohyun Kim, Baek-Geun Jeong, Moran Ki, Mira Park, Jin Kyung Park, Bo Youl Choi, Weon-Seob Yoo
Epidemiology and Health.2014; 36: e2014011. CrossRef - Multilevel Analysis on Factors Influencing Death and Transfer in Inpatient with Severe Injury
Young Eun Choi, Kang Suk Lee
Health Policy and Management.2013; 23(3): 233. CrossRef - Trend of Mortality Rate and Injury Burden of Transport Accidents, Suicides, and Falls
Ki Sook Kim, Soon Duck Kim, Sang Hee Lee
Journal of Preventive Medicine and Public Health.2012; 45(1): 8. CrossRef
- Effects of Air Pollution on Asthma in Seoul: Comparisons across Subject Characteristic.
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Sun Young Kim, Ho Kim, Jaiyong Kim
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J Prev Med Public Health. 2006;39(4):309-316.
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Korean epidemiological studies have used reduced samples according to the subject's characteristics, such as the health services provided, the historical note with asthma, and age, to examine the acute effect of air pollution on asthma using the Korean National Health Insurance records. However, there have been few studies on whether the effects shown in these reduced samples are different from those of all samples. This study compared the effects of air pollution on asthma attacks in three reduced samples with those of entire samples. METHODS: The air pollution data for PM10, CO, SO2, NO2, and O3 and weather conditions including temperature, relative humidity, and air pressure in Seoul, 2002, were obtained from outdoor monitoring stations in Seoul. The emergency hospital visits with an asthma attack in Seoul, 2002 were extracted from the Korean National Health Insurance records. From these, the reduced samples were created by health service, historical notes with asthma, and age. A case-crossover design was adopted and the acute effects of air pollution on asthma were estimated after adjusting for weather, time trend, and seasonality. The model was applied to each reduced sample and the entire sample. RESULTS: With respect to the health service, the effects on outpatients were similar to those for the total sample but were different for inpatients. These similar effect sizes were also observed in the reduced samples according to the historical note with asthma and age. The relative risks of PM10, CO, SO2, NO2, and O3 among the reduced and entire samples were 1.03, 1.04-1.05, 1.02-1.03, 1.04-1.06, and 1.10-1.17, respectively. CONCLUSIONS: There was no clear evidence to show a difference between the reduced samples and the entire samples.
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Summary
- A Distribution of Waist-hip Ratio Associated with the Blood Pressure in Middle-aged Men.
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Jong Myon Bae, Dae Sung Kim, Jaiyong Kim, Yoon Ok Ahn
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Korean J Prev Med. 1999;32(3):395-399.
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Excess abdominal fat, expressed as an increased ratio of waist to hip circumferences (WHR), is independently associated with higher levels of blood pressure. Although a WHR greater than 1.0 in men has been shown to predict complications from obesity, the WHR has not been evaluated in all ethnic groups. METHODS: In order to ascertain the association between WHR and classification of blood pressure and to investigate the critical value of WHR as a predictive factor of hypertension in Korean middle-aged men, we compared the mean of WHRs according to the classification of blood pressure in Seoul Cohort participants. RESULTS: Through a survey of direct measurement of waist and hip girth, 452 subjects were recruited from the cohort. The mean of WHR was 0.88 and its standard deviation was 0.04. The mean of WHRs was higher in the systolic blood pressure group (above 140 mmHg), diastolic blood pressure group (above 90 mmHg), and hypertension group than in the systolic blood pressure group (below 140 mmHg), diastolic blood pressure group (below 90 mmHg), and normotensive group, respectively. And WHR of above 0.89 was associated with hypertension (z-value =6.66). CONCLUSIONS: It is necessary for Korean males with WHR greater than 0.89 to recommend the primary prevention and early detection of hypertension.
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Summary
- Development of Work-related Musculoskeletal Disorder Questionnaire Using Receiver Operating Characteristic Analysis.
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Jaiyong Kim, Ho Jang Kwon, Yeongsu Ju, Soo Hun Cho, Daehee Kang, Joohon Sung, Seong Woo Choi, Jae Wook Choi, Jae Young Kim, Don Gyu Kim
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Korean J Prev Med. 1999;32(3):361-373.
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Receive Operating Characteristic(ROC) curve with the area under the ROC curve(AUC) is one of the most popular indicator to evaluate the criterion validity of the measurement tool. This study was conducted to develop a standardized questionnaire to discriminate workers at high-risk of work-related musculoskeletal disorders using ROC analysis. METHODS: The diagnostic results determined by rehabilitation medicine specialists in 370 persons(89 shipyard CAD workers, 113 telephone directory assistant operators, 79 women with occupation, and 89 housewives) were compared with participant's own replies to 'the questionnair on the worker's subjective physical symptoms'(Kwon, 1996). The AUC's from four models with different methods in item selection and weighting were compared with each other. These 4 models were applied to 225 persons, working in an assembly line of motor vehicle, for the purpose of AUC reliability test. RESULTS: In a weighted model with 11 items, the AUC was 0.8155 in the primary study population, and 0.8026 in the secondary study population(p=0.3780). It was superior in the aspects of discriminability, reliability and convenience. A new questionnaire of musculoskeletal disorder could be constructed by this model. CONCLUSION: A more valid questionnaire with a small number of items and the quantitative weight scores useful for the relative comparisons are the main results of this study. While the absolute reference value applicable to the wide range of populations was not estimated, the basic intent of this study, developing a surveillance tool through quantitative validation of the measures, would serve for the systematic disease prevention activities.
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