Journal of Preventive Medicine and Public Health

Original Articles

Income-related Inequalities in Cancer Screening Among Korean Adults Aged 40 and Above: A Cross-sectional Analysis of the Age-varying Mediation of Health Literacy: Hyejin Hong, Hyun-Jin Goo, Hyebin Choi, Sin Kam, Jong-Yeon Kim; J Prev Med Public Health. 2026;59(2):184-193. Published online March 12, 2026; DOI: https://doi.org/10.3961/jpmph.25.866

1,239 View
76 Download

Abstract Summary PDF Supplementary Material: Objectives
This study investigated how the mediating effect of health literacy (HL) on the association between income and cancer screening participation varies by age among Korean adults aged 40 years and older, with the aim of identifying the optimal timing for HL interventions.
Methods
Data from 4171 adults aged ≥40 years in the 2023 Korea National Health and Nutrition Examination Survey were analyzed using moderated mediation analysis implemented with the lavaan.survey package, accounting for the complex sampling design. The Johnson–Neyman technique was used to identify age thresholds at which the mediation effect became statistically significant, and the number needed to benefit (NNB) was calculated to estimate the potential efficiency of interventions targeting this pathway.
Results
Each 1-quintile increase in income was associated with a 16.0% higher likelihood of undergoing cancer screening (odds ratio=1.16, p<0.001). The mediating effect of HL increased significantly with age (index of moderated mediation=0.000438, p=0.048). Mediation became statistically significant from age 54.2 years (Johnson–Neyman threshold), with the proportion of the total effect mediated rising from 0.1% among adults aged 40–49 years to 8.1% among those aged ≥70 years. The NNB for this pathway indicated substantial intervention efficiency in older adults (NNB=372 for ages ≥70), whereas the mediation effect was not statistically significant in the 50–59 age group.
Conclusions
HL significantly mediated the relationship between income and cancer screening participation from the mid-50s onward, with progressively greater contributions at older ages. These findings support age-differentiated strategies, including structural accessibility improvements for adults in their 40s and early 50s and integrated income–HL interventions for individuals aged ≥55 years. Experimental studies are warranted to confirm these associations.; Summary

Korean summary
40세 이상 한국 성인에서 소득과 암검진 참여 간 건강문해력의 매개효과는 54.2세부터 유의해지기 시작하여 연령 증가에 따라 점진적으로 강화되었다. 70세 이상에서 매개 비율은 8.1%, 중재효율(NNB=372)이 가장 높았다. 이는 55세 이상에서 소득 지원과 건강문해력 향상을 결합한 연령별 맞춤형 중재가 필요함을 시사한다.

Key Message
Health literacy mediation of the income–cancer screening relationship became statistically significant from age 54.2 years and strengthened progressively with age among Korean adults aged ≥40 years. Among adults aged ≥70 years, health literacy accounted for 8.1% of the total income effect, with the highest intervention efficiency (NNB=372). These findings suggest that integrated income support and health literacy interventions are warranted for adults aged ≥55 years.

Assessing Hospital Surgical Functions in Korea: A Functional Analysis Using the Disease Control Priorities, 3rd Edition Essential Surgery List (2013-2022): Haibin Bai, Jin-Hwan Kim, Yukyung Park; J Prev Med Public Health. 2025;58(6):635-646. Published online September 23, 2025; DOI: https://doi.org/10.3961/jpmph.25.407

2,193 View
231 Download

Abstract Summary PDF Supplementary Material: Objectives
Korea has achieved near-universal health coverage through a predominantly privatized healthcare system. However, this structural fragmentation has created significant ambiguity regarding the roles of different healthcare organizations, particularly in ensuring equitable provision of essential surgical services across geographic and institutional boundaries.
Methods
We conducted a retrospective study using the full national health insurance claims database provided by the Health Insurance Review & Assessment Service (2013-2022). Essential surgical procedures from the Disease Control Priorities, 3rd edition Essential Surgery List were mapped to insurance claims codes, and their provision was analyzed across healthcare facilities and regions. Functional capacity was defined using minimum annual volume thresholds of 12, 24, 60, and 120 procedures.
Results
Essential surgery more than doubled between 2013 and 2022, increasing from 2.79 million to nearly 6 million cases. Superior general hospitals and general hospitals consistently delivered high volumes of essential surgeries, while hospital-level facilities experienced marked functional decline, particularly in obstetric services. We observed increasing centralization of surgical services in higher-tier and metropolitan facilities, alongside selective decentralization for lower-risk procedures such as cataract surgery. Regional disparities were especially pronounced for obstetric care.
Conclusions
Functional capacity for essential surgery remains highly uneven across hospitals and regions, undermining equitable access. Policy efforts should focus on strengthening lower-tier hospitals in underserved areas and implementing minimum functionality standards tailored to local needs. Clarifying institutional roles within Korea’s mixed healthcare system is essential to improving accountability and ensuring equitable distribution of essential surgical services.; Summary

Korean summary
본 연구는 DCP3 Essential Surgery List를 한국의 건강보험 청구자료(2013–2022)에 적용하여 필수수술 제공기관의 기능적 변화를 평가하였다. 전체 필수수술 건수는 크게 증가했음에도 불구하고 이를 제공하는 의료기관 수는 지속적으로 감소하며 지역 간 격차도 확대되고 있었다. 필수수술 접근성을 강화하기 위해서는 우선 의료기관 수준별로 제공해야 할 필수 기능을 명확히 규정하는 정책적 가이드가 필요하며, 이를 기반으로 지역 단위의 종합병원·병원급 기능을 지속적으로 모니터링하고 관리하는 체계를 마련해야 한다.

Key Message
This study applies the DCP3 Essential Surgery List to South Korea’s national health insurance claims data (2013–2022) and shows that, despite a substantial rise in essential surgery volumes, the number of institutions providing these procedures has declined, widening regional disparities. Strengthening access to essential surgery requires first establishing clear guidance on the functions expected at each level of care, followed by systematic monitoring to ensure that general and hospital-level facilities maintain the capacity to deliver these core services. Such a combined approach is critical for securing equitable and regionally sustained surgical access.

Who Dies Alone? Demographics, Underlying Diseases, and Healthcare Utilization Patterns of Lonely Death Individuals in Korea: Haibin Bai, Jae-ryun Lee, Min Jung Kang, Young-Ho Jun, Hye Yeon Koo, Jieun Yun, Jee Hoon Sohn, Jin Yong Lee, Hyejin Lee; J Prev Med Public Health. 2025;58(2):218-226. Published online March 4, 2025; DOI: https://doi.org/10.3961/jpmph.24.704

15,840 View
441 Download
2 Web of Science
2 Crossref

Abstract Summary PDF Supplementary Material

Objectives
Lonely death is defined as “a person living in a state of social isolation, disconnected from family, relatives, and others, who dies from suicide, illness, or other causes”. This study investigated the characteristics of individuals who die alone in Korea.
Methods
We constructed a database of lonely death cases by linking data from the Korea Crime Scene Investigation Unit of the Korea National Police Agency with National Health Insurance Service (NHIS) records. A descriptive analysis was performed to evaluate the demographics, underlying diseases, and healthcare utilization patterns among lonely death cases.
Results
Among the 3122 individuals identified as lonely death cases, 2621 (84.0%) were male and 501 (16.0%) were female. The most common age group was 50-59 years (n=930, 29.8%). The NHIS covered 2161 individuals (69.2%), whereas 961 individuals (30.8%) were enrolled in Medical Aid (MA). The highest number of lonely deaths occurred in Seoul areas, with 1468 cases (47.0%). Mood disorders were diagnosed in 1020 individuals (32.7%), and various alcohol-related diseases, including alcoholic liver disease, were also observed. Outpatient visits increased leading up to death but declined in the final 3 months, while hospitalizations decreased and emergency room visits slightly increased.
Conclusions
Most lonely death cases involved male in their 50s, with a disproportionately high number of MA beneficiaries compared to the general population. Many of these individuals also experienced mental health issues or alcohol-related disorders. Preventing social isolation and strengthening social safety nets are critical to reducing the occurrence of lonely deaths.

Summary

Korean summary
한국에서 고독사란 법적으로 “가족, 친척 등 주변 사람들과 단절된 채 사회적 고립상태로 생활하던 사람이 자살ㆍ병사 등으로 임종”하는 것으로 정의하고 있다. 고독사 사망자는 대체적으로 50대 남성이었고, 의료급여 수급권자의 비율이 일반 인구보다 월등히 높았으며, 사망자 대다수는 정신건강 문제 또는 알코올성 질환을 앓고 있었다. 사회적 고립의 예방 및 사회안전망 구축은 고독사 예방에 있어 매우 중요한 역할을 할 것으로 보인다.

Key Message
Lonely death is defined as “a person living in a state of social isolation, disconnected from family, relatives, and others, who dies from suicide, illness, or other causes”. This study investigated the characteristics of individuals who die alone in Korea. Most lonely death cases involved male in their 50s, with a disproportionately high number of MA beneficiaries compared to the general population. Many of these individuals also experienced mental health issues or alcohol-related disorders. Preventing social isolation and strengthening social safety nets are critical to reducing the occurrence of lonely deaths.

Citations

Citations to this article as recorded by

Comparison of health care utilisation and spending among National Health Insurance and Medical Aid beneficiaries in Korea
Agnus M. Kim, Doojin Ryu, Jin Yong Lee
BMC Health Services Research.2026;[Epub] CrossRef
Understanding of solitary death in people living in the community: A scoping review
Chung Min Cho, Hyeun Jun Moon, Jee-Hye Yoo
Global Public Health.2025;[Epub] CrossRef

Necessity of Analyzing the Korea Community Health Survey Using 7 Local Government Types: Seowoo Park, Haibin Bai, Jae-ryun Lee, Soomin Kim, Hyemin Jung, Jin Yong Lee; J Prev Med Public Health. 2025;58(1):83-91. Published online November 5, 2024; DOI: https://doi.org/10.3961/jpmph.24.388

8,875 View
495 Download
1 Web of Science

Abstract Summary PDF Supplementary Material: Objectives
This study examined the potential of a new analytical framework for the Korea Community Health Survey (KCHS) with classification criteria for the sub-national governmental level, the degree of urbanization including an urban-rural multimodal category, and population size as a more effective tool to address local health problems and deduce practical implications.
Methods
Retrospective survey data from 2023 KCHS were obtained. Frequency analyses were performed for self-rated good health status, current smoking status, and unmet medical needs as proxies for health status, as well as health behavior and healthcare utilization, utilizing individual weights to represent national community residents.
Results
We established a new classification of local governments into 7 types to facilitate regional comparisons. These local government types are presumably composed of populations showing statistically significant differences in demographic characteristics. There were evident differences in health status, health behavior, and healthcare utilization in comparisons of groups categorized by local government types.
Conclusions
This study suggests that regional disparities can be analyzed using a new typology of local governments. This practically effective approach could be used in decision-making for community-centered health projects in terms of community health planning. Future research should conduct analyses of KCHS data that use these 7 local government types to comprehensively reflect regional characteristics.; Summary

Korean summary
이 연구는 지방자치단체 층위와 도·농복합시를 포함한 도시화 정도, 인구 규모를 고려한 분류 기준을 사용하여 지역사회건강조사(KCHS)에 대한 새로운 분석틀의 가능성을 검토한다. 기초 지방자치단체 7가지 유형으로 분류했을 때, 연구 대상자 집단은 인구 통계학적 특성에 대해 유의미하게 달랐으며 건강 상태, 건강 행태 및 의료 이용에 뚜렷한 차이를 보였다. 이 연구는 지역보건의료계획 측면에서 지역사회 중심 건강증진사업에 대한 의사 결정에 실질적으로 효과적인 접근 방법이 될 수 있는 기초 지방자치단체의 새로운 유형을 제안한다.

Key Message
This study examines the potential of a new analytical framework for the Korea Community Health Survey (KCHS) with classification criteria for the sub-national governmental level, the degree of urbanization including an urban-rural multimodal category, and population size. In comparisons of groups categorized by 7 local government types, populations were significantly different considering demographic characteristics and there were evident differences in health status, health behavior, and healthcare utilization. This study suggests a new typology of local governments which could be a practically effective approach in decision-making for community-centered health projects in terms of community health planning.

Trends in Regional Disparities in Cardiovascular Surgery and Mortality in Korea: A National Cross-sectional Study: Dal-Lae Jin, Kyoung-Hoon Kim, Euy Suk Chung, Seok-Jun Yoon; J Prev Med Public Health. 2024;57(3):260-268. Published online May 30, 2024; DOI: https://doi.org/10.3961/jpmph.24.057

8,241 View
303 Download
4 Web of Science
5 Crossref

Abstract Summary PDF Supplementary Material

Objectives
Regional disparities in cardiovascular care in Korea have led to uneven patient outcomes. Despite the growing need for and access to procedures, few studies have linked regional service availability to mortality rates. This study analyzed regional variation in the utilization of major cardiovascular procedures and their associations with short-term mortality to provide better evidence regarding the relationship between healthcare resource distribution and patient survival.
Methods
A cross-sectional study was conducted using nationwide claims data for patients who underwent coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), stent insertion, or aortic aneurysm resection in 2022. Regional variation was assessed by the relevance index (RI). The associations between the regional RI and 30-day mortality were analyzed.
Results
The RI was lowest for aortic aneurysm resection (mean, 26.2; standard deviation, 26.1), indicating the most uneven regional distribution among the surgical procedures. Patients undergoing this procedure in regions with higher RIs showed significantly lower 30-day mortality (adjusted odds ratio [aOR], 0.73; 95% confidence interval, 0.55 to 0.96; p=0.026) versus those with lower RIs. This suggests that cardiovascular surgery regional availability, as measured by RI, has an impact on mortality rates for certain complex surgical procedures. The RI was not associated with significant mortality differences for more widely available procedures like CABG (aOR, 0.96), PCI (aOR, 1.00), or stent insertion (aOR, 0.91).
Conclusions
Significant regional variation and underutilization of cardiovascular surgery were found, with reduced access linked to worse mortality for complex procedures. Disparities should be addressed through collaboration among hospitals and policy efforts to improve outcomes.

Summary

Korean summary
심혈관 관련 수술을 대상으로 지역적 불균형을 분석한 결과, 관상동맥우회술, 경피적 관상동맥중재술, 스텐트 삽입술은 전국적으로 광범위하게 분포되었다. 반면에 대동맥류 절제술은 지역적 불균형이 발생하였고, 사망률 또한 유의한 차이가 있었다. 따라서 의료 격차 해소를 위해 병원 간 협력체계 구축, 지역 균형적 의료자원 확충 등 정책적 노력이 필요하다

Key Message
An analysis of regional disparities in cardiovascular surgeries revealed that coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), and stent insertion procedures were widely distributed nationwide. However, there was a regional imbalance in aortic aneurysm resection (AAR) surgeries, which also showed significant differences in mortality rates. Therefore, policy efforts are needed to bridge the healthcare gap, such as establishing collaborative systems among hospitals and ensuring a balanced distribution of medical resources across regions.

Citations

Citations to this article as recorded by

Nationwide Trends in Coronary Artery Bypass Grafting in the Republic of Korea, 2005–2022: A Comparison with International Data
Min Ho Ju, Jun Ho Lee, Yun Jin Kim, Ho Jin Kim, Ho Young Hwang, Sang Yoon Yeom, Hee Jung Kim, Young-Nam Youn, Wook Sung Kim, Man-Jong Baek, Hyun Keun Chee
Journal of Chest Surgery.2026; 59(1): 7. CrossRef
Association between socioeconomic status and cardiovascular disease by sex: Mediating roles of psychological and behavioral factors
Jiwon Choi, Sung-il Cho, Belal Hossain
PLOS One.2026; 21(4): e0345573. CrossRef
Global trends and practices in coronary artery bypass surgery
Shahzad G. Raja
Academia Medicine.2025;[Epub] CrossRef
Metagenome-assembled genomes reveal microbial signatures and metabolic pathways linked to coronary artery disease
Soomin Lee, Shahbaz Raza, Eun-Ju Lee, Yoosoo Chang, Seungho Ryu, Hyung-Lae Kim, Si-Hyuck Kang, Han-Na Kim, Ying Zhang
mSystems.2025;[Epub] CrossRef
Regional disparities in the distribution of public and private healthcare facilities in South Korea
Jiyu Park, Byeongyun Jeon, Eun Lee, Abel C. H. Chen
PLOS One.2025; 20(9): e0330090. CrossRef

Mental Health Among Healthcare Workers During the COVID-19 Pandemic in Vietnam: Nhan Phuc Thanh Nguyen, Ha Phan Ai Nguyen, Cao Khoa Dang, Minh Tri Phan, Huynh Ho Ngoc Quynh, Van Tuan Le, Chinh Van Dang, Tinh Huu Ho, Van Trong Phan, Thang Van Dinh, Thang Phan, Thi Anh Thu Dang; J Prev Med Public Health. 2024;57(1):37-46. Published online December 11, 2023; DOI: https://doi.org/10.3961/jpmph.23.327

8,350 View
395 Download
2 Web of Science
2 Crossref

Abstract Summary PDF

Objectives
The objective of this study was to characterize mental health issues among Vietnamese healthcare workers (HCWs) and to identify related factors.
Methods
A cross-sectional study was conducted with 990 HCWs in 2021. Their mental health status was measured using the Depression, Anxiety, and Stress Scale.
Results
In total, 49.9%, 52.3%, and 29.8% of respondents were found to have depression, anxiety, and stress, respectively. The multivariable linear regression model revealed that factors associated with increased anxiety scores included depression scores (β, 0.45; 95% confidence interval [CI], 0.39 to 0.51) and stress scores (β, 0.46; 95% CI, 0.41 to 0.52). Factors associated with increased depression scores included being frontline HCWs (β, 0.57; 95% CI, 0.10 to 1.10), stress scores (β, 0.50; 95% CI, 0.45 to 0.56), and anxiety scores (β, 0.41; 95% CI, 0.36 to 0.47), while working experience was associated with reduced depression scores (β, -0.08; 95% CI, -0.16 to -0.01). Factors associated with increased stress scores included working experience (β, 0.08; 95% CI, 0.00 to 0.16), personal protective equipment interference with daily activities (β, 0.55; 95% CI, 0.07 to 1.00), depression scores (β, 0.54; 95% CI, 0.48 to 0.59), and anxiety scores (β, 0.45; 95% CI, 0.39 to 0.50), while age was associated with reduced stress scores (β, -0.12; 95% CI, -0.20 to -0.05).
Conclusions
Specific interventions are necessary to enhance and promote the mental health of HCWs so they can successfully cope with the circumstances of the pandemic.

Summary

Key Message
A cross-sectional study of 990 Vietnamese healthcare workers in Vietnam, 2021 revealed significant mental health issues: 49.9 % suffered from depression, 52.3 % from anxiety, and 29.8 % from stress. The study found a correlation between these conditions, with frontline workers being particularly vulnerable to depression. These findings highlight the critical need for targeted mental health interventions for healthcare workers, particularly those new to the field and working on the front lines, in order to better manage pandemic-related stressors.

Citations

Citations to this article as recorded by

Pandemic preparedness in Vietnam: a review of health system resilience and areas for improvement
Bach Xuan Tran, Taufique Joarder, Vincent Junxiong Pang, Clara Marin Carballo, Hoa Thi Do, Cuong Tat Nguyen, Linh Gia Vu, Ngo Van Toan, Shenglan Tang
Journal of Global Health.2025;[Epub] CrossRef
Emotional Competence of Healthcare Workers and Its Impact on Patient Loyalty in Vietnamese Hospitals
Phuoc Thien Mai, Nah Pi Sa, Triet Dinh Luu, Nam Khoa Ly, Phi Duong Nguyen
Health Psychology Research.2024; 12(1): 1. CrossRef

Sleep Quality and Poor Sleep-related Factors Among Healthcare Workers During the COVID-19 Pandemic in Vietnam: Thang Phan, Ha Phan Ai Nguyen, Cao Khoa Dang, Minh Tri Phan, Vu Thanh Nguyen, Van Tuan Le, Binh Thang Tran, Chinh Van Dang, Tinh Huu Ho, Minh Tu Nguyen, Thang Van Dinh, Van Trong Phan, Binh Thai Dang, Huynh Ho Ngoc Quynh, Minh Tran Le, Nhan Phuc Thanh Nguyen; J Prev Med Public Health. 2023;56(4):319-326. Published online May 31, 2023; DOI: https://doi.org/10.3961/jpmph.22.528

9,716 View
326 Download
6 Web of Science
5 Crossref

Abstract PDF

Objectives
The coronavirus disease 2019 (COVID-19) pandemic has increased the workload of healthcare workers (HCWs), impacting their health. This study aimed to assess sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and identify factors associated with poor sleep among HCWs in Vietnam during the COVID-19 pandemic.
Methods
In this cross-sectional study, 1000 frontline HCWs were recruited from various healthcare facilities in Vietnam between October 2021 and November 2021. Data were collected using a 3-part self-administered questionnaire, which covered demographics, sleep quality, and factors related to poor sleep. Poor sleep quality was defined as a total PSQI score of 5 or higher.
Results
Participants’ mean age was 33.20±6.81 years (range, 20.0-61.0), and 63.0% were women. The median work experience was 8.54±6.30 years. Approximately 6.3% had chronic comorbidities, such as hypertension and diabetes mellitus. About 59.5% were directly responsible for patient care and treatment, while 7.1% worked in tracing and sampling. A total of 73.8% reported poor sleep quality. Multivariate logistic regression revealed significant associations between poor sleep quality and the presence of chronic comorbidities (odds ratio [OR], 2.34; 95% confidence interval [CI], 1.17 to 5.24), being a frontline HCW directly involved in patient care and treatment (OR, 1.59; 95% CI, 1.16 to 2.16), increased working hours (OR, 1.84; 95% CI,1.37 to 2.48), and a higher frequency of encountering critically ill and dying patients (OR, 1.42; 95% CI, 1.03 to 1.95).
Conclusions
The high prevalence of poor sleep among HCWs in Vietnam during the COVID-19 pandemic was similar to that in other countries. Working conditions should be adjusted to improve sleep quality among this population.

Summary

Citations

Citations to this article as recorded by

Sleep quality by clinical training status among medical students and its associated factors: a cross-sectional study in Da Nang, Vietnam
Nguyet Truong, Hung Nguyen, Tung Pham, Duyen Chu, Linh Bui
Scientific Reports.2025;[Epub] CrossRef
Prevalence of poor sleep quality and its associated factors in patients with concurrent type 2 diabetes mellitus and hypertension
Ziling Feng, Hongying Liu, Ni Xiong, Leyao Tang, Wenjie Dai, Fang Yang
PeerJ.2025; 13: e20325. CrossRef
Approaches to Improve the Sleep Quality in Long COVID Patients: A Systematic Review
Soheila ShamsiKhani, Mahsa Hosseini
Current Respiratory Medicine Reviews.2025; 21(4): 365. CrossRef
A cross‐sectional study of sleep disturbance among middle‐aged cancer patients at Vietnam National Cancer Hospital
Anh Tuan Pham, Mai Tuyet Do, Huong Thi Thanh Tran
Cancer Reports.2024;[Epub] CrossRef
Poor sleep quality and associated factors among healthcare professionals at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia
Winta Tesfaye, Ayechew Adera Getu, Baye Dagnew, Alemu Lemma, Yigizie Yeshaw
Frontiers in Psychiatry.2024;[Epub] CrossRef

Annual Endovascular Thrombectomy Case Volume and Thrombectomy-capable Hospitals of Korea in Acute Stroke Care: Eun Hye Park, Seung-sik Hwang, Juhwan Oh, Beom-Joon Kim, Hee-Joon Bae, Ki-Hwa Yang, Ah-Rum Choi, Mi-Yeon Kang, S.V. Subramanian; J Prev Med Public Health. 2023;56(2):145-153. Published online March 31, 2023; DOI: https://doi.org/10.3961/jpmph.22.318

7,534 View
163 Download
3 Web of Science
3 Crossref

Abstract Summary PDF Supplementary Material

Objectives
Although it is difficult to define the quality of stroke care, acute ischemic stroke (AIS) patients with moderate-to-severe neurological deficits may benefit from thrombectomy-capable hospitals (TCHs) that have a stroke unit, stroke specialists, and a substantial endovascular thrombectomy (EVT) case volume.
Methods
From national audit data collected between 2013 and 2016, potential EVT candidates arriving within 24 hours with a baseline National Institutes of Health Stroke Scale score ≥6 were identified. Hospitals were classified as TCHs (≥15 EVT case/y, stroke unit, and stroke specialists), primary stroke hospitals (PSHs) without EVT (PSHs-without-EVT, 0 case/y), and PSHs-with-EVT. Thirty-day and 1-year case-fatality rates (CFRs) were analyzed using random intercept multilevel logistic regression.
Results
Out of 35 004 AIS patients, 7954 (22.7%) EVT candidates were included in this study. The average 30-day CFR was 16.3% in PSHs-without-EVT, 14.8% in PSHs-with-EVT, and 11.0% in TCHs. The average 1-year CFR was 37.5% in PSHs-without-EVT, 31.3% in PSHs-with-EVT, and 26.2% in TCHs. In TCHs, a significant reduction was not found in the 30-day CFR (odds ratio [OR], 0.92; 95% confidence interval [CI], 0.76 to 1.12), but was found in the 1-year CFR (OR, 0.84; 95% CI, 0.73 to 0.96).
Conclusions
The 1-year CFR was significantly reduced when EVT candidates were treated at TCHs. TCHs are not defined based solely on the number of EVTs, but also based on the presence of a stroke unit and stroke specialists. This supports the need for TCH certification in Korea and suggests that annual EVT case volume could be used to qualify TCHs.

Summary

Korean summary
급성 허혈성 뇌졸중 환자에서 “혈관 내 혈전제거술(endovascular treatment, EVT)”의 치료효과는 여러 연구를 통해 증명되었으나, EVT 후보군에서 EVT를 제공하기 위한 의료서비스 연구는 부족한 실정이다. 5~7차 뇌졸중 적정성 평가 자료를 활용하여 연간 EVT 시행횟수와 EVT후보군의 30일, 1년 후 치명률 간의 연관성을 다수준 분석을 통해 확인하였다. 연간 15회 이상 EVT를 시행하면서 뇌졸중 전문치료실과 뇌줄중 관련 전문분과(신경과, 신경외과, 재활의학과) 전문의가 모두 있는 병원(TCHs)에서 치료받은 환자는 EVT를 시행하지 않는 병원(PSHs-without-EVT)에서 치료받는 환자에 비해 치명률이 감소하는 경향을 보였다. 이는 뇌졸중 치료체계에서 EVT가능병원을 정의할 필요성을 잘 보여주고, “연간 EVT 시행횟수”는 TCHs를 정의하는 중요한 지표로 사용될 수 있을 것이다.

Citations

Citations to this article as recorded by

Trends in utilization and impact of hospital procedural volume on mortality after endovascular thrombectomy for acute ischemic stroke
Zafar Ali, Sayyeda Aleena Mufarrih, Amjad Ali, Michael G. Abraham, Gokul Ramani, Kamal Gupta
Journal of Stroke and Cerebrovascular Diseases.2025; 34(1): 108133. CrossRef
Trends in Regional Disparities in Cardiovascular Surgery and Mortality in Korea: A National Cross-sectional Study
Dal-Lae Jin, Kyoung-Hoon Kim, Euy Suk Chung, Seok-Jun Yoon
Journal of Preventive Medicine and Public Health.2024; 57(3): 260. CrossRef
Mortality and Disparities of Acute Myocardial Infarction and Stroke in Korea, 2008–2019
Ji-Sook Choi, Soomin Kim, Choon-Seon Park, Hyejin Lee, Jin Yong Lee, Sun Min Kim
Yonsei Medical Journal.2024; 65(9): 534. CrossRef

Inequality in Private Health Care Expenditures: A 36-Year Trend Study of Iranian Households: Ehsan Aghapour, Mehdi Basakha, Seyed Hossein Mohaqeqi Kamal, Abolghasem Pourreza; J Prev Med Public Health. 2022;55(4):379-388. Published online June 27, 2022; DOI: https://doi.org/10.3961/jpmph.22.123

8,688 View
103 Download
2 Web of Science
2 Crossref

Abstract PDF

Objectives
Throughout history, societies have been impacted by inequality. Many studies have been conducted on the topic more broadly, but only a few have investigated inequalities in out-of-pocket health payments (OHP). This study measures OHP inequality trends among the Iranian households.
Methods
This study used data from the Iranian Statistics Center on Iranian household income and expenditures. The analysis included a total of 995 300 households during the 36 years from 1984 to 2019. The Gini coefficient, Atkinson index, and Theil index were calculated for Iranian OHP.
Results
Average Iranian household OHP increased from 33 US dollar (USD) in 1984 to 47 USD in 2019. During this 36-year span, the average±standard deviation Gini coefficient for OHP was 0.73±0.04, and the Atkinson and Theil indexes were 0.68±0.05 and 1.14±0.29, respectively. The Gini coefficients for the subcategories of OHP of outpatient diagnostic services, medical assistant accessories, hospital inpatient services, and addiction cessation were 0.70, 0.61, 0.84, and 0.64, respectively.
Conclusions
In this study, we scrutinized trends of inequality in the OHP of Iranian households. Inequality in OHP decreased slightly over the past four decades. An analysis of trends among different subgroups revealed that affluent households, such as households with insurance coverage and households in higher income deciles, experienced higher inequality. Therefore, lower inequality in health care expenditures may be related to restricted access to health care services in Iran.

Summary

Citations

Citations to this article as recorded by

Unequal benefits: the effects of health insurance integration on consumption inequality in rural China
Linlin Han
Frontiers in Public Health.2025;[Epub] CrossRef
Decomposition of Healthcare Utilization Inequality in Iran: The Prominent Role of Health Literacy and Neighborhood Characteristics
Neda Soleimanvandiazar, Seyed Hossein Mohaqeqi Kamal, Mehdi Basakha, Salah Eddin Karimi, Sina Ahmadi, Gholamreza Ghaedamini Harouni, Homeira Sajjadi, Ameneh Setareh Forouzan
INQUIRY: The Journal of Health Care Organization, Provision, and Financing.2024;[Epub] CrossRef

Special Article

Well-being Index Scores and Subjective Health Status of Korean Healthcare Workers: Yoonhee Shin, Bohyun Park, Nam-eun Kim, Eun Jeong Choi, Minsu Ock, Sun Ha Jee, Sue K. Park, Hyeong Sik Ahn, Hyesook Park; J Prev Med Public Health. 2022;55(3):226-233. Published online May 31, 2022; DOI: https://doi.org/10.3961/jpmph.22.114

8,254 View
166 Download
3 Web of Science
4 Crossref

Abstract Summary PDF

Objectives
The aim of this study was to evaluate the subjective level of health-related quality of life of Korean healthcare workers using various quality-of-life instruments.
Methods
This study included 992 participants, who were doctors and nurses. A survey was conducted between November 28 and December 4, 2019. Data from 954 participants divided into 3 groups (physicians, residents, and nurses) were analyzed. Four measurement tools (29 questions) were used in the survey to evaluate subjective health status and well-being.
Results
In the Mayo Well-being Index, burnout during work (88.5%) and emotional difficulties caused by work (84.0%) were frequently cited by the respondents. Regarding questions on burnout and emotional difficulties, residents and nurses had the highest scores (91.0 and 89.6%, respectively). Emotional problems, such as anxiety, depression, and irritability, accounted for a high percentage (73.1%) of the total, while 82.2% of respondents reported that their work schedules interfered with their leisure and family time. There was no significant difference among the groups in subjective health status. However, 10.1% of the residents experienced very low quality of life, which was a higher proportion than that of physicians (2.7%) and nurses (5.2%).
Conclusions
The level of well-being that Korean medical workers experienced in relation to work was lower than the results of the United States healthcare workers surveyed using the same tool. This study was unique in that it conducted a subjective quality-of-life survey on Korean healthcare workers.

Summary

Korean summary
본 연구의 목적은 다양한 삶의 질 도구를 사용하여 한국 의료종사자들의 건강과 관련된 삶의 질에 대한 주관적인 수준을 평가하는 것이다. 피로와 정서적 어려움, 업무로 인한 일상생활의 방해 등 한국 의료종사자의 일부 삶의 질 점수가 낮았다. 의료 종사자의 소진 경험이 환자의 치료에 부정적인 영향을 미친다는 것을 고려할 때 의료 종사자들의 삶의 질을 향상시키는 정책이 마련되어야하며, 건강과 관련된 직업적 위험요인 연구도 추가적으로 필요하다.

Citations

Citations to this article as recorded by

Healthcare Professionals’ Subjective Well-Being: A Systematic Review and Methodological Appraisal of Conceptual Models, Measurement Instruments, and Associated Factors
Iluta Skrūzkalne, Evija Nagle, Otto Andersen, Jeļena Perevozčikova, Luule Sakkeus, Antanas Kairys, Ingūna Griškēviča, Silva Seņkāne, Andrejs Ivanovs, Ieva Reine
International Journal of Environmental Research and Public Health.2026; 23(3): 329. CrossRef
Introduction to burnout and well-being for anesthesiologists in South Korea: narrative and brief review
Jeongrim Lee
Anesthesia and Pain Medicine.2025; 20(2): 121. CrossRef
Changes in subjective well-being among Korean adolescents, 2016-2021: A nationwide panel survey study
Thi Thanh Lan Nguyen, Thi Huyen Trang Ta, Van Cuong Nguyen
Journal of Child & Adolescent Mental Health.2025; : 1. CrossRef
Evaluating the Impact of an Online Mindfulness Program on Healthcare Workers in Korean Medicine Institutions: A Two-Year Retrospective Study
Chan-Young Kwon
Healthcare.2024; 12(22): 2238. CrossRef

Original Articles

A Regionalization Model to Increase Equity of Access to Maternal and Neonatal Care Services in Iran: Zahra Mohammadi Daniali, Mohammad Mehdi Sepehri, Farzad Movahedi Sobhani, Mohammad Heidarzadeh; J Prev Med Public Health. 2022;55(1):49-59. Published online December 28, 2021; DOI: https://doi.org/10.3961/jpmph.21.401

7,819 View
168 Download
5 Web of Science
10 Crossref

Abstract PDF Supplementary Material

Objectives
Access to maternal and neonatal care services (MNCS) is an important goal of health policy in developing countries. In this study, we proposed a 3-level hierarchical location-allocation model to maximize the coverage of MNCS providers in Iran.
Methods
First, the necessary criteria for designing an MNCS network were explored. Birth data, including gestational age and birth weight, were collected from the data bank of the Iranian Maternal and Neonatal Network national registry based on 3 service levels (I, II, and III). Vehicular travel times between the points of demand and MNCS providers were considered. Alternative MNCS were mapped in some cities to reduce access difficulties.
Results
It was found that 130, 121, and 86 MNCS providers were needed to respond to level I, II, and III demands, respectively, in 373 cities. Service level III was not available in 39 cities within the determined travel time, which led to an increased average travel time of 173 minutes to the nearest MNCS provider.
Conclusions
This study revealed inequalities in the distribution of MNCS providers. Management of the distribution of MNCS providers can be used to enhance spatial access to health services and reduce the risk of neonatal mortality and morbidity. This method may provide a sustainable healthcare solution at the policy and decision-making level for regional, or even universal, healthcare networks.

Summary

Citations

Citations to this article as recorded by

Global, Regional and National Burden of Maternal Obstructed Labour and Uterine Rupture, 1990–2021: Global Burden of Disease Study 2021
Zhifeng Guo, Wangquan Ji, Mengqing Yan, Yang Shi, Teng Chen, Fanghui Bai, Yu Wu, Zhe Guo, Linlin Song
Paediatric and Perinatal Epidemiology.2025; 39(2): 135. CrossRef
Survival estimate and geographic trajectory in the antepartum period of preterm infants with neonatal death outcome
Carolina Luiza Bezerra Silva Webster Barbosa, Eliane Rolim de Holanda, Luciana Pedrosa Leal, Ana Paula Esmeraldo Lima, Amanda Priscila de Santana Cabral Silva, Vânia Pinheiro Ramos
Ciência & Saúde Coletiva.2025;[Epub] CrossRef
Estimativa de sobrevida e trajetória geográfica no anteparto de prematuros com desfecho de óbito neonatal
Carolina Luiza Bezerra Silva Webster Barbosa, Eliane Rolim de Holanda, Luciana Pedrosa Leal, Ana Paula Esmeraldo Lima, Amanda Priscila de Santana Cabral Silva, Vânia Pinheiro Ramos
Ciência & Saúde Coletiva.2025;[Epub] CrossRef
Epidemiology and Clinical Features of COVID-19 among 4,015 Neonates in Iran: Results of the National Study from the Iranian Maternal and Neonatal Network
David A. Schwartz, Parisa Mohagheghi, Fereshteh Moshfegh, Nazanin Zafaranloo, Narjes Khalili, Mohammad Heidarzadeh, Abbas Habibelahi, Roya Ghafoury, Fatemeh Afrashteh
American Journal of Perinatology.2024; 41(S 01): e1698. CrossRef
Global burden and inequality of maternal and neonatal disorders: based on data from the 2019 Global Burden of Disease study
R Peng, Y Tong, M Yang, J Wang, L Yang, J Zhu, Yu Liu, H Wang, Z Shi, Ya Liu
QJM: An International Journal of Medicine.2024; 117(1): 24. CrossRef
Multi-objective mammography unit location–allocation problem: A case study
Marcos Vinícius Andrade de Campos, Romário dos Santos Lopes de Assis, Marcone Jamilson Freitas Souza, Eduardo Camargo de Siqueira, Maria Amélia Lopes Silva, Sérgio Ricardo de Souza
Operations Research for Health Care.2024; 41: 100430. CrossRef
An integrated location–allocation model for reducing disparities and increasing accessibility to public health screening centers
João Flávio de Freitas Almeida, Lásara Fabrícia Rodrigues, Luiz Ricardo Pinto, Francisco Carlos Cardoso de Campos
Healthcare Analytics.2024; 6: 100349. CrossRef
Association Between Maternal Co-morbidities and Cesarean Delivery Outcomes: A Retrospective Study
Sara Farzadi, Fatemeh Hosseinzadeh, Soheil Soltanipour, Samaneh Ghazanfar Tehran, Maryam Kounani, Mahin Tayefeh Ashrafiyeh, Gelareh Biazar
Modern Care Journal.2024;[Epub] CrossRef
Enhancing geographical access to cardiovascular disease healthcare services in Lagos State, Nigeria
Oluwaseun Addie, Olalekan John Taiwo
Open Health.2024;[Epub] CrossRef
An optimization model for equitable accessibility to magnetic resonance imaging technology in developing countries
João Flávio de Freitas Almeida, Samuel Vieira Conceição, Virgínia Silva Magalhães
Decision Analytics Journal.2022; 4: 100105. CrossRef

Identification of Unmet Healthcare Needs: A National Survey in Thailand: Sukanya Chongthawonsatid; J Prev Med Public Health. 2021;54(2):129-136. Published online March 4, 2021; DOI: https://doi.org/10.3961/jpmph.20.318

8,913 View
184 Download
9 Web of Science
9 Crossref

Abstract PDF Supplementary Material

Objectives
This study examined demographic factors hampering access to healthcare at hospitals and suggests policy approaches to improve healthcare management in Thailand.
Methods
The data for the study were drawn from a health and welfare survey conducted by the National Statistical Office of Thailand in 2017. The population-based health and welfare survey was systematically carried out by skilled interviewers, who polled 21 519 384 individuals. The independent variables related to demographic data (age, sex, religion, marital status, education, occupation, and area of residence), chronic diseases, and health insurance coverage. The dependent variable was the degree of access to healthcare. Multiple logistic regression analysis was subsequently performed on the variables found to be significant in the univariate analysis.
Results
Only 2.5% of the population did not visit a hospital when necessary for outpatient-department treatment, hospitalization, or the provision of oral care. The primary reasons people gave for not availing themselves of the services offered by government hospitals when they were ill were—in descending order of frequency—insufficient time to seek care, long hospital queues, travel inconvenience, a lack of hospital beds, unavailability of a dentist, not having someone to accompany them, and being unable to pay for the transportation costs. Multiple logistic regression analysis showed that failure to access the health services provided at hospitals was associated with demographic, educational, occupational, health welfare, and geographic factors.
Conclusions
Accessibility depends not only on health and welfare benefit coverage, but also on socioeconomic factors and the degree of convenience associated with visiting a hospital.

Summary

Citations

Citations to this article as recorded by

Nationwide trends in pediatric obesity in Thailand, 2015–2023: prevalence, morbidity, mortality, and COVID-19–related disparities
Tran Cong Ly, Suchaorn Saengnipanthkul, Phanthila Sitthikarnkha, Leelawadee Techasatian, Rattapon Uppala, Pope Kosalaraksa
BMC Public Health.2026;[Epub] CrossRef
Impact of Oral Health Chatbot With and Without Toothbrushing Training on Childhood Caries
Jaranya Hunsrisakhun, Supawadee Naorungroj, Watcharawalee Tangkuptanon, Pissamai Wattanasit, Kittiwara Pupong, Samerchit Pithpornchaiyakul
International Dental Journal.2025; 75(2): 1348. CrossRef
Unmet healthcare needs, out-of-pocket payments and catastrophic health expenditures among hypertensive adults in Bangladesh
Md. Mizanur Rahman, Md. Safayet Hossain, Ryota Nakamura, Md. Ashraful Alam, Syed Khurram Azmat, Motohiro Sato
BMC Health Services Research.2025;[Epub] CrossRef
Factors associated with poor self-rated health among chronic kidney disease patients and their health care utilization: Insights from LASI wave-1, 2017-18
Swetalina Nayak, Soumya Ranjan Nayak, Alice Alice, Debadutta Sahoo, Srikanta Kanungo, Tanveer Rehman, Sanghamitra Pati, Subrat Kumar Palo
Frontiers in Nephrology.2023;[Epub] CrossRef
The association between health costs and physical inactivity; analysis from the Physical Activity at Work study in Thailand
Katika Akksilp, Wanrudee Isaranuwatchai, Yot Teerawattananon, Cynthia Chen
Frontiers in Public Health.2023;[Epub] CrossRef
Unmet Healthcare Needs among the Elderly Korean Population: Before and during the COVID-19 Pandemic
Hyo Lyun Roh, Sang Dol Kim
Systems.2023; 11(9): 437. CrossRef
The association of physical activity and sedentary behaviour on health-related quality of life: a cross-sectional study from the physical activity at work (PAW) trial
Katika Akksilp, Falk Müller-Riemenschneider, Yot Teerawattananon, Cynthia Chen
Journal of Activity, Sedentary and Sleep Behaviors.2023;[Epub] CrossRef
The relationship between sexual and gender stigma and difficulty accessing primary and mental healthcare services among LGBTQI+ populations in Thailand: Findings from a national survey
Soroush Moallef, Travis Salway, Nittaya Phanuphak, Katri Kivioja, Suparnee Pongruengphant, Kanna Hayashi
International Journal of Mental Health and Addiction.2022; 20(6): 3244. CrossRef
The impact of the Syrian Refugee Crisis on the health access in Turkiye: A synthetic control analysis
Hüseyin İKİZLER, Aslı DOLU, Emre YÜKSEL
Uluslararası Ekonomi ve Yenilik Dergisi.2022; 8(2): 165. CrossRef

Effects of the Out-of-pocket Payment Exemption in the Public Health Center on Medical Utilization of the Korean Elderly: Kiryong Nam, Eunhye Park, Yuhjin Chung, Chang-yup Kim; J Prev Med Public Health. 2020;53(6):455-464. Published online October 20, 2020; DOI: https://doi.org/10.3961/jpmph.20.341

6,821 View
143 Download
1 Crossref

Abstract PDF

Objectives
The distribution of hospitals in Korea is unbalanced in terms of accessibility. Many local public health centers (PHCs) exempt out-of-pocket payments (OOPs) based on local government laws to increase coverage. However, this varies across administrative regions, as many make this exemption for the elderly, while others do not. This study aimed to evaluate the effects of the OOP exemption at local PHCs among elderly individuals.
Methods
This study used online data on Korean national law to gather information on individual local governments’ regulations regarding OOP exemptions. Individual-level data were gathered from the 2018 Community Health Survey and regional-level data from public online sources.
Results
The study analyzed 132 regions and 44 918 elderly people. A statistical analysis of rate differences and 2-level multiple logistic regression were carried out. The rate difference according to whether elderly individuals resided in areas with the OOP exemption was 1.97%p (95% confidence interval [CI], 1.07 to 2.88) for PHC utilization, 1.37%p (95% CI, 0.67 to 2.08) for hypertension treatment, and 2.19%p (95% CI, 0.63 to 3.74) for diabetes treatment. The regression analysis showed that OOP exemption had an effect on hypertension treatment, with a fixed-effect odds ratio of 1.25 (95% CI, 1.05 to 1.48).
Conclusions
The OOP exemption at PHCs can affect medical utilization in Korea, especially for hypertension treatment. The OOP exemption should be expanded to improve healthcare utilization in Korea.

Summary

Citations

Citations to this article as recorded by

Access of older people to primary health care in low and middle-income countries: A systematic scoping review
Saydeh Dableh, Kate Frazer, Diarmuid Stokes, Thilo Kroll, Dirceu Henrique Paulo Mabunda
PLOS ONE.2024; 19(4): e0298973. CrossRef

COVID-19: Perspective

Unconventional Answers to Unprecedented Challenges: The Swedish Experience During the COVID-19 Outbreak: Giuseppe Valeriani, Iris Sarajlic Vukovic, Richard Mollica; J Prev Med Public Health. 2020;53(4):233-235. Published online July 22, 2020; DOI: https://doi.org/10.3961/jpmph.20.235

8,646 View
227 Download
16 Crossref

Abstract PDF

Since its early stages, the coronavirus disease 2019 (COVID-19) pandemic has posed immense challenges in meeting the public health and healthcare and social care needs of migrants. In line with other reports from United Kingdom and United States, data from Sweden’s health authority show that migrants have been disproportionately affected by COVID-19. Following the World Health Organization’s statements, as well as the European Public Health Association’s call for action, several centres in Sweden’s most populated areas have activated tools to implement national plans for community outreach through initiatives targeting migrants and ethnic minority groups. Unconventional means should be promoted to mitigate the impact of COVID-19 on migrants and the health of the public at large.

Summary

Citations

Citations to this article as recorded by

Digital Transformation in Healthcare: Current Trends and Challenges
Lim Joe Siang, Ravichandran Veerasamy
Jordan Journal of Pharmaceutical Sciences.2026; 19(1): 157. CrossRef
Feasibility of digital healthcare in enhancing healthcare access in semiurban areas of Karachi, Pakistan: a qualitative descriptive study
Narjis Rizvi, Romaina Iqbal, Rawshan Jabeen, Bronwyn Harris, Frances Griffiths
BMJ Open.2025; 15(7): e082558. CrossRef
Navigating the Contradictory Politics of being a Marginalised Migrant during Covid-19
Michael Strange, Louise Dalingwater, Slobodan Zdravkovic, Elisabeth Mangrio
Social Policy and Society.2025; : 1. CrossRef
Non-Fungible Tokens (NFTs) in Healthcare: A Systematic Review
Tiago Nunes, Paulo Rupino da Cunha, João Mendes de Abreu, Joana Duarte, Ana Corte-Real
International Journal of Environmental Research and Public Health.2024; 21(8): 965. CrossRef
Digital approaches in post-COVID healthcare: a systematic review of technological innovations in disease management
Pamela Mfouth Kemajou, Armand Mbanya, Yves Coppieters
Biology Methods and Protocols.2024;[Epub] CrossRef
Asylum Seekers’ Responses to Government COVID-19 Recommendations: A Cross-sectional Survey in a Swiss Canton
Kevin Morisod, Marie-Anne Durand, Kevin Selby, Marie-Annick Le Pogam, Véronique S. Grazioli, Javier Sanchis Zozaya, Patrick Bodenmann, Christian von Plessen
Journal of Immigrant and Minority Health.2023; 25(3): 570. CrossRef
Prevalence of SARS-CoV-2 infection and associated risk factors among asylum seekers living in asylum centres: A cross-sectional serologic study in Canton of Vaud, Switzerland
Kevin Morisod, Véronique S. Grazioli, Virginie Schlüter, Murielle Bochud, Semira Gonseth Nusslé, Valérie D'Acremont, Nolwenn Bühler, Patrick Bodenmann
Journal of Migration and Health.2023; 7: 100175. CrossRef
Association of sociodemographic characteristics with self-perceived access to COVID-19 information and adherence to preventive measures among migrant origin and general populations in Finland: a cross-sectional study
Natalia Skogberg, Tyler Prinkey, Eero Lilja, Päivikki Koponen, Anu E Castaneda
BMJ Open.2023; 13(3): e069192. CrossRef
Current challenges and potential solutions to the use of digital health technologies in evidence generation: a narrative review
Hassan Mumtaz, Muhammad Hamza Riaz, Hanan Wajid, Muhammad Saqib, Muhammad Hamayl Zeeshan, Shaheer Ellahi Khan, Yesha Rajendrabhai Chauhan, Hassan Sohail, Laiba Iman Vohra
Frontiers in Digital Health.2023;[Epub] CrossRef
Health literacy of forcibly displaced (migrant) women during the COVID-19 pandemic: a grounded theory study
Jana Tempes, Uwe Bittlingmayer, Eva-Maria Bitzer, Ines Himmelsbach
International Journal of Migration, Health and Social Care.2023; 19(3/4): 451. CrossRef
Working With Refugees' Health During COVID-19—The Experience of Health- and Social Care Workers in Sweden
Elisabeth Mangrio, Slobodan Zdravkovic, Michael Strange
Frontiers in Public Health.2022;[Epub] CrossRef
Beyond Burnout: Responding to the COVID-19 Pandemic Challenges to Self-care
Richard F. Mollica, Dinali B. Fernando, Eugene F. Augusterfer
Current Psychiatry Reports.2021;[Epub] CrossRef
Clinical outcomes and risk factors for COVID-19 among migrant populations in high-income countries: A systematic review
Sally E Hayward, Anna Deal, Cherie Cheng, Alison Crawshaw, Miriam Orcutt, Tushna F Vandrevala, Marie Norredam, Manuel Carballo, Yusuf Ciftci, Ana Requena-Méndez, Christina Greenaway, Jessica Carter, Felicity Knights, Anushka Mehrotra, Farah Seedat, Kayvan
Journal of Migration and Health.2021; 3: 100041. CrossRef
“I Just Want Some Clear Answers”: Challenges and Tactics Adopted by Migrants in Denmark When Accessing Health Risk Information about COVID-19
Rasmus Luca Lyager Brønholt, Nina Langer Primdahl, Anja M. B. Jensen, An Verelst, Ilse Derluyn, Morten Skovdal
International Journal of Environmental Research and Public Health.2021; 18(17): 8932. CrossRef
Refugees in Sweden During the Covid-19 Pandemic—The Need for a New Perspective on Health and Integration
Mangrio Elisabeth, Paul-Satyaseela Maneesh, Strange Michael
Frontiers in Public Health.2020;[Epub] CrossRef
Addressing Healthcare Gaps in Sweden during the COVID-19 Outbreak: On Community Outreach and Empowering Ethnic Minority Groups in a Digitalized Context
Giuseppe Valeriani, Iris Sarajlic Vukovic, Tomas Lindegaard, Roberto Felizia, Richard Mollica, Gerhard Andersson
Healthcare.2020; 8(4): 445. CrossRef

Original Article

Measuring Out-of-pocket Payment, Catastrophic Health Expenditure and the Related Socioeconomic Inequality in Peru: A Comparison Between 2008 and 2017: Akram Hernández-Vásquez, Carlos Rojas-Roque, Rodrigo Vargas-Fernández, Diego Rosselli; J Prev Med Public Health. 2020;53(4):266-274. Published online June 10, 2020; DOI: https://doi.org/10.3961/jpmph.20.035

11,724 View
238 Download
10 Crossref

Abstract PDF Supplementary Material

Objectives
Describe out-of-pocket payment (OOP) and the proportion of Peruvian households with catastrophic health expenditure (CHE) and evaluate changes in socioeconomic inequalities in CHE between 2008 and 2017.
Methods
We used data from the 2008 and 2017 National Household Surveys on Living and Poverty Conditions (ENAHO in Spanish), which are based on probabilistic stratified, multistage and independent sampling of areas. OOP was converted into constant dollars of 2017. A household with CHE was assumed when the proportion between OOP and payment capacity was ≥0.40. OOP was described by median and interquartile range while CHE was described by weighted proportions and 95% confidence intervals (CIs). To estimate the socioeconomic inequality in CHE we computed the Erreygers concentration index.
Results
The median OOP reduced from 205.8 US dollars to 158.7 US dollars between 2008 and 2017. The proportion of CHE decreased from 4.9% (95% CI, 4.5 to 5.2) in 2008 to 3.7% (95% CI, 3.4 to 4.0) in 2017. Comparison of socioeconomic inequality of CHE showed no differences between 2008 and 2017, except for rural households in which CHE was less concentrated in richer households (p<0.05) and in households located on the rest of the coast, showing an increase in the concentration of CHE in richer households (p<0.05).
Conclusions
Although OOP and CHE reduced between 2008 and 2017, there is still socioeconomic inequality in the burden of CHE across different subpopulations. To reverse this situation, access to health resources and health services should be promoted and guaranteed to all populations.

Summary

Citations

Citations to this article as recorded by

Causes of death among international travellers in Peru, 2017 to 2021
Kasim Allel, Miguel M Cabada, Collen Lau, Deborah Mills, Richard C Franklin, Yan Zhu, Luis Furuya-Kanamori
Journal of Travel Medicine.2024;[Epub] CrossRef
Informal payments in health facilities in Peru in 2018: Analysis of a cross-sectional survey
Laura Espinoza-Pajuelo, Patricia Mallma, Hannah Hogan Leslie, Patricia Jannet García, Sarthak Gaurav
PLOS Global Public Health.2024; 4(1): e0001837. CrossRef
An Examination of Inter-State Variation in Utilization of Healthcare Services, Associated Financial Burden and Inequality: Evidence from Nationally Representative Survey in India
Aashima, Rajesh Sharma
International Journal of Social Determinants of Health and Health Services.2024; 54(3): 206. CrossRef
Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019
Abdoreza mousavi, Farhad lotfi, Samira Alipour, Aliakbar Fazaeli, Mohsen Bayati
Journal of Preventive Medicine and Public Health.2024; 57(1): 65. CrossRef
Consumer Financial Protection Versus Catastrophic Healthcare Expenditure in Zambia
MccPowell Fombang, Richard Wamalwa Wanzala
Public Health Challenges.2024;[Epub] CrossRef
Cost-sharing and associated factors in the Peruvian private health care system
Luciana Bellido-Boza, David Villarreal-Zegarra, Max Pariona-Cárdenas, Roger Carrión, Paul Valdivia-Miranda, G. J. Melendez-Torres, Oriana Rivera-Lozada de Bonilla
PLOS ONE.2024; 19(8): e0308277. CrossRef
High cost drugs in Latin America: access and barriers
Diego Rosselli
Expert Review of Pharmacoeconomics & Outcomes Research.2023; 23(6): 619. CrossRef
Determinants of Eye Care Service Utilization among Peruvian Adults: Evidence from a Nationwide Household Survey
Antonio Barrenechea-Pulache, Andres Portocarrero-Bonifaz, Akram Hernández-Vásquez, Carlos Portocarrero-Ramos, Jenny Moscoso-Carrasco
Ophthalmic Epidemiology.2022; 29(3): 339. CrossRef
Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature
Taslima Rahman, Dominic Gasbarro, Khurshid Alam
Health Research Policy and Systems.2022;[Epub] CrossRef
THE IGNORED PANDEMIC OF PUBLIC HEALTH CORRUPTION: A CALL FOR ACTION AMID AND BEYOND SARS-COV-2/COVID-19
Jorge A. Sánchez-Duque, Zhaohui Su, Diego Rosselli, Maria Camila Chica-Ocampo, Maria Isabel Lotero-Puentes, Ana M. Bolaños-Portilla, Manish Dhawan, Alfonso J. Rodríguez-Morales, Kuldeep Dhama
Journal of Experimental Biology and Agricultural Sciences.2021; 9(2): 108. CrossRef

COVID-19: Original Article

Forecasting COVID-19 Transmission and Healthcare Capacity in Bali, Indonesia: I Md Ady Wirawan, Pande Putu Januraga; J Prev Med Public Health. 2020;53(3):158-163. Published online April 29, 2020; DOI: https://doi.org/10.3961/jpmph.20.152

13,496 View
338 Download
15 Crossref

Abstract PDF

Objectives
In the current early phase of the coronavirus disease 2019 (COVID-19) outbreak, Bali needs to prepare to face the escalation of cases, with a particular focus on the readiness of healthcare services. We simulated the future trajectory of the epidemic under current conditions, projected the impact of policy interventions, and analyzed the implications for healthcare capacity.
Methods
Our study was based on the first month of publicly accessible data on new confirmed daily cases. A susceptible, exposed, infected, recovered (SEIR) model for COVID-19 was employed to compare the current dynamics of the disease with those predicted under various scenarios.
Results
The fitted model for the cumulative number of confirmed cases in Bali indicated an effective reproduction number of 1.4. Interventions have decreased the possible maximum number of cases from 71 125 on day 86 to 22 340 on day 119, and have prolonged the doubling time from about 9 days to 21 days. This corresponds to an approximately 30% reduction in transmissions from cases of mild infections. There will be 2780 available hospital beds, and at the peak (on day 132), the number of severe cases is estimated to be roughly 6105. Of these cases, 1831 will need intensive care unit (ICU) beds, whereas the number of currently available ICU beds is roughly 446.
Conclusions
The healthcare system in Bali is in danger of collapse; thus, serious efforts are needed to improve COVID-19 interventions and to prepare the healthcare system in Bali to the greatest extent possible.

Summary

Citations

Citations to this article as recorded by

Short term forecast of new daily pandemic hospitalizations: A time series model for a single hospital
Lieke Fleur Heupink, Espen Rostrup Nakstad, Hilde Lurås, Pål Wiik, Kristine Lippestad, Fred Espen Benth, Jūratė Šaltytė Benth
Epidemics.2026; 54: 100894. CrossRef
The management of chronic diseases during the SARS-Cov-2 pandemic in WHO Western-Pacific and South-East Asian regions
Angeline Kuek, Kathryn M. Antioch, Priscilla Robinson
Journal of Public Health.2025;[Epub] CrossRef
The Effect of High Flow Nasal Cannula (HFNC) on the Use of Ventilators in Severe to Critical COVID-19 Patients
Lavely Rakhmatan Firdausintika, Irmi Syafa’ah, Prananda Surya Airlangga, Prihatma Kriswidyatomo, Herley Windo Setiawan, Isnin Anang Marhana
Coronaviruses.2025;[Epub] CrossRef
Towards reliable forecasting of healthcare capacity needs: A scoping review and evidence mapping
Simon Grøntved, Mette Jørgine Kirkeby, Søren Paaske Johnsen, Jan Mainz, Jan Brink Valentin, Christina Mohr Jensen
International Journal of Medical Informatics.2024; 189: 105527. CrossRef
Health 4.0 architecture proposal for planning and management of a hospital emergency department
Lucas Caldas Danelon Lopes, Clóvis Neumann, Michael Machado
Procedia CIRP.2024; 126: 307. CrossRef
The Impacts of Medical Resources on Emerging Self-Limiting Infectious Diseases
Dayong Zhou, Liyan Gao, Qiuhui Pan, Mingfeng He
Applied Sciences.2022; 12(9): 4255. CrossRef
Transmission dynamics model and the coronavirus disease 2019 epidemic: applications and challenges
Jinxing Guan, Yang Zhao, Yongyue Wei, Sipeng Shen, Dongfang You, Ruyang Zhang, Theis Lange, Feng Chen
Medical Review.2022; 2(1): 89. CrossRef
Comprehensive Travel Health Education for Tour Guides: Protocol for an Exploratory Sequential Mixed Methods Research
Ni Made Sri Nopiyani, Pande Putu Januraga, I Md Ady Wirawan, I Made Bakta
JMIR Research Protocols.2022; 11(5): e33840. CrossRef
Seroprevalence of SARS-CoV-2 antibodies in Bali Province: Indonesia shows underdetection of COVID-19 cases by routine surveillance
Anak A. S. Sawitri, Putu C. D. Yuliyatni, Putu A. S. Astuti, Emita Ajis, Endang B. Prasetyowati, Husni, Juliette Morgan, Jennifer Mika, Catharina Y. Praptiningsih, Amalya Mangiri, Ester Mulyadi, Rintis Noviyanti, Leily Trianty, William A. Hawley, Gathsau
PLOS Global Public Health.2022; 2(8): e0000727. CrossRef
Correlation of Demographics, Healthcare Availability, and COVID-19 Outcome: Indonesian Ecological Study
Gede Benny Setia Wirawan, Pande Putu Januraga
Frontiers in Public Health.2021;[Epub] CrossRef
Perceived Social Norms as Determinants of Adherence to Public Health Measures Related to COVID-19 in Bali, Indonesia
Putu Ayu Indrayathi, Pande Putu Januraga, Putu Erma Pradnyani, Hailay Abrha Gesesew, Paul Russel Ward
Frontiers in Public Health.2021;[Epub] CrossRef
Prevalence of Depression, Anxiety, and Stress Among Repatriated Indonesian Migrant Workers During the COVID-19 Pandemic
Ngakan Putu Anom Harjana, Pande Putu Januraga, Putu Ayu Indrayathi, Hailay Abrha Gesesew, Paul Russell Ward
Frontiers in Public Health.2021;[Epub] CrossRef
Determinants of Mental Health and Practice Behaviors of General Practitioners During COVID-19 Pandemic in Bali, Indonesia: A Cross-sectional Study
Firman Parulian Sitanggang, Gede Benny Setia Wirawan, I Md Ady Wirawan, Cokorda Bagus Jaya Lesmana, Pande Putu Januraga
Risk Management and Healthcare Policy.2021; Volume 14: 2055. CrossRef
Improving Public Access to COVID-19 Pandemic Data in Indonesia for Better Public Health Response
Pande Putu Januraga, Ngakan Putu Anom Harjana
Frontiers in Public Health.2020;[Epub] CrossRef
Modeling the transmission dynamics of COVID-19 epidemic: a systematic review
Jinxing Guan, Yongyue Wei, Yang Zhao, Feng Chen
The Journal of Biomedical Research.2020; 34(6): 422. CrossRef

Original Articles

Association Between Convenience of Transportation and Unmet Healthcare Needs of Rural Elderly in Korea: Youngeun Choi, Kiryong Nam, Chang-yup Kim; J Prev Med Public Health. 2019;52(6):355-365. Published online October 3, 2019; DOI: https://doi.org/10.3961/jpmph.19.172

15,107 View
264 Download
31 Crossref

Abstract Summary PDF Supplementary Material

Objectives
In rural areas of Korea, where public transportation infrastructure is lacking and alternative systems are poor, the elderly experience inconveniences in using healthcare, although their need is high. This study aimed to analyze the association between the convenience of transportation and unmet healthcare needs among the rural elderly.
Methods
The data used were collected in the 2016 Community Health Survey among rural elderly individuals aged 65 or older. Dependent variable was the unmet healthcare needs, explanatory variable was the convenience of transportation. The elderly were divided into 3 groups: with no driver in the household, with a driver, and the elderly individual was the driver (the self-driving group). Covariates were classified into predisposing, enabling, and need factors. They included gender, age, education, income, economic activity, household type, motor ability, subjective health level, number of chronic diseases, anxiety/depression, and pain/discomfort. The data were analyzed using logistic regression and stratification.
Results
A significant association was found between the convenience of transportation and unmet healthcare needs. When examined unadjusted odds ratio of the group with a driver in the household, using the group with no driver as a reference, was 0.61 (95% confidence interval [CI], 0.54 to 0.68), while that of the self-driving group was 0.34 (95% CI, 0.30 to 0.38). The odds ratios adjusted for all factors were 0.69 (95% CI, 0.59 to 0.80) and 0.79 (95% CI, 0.67 to 0.91).
Conclusions
We confirmed a significant association between inconvenient transportation and unmet healthcare needs among the rural elderly even after adjustment for existing known factors. This implies that policies aimed at improving healthcare accessibility must consider the means of transportation available.

Summary

Korean summary
대중교통 인프라가 부족하고 대안적 교통수단 체계가 미흡한 농촌 지역 노인들은 의료 필요는 높으나 도보이동이나 불편한 이동수단을 이용하기 어려워 의료이용에 불편을 겪는다. 본 연구는 의료접근성 향상과 불평등한 접근성 문제에 대한 제안의 근거 마련을 목적으로 질병관리본부 지역사회건강조사 데이터를 이용하여 농촌 노인의 이동수단의 편의성과 미충족의료 경험의 연관성을 살펴보았다. 분석결과 농촌지역 노인에게 교통편 불편은 미충족의료 경험의 주된 이유로 나타났고 기존에 알려진 요인들을 보정한 후에도 이동수단의 편의성과 미충족의료 경험 사이에 유의한 관계가 있음을 확인하였다.

Citations

Citations to this article as recorded by

Digital health services and rural healthcare access: Evidence from China
Xizi Wan, Yiyu Ao, Zhongmou Huang, Miao Yu
Health Policy and Technology.2026; 15(1): 101123. CrossRef
Impact of the Family Doctor Contracting System on unmet healthcare needs in Shandong Province, China
Jialong Tan, Jian Wang, Lingxuan Xu, Peilong Li, Jingjie Sun, Chen Chen
Health Policy and Planning.2026; 41(1): 22. CrossRef
Factors Associated with Hypertension Prevalence Among Urban and Rural Older Adults: Analysis of the 2023 National Survey of Older Koreans
Miseon Seo*
Journal of Digital Contents Society.2026; 27(4): 1115. CrossRef
‘Driving the Patients’: Taxi Drivers' Experiences With Patient Transportation
Trine Oksholm, Ann‐Kristin Fjørtoft
Scandinavian Journal of Caring Sciences.2025;[Epub] CrossRef
Outdoor thermal comfort and multidimensional health effects of older adults in a subtropical city during autumn: roles of spatial type, activity, and urban–rural setting
Yuanjing Wu, Xinhui Fei, Songjun He, Wei Zhou, Shaozhen Fan, Yuping Tang, Qunyue Liu, Siren Lan
Energy and Buildings.2025; 347: 116242. CrossRef
Patients with diabetes in regions with population decline and likelihood of receiving diabetes management education and screenings for related complications in Korea
Yeong Jun Ju, Woorim Kim, Kyujin Chang, Tae Hoon Lee, Soon Young Lee
Preventive Medicine.2024; 178: 107793. CrossRef
Rural mobility in later life; counteracting accessibility poverty with digital service solutions
Vanessa Stjernborg, Gustav Lopez Svensson
Transportation Research Part D: Transport and Environment.2024; 126: 104030. CrossRef
Inequalities in unmet health care needs under universal health insurance coverage in China
Jingxian Wu, Yongmei Yang, Ting Sun, Sucen He
Health Economics Review.2024;[Epub] CrossRef
Does unequal economic development contribute to the inequitable distribution of healthcare resources? Evidence from China spanning 2001–2020
Afei Qin, Wenzhe Qin, Fangfang Hu, Meiqi Wang, Haifeng Yang, Lei Li, Chiqi Chen, Binghong Bao, Tianjiao Xin, Lingzhong Xu
Globalization and Health.2024;[Epub] CrossRef
Does the Padma Bridge improve livelihoods of the local community? An application of the ordered logit model
Shayeda Shoulin, B. M. Assaduzzaman Nur, Md. Shibber Hossain, Md. Mizanur Rahman
SSRN Electronic Journal.2024;[Epub] CrossRef
Nonmedical problems among older adults visiting the emergency department for low acuity conditions: A prospective multicentre cohort study
Katherine Tanguay, Alexandra Nadeau, Audrey-Anne Brousseau, Patrick M. Archambault, Pierre-Hugues Carmichael, Marcel Emond, Jean-Francois Deshaies, Marie-Josée Sirois, Fabrice I. Mowbray, Pierre-Gilles Blanchard, Eric Mercier
Heliyon.2024; 10(15): e35352. CrossRef
Association between residing in municipalities facing population decline and satisfaction with neighboring healthcare infrastructure in older aged adults
Yeong Jun Ju, Woorim Kim, Kyujin Chang, Tae Hoon Lee, Soon Young Lee
BMC Public Health.2024;[Epub] CrossRef
Analysis of health behavior changes among residents in depopulation areas in Korea: a cross-sectional study based on Community Health Survey data from 2010 to 2019
Miyong Yon
Korean Journal of Community Nutrition.2024; 29(4): 348. CrossRef
Health Expenditures and Unmet Health Care Needs of Single-Person Households between Pre-Baby Boomer and Baby Boomer Generations: A Secondary Data Analysis
Dajung Ryu, Eunjung Ryu
Korean Journal of Adult Nursing.2023; 35(1): 13. CrossRef
Transportation infrastructure development and subjective socio-economic status: A quasi-experiment in establishing rural bus stations in China
Yadong Cui, Su Xu, Yaohui Jiang, Zhaowen Zhang
Research in Transportation Business & Management.2023; 49: 101006. CrossRef
Impact of health and transportation on accessing healthcare in older adults living in rural regions
Sarah Krasniuk, Alexander M. Crizzle
Transportation Research Interdisciplinary Perspectives.2023; 21: 100882. CrossRef
Factors associated with the perceived need for assistance from voluntary services in home-based older adults in Chinese urban areas: a cross-sectional study
Lei Huang, Hongyan Wu, Fengjian Zhang, Huimin Zhao, Yuqin Chen, Mingjiao Feng, Yanjie You, Xiao Peng, Chunyan Guan, Yilan Liu
BMC Geriatrics.2023;[Epub] CrossRef
Factors Associated with the Delay in Seeing a Doctor: Evidence of Chinese Middle-Aged and Older Adults
Shangren Qin, Xiaoyan Ni, Ye Ding
Journal of Multidisciplinary Healthcare.2023; Volume 16: 4239. CrossRef
Long-term Care Utilization Discrepancy Among the Elderly in Former Evacuation Areas, Fukushima
Yurie Kobashi, Tomohiro Morita, Akihiko Ozaki, Toyoaki Sawano, Nobuaki Moriyama, Naomi Ito, Masaharu Tsubokura
Disaster Medicine and Public Health Preparedness.2022; 16(3): 892. CrossRef
Association of Race and Neighborhood Disadvantage with Patient Engagement in a Home-Based COVID-19 Remote Monitoring Program
Bradley A. Fritz, Brett Ramsey, Dick Taylor, John Paul Shoup, Jennifer M. Schmidt, Megan Guinn, Thomas M. Maddox
Journal of General Internal Medicine.2022; 37(4): 838. CrossRef
The association between healthcare needs, socioeconomic status, and life satisfaction from a Chinese rural population cohort, 2012–2018
Caiyun Chen, Richard Huan Xu, Eliza Lai-yi Wong, Dong Wang
Scientific Reports.2022;[Epub] CrossRef
The impact of entering poverty on the unmet medical needs of Korean adults: a 5-year cohort study
Yun Hwa Jung, Sung Hoon Jeong, Eun-Cheol Park, Sung-In Jang
BMC Public Health.2022;[Epub] CrossRef
Water, land, and air: how do residents of Brazilian remote rural territories travel to access health services?
Patty Fidelis de Almeida, Adriano Maia dos Santos, Lucas Manoel da Silva Cabral, Eduarda Ferreira dos Anjos, Márcia Cristina Rodrigues Fausto, Aylene Bousquat
Archives of Public Health.2022;[Epub] CrossRef
Access Barrier in Rural Older Adults’ Use of Pain Management and Palliative Care Services: A Systematic Review
Zainab Suntai, Cho Rong Won, Hyunjin Noh
American Journal of Hospice and Palliative Medicine®.2021; 38(5): 494. CrossRef
Unmet care needs of older people: A scoping review
Dominika Kalánková, Minna Stolt, P Anne Scott, Evridiki Papastavrou, Riitta Suhonen
Nursing Ethics.2021; 28(2): 149. CrossRef
Identification of Unmet Healthcare Needs: A National Survey in Thailand
Sukanya Chongthawonsatid
Journal of Preventive Medicine and Public Health.2021; 54(2): 129. CrossRef
A Study on Supply–Demand Satisfaction of Community-Based Senior Care Combined with the Psychological Perception of the Elderly
Jiangang Shi, Wenwen Hua, Daizhong Tang, Ke Xu, Quanwei Xu
Healthcare.2021; 9(6): 643. CrossRef
Factors influencing emergency medical competencies of health centers and fire stations in areas that are vulnerable to earthquakes
Seolhyang Baek, Seungwoo Han
Clinical and Experimental Emergency Medicine.2021; 8(3): 192. CrossRef
Unmet Healthcare Needs Among Elderly Malaysians
Shamsul Azhar Shah, Nazarudin Safian, Saharuddin Ahmad, Siti Rohani Nurumal, Zulkefley Mohammad, Juliana Mansor, Wan Abdul Hannan Wan Ibadullah, Yugo Shobugawa, Megumi Rosenberg
Journal of Multidisciplinary Healthcare.2021; Volume 14: 2931. CrossRef
Influencing Factors of Transportation Costs regarding Healthcare Service Utilization in Korea
Su Yeon Jang, Jeong Yeon Seon, In-Hwan Oh
Journal of Korean Medical Science.2020;[Epub] CrossRef
Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study
Ju Young Kim, Dae In Kim, Hwa Yeon Park, Yuliya Pak, Phap Ngoc Hoang Tran, Truc Thanh Thai, Mai Thi Thanh Thuy, Do Van Dung
International Journal of Environmental Research and Public Health.2020; 17(17): 6320. CrossRef

Poor People and Poor Health: Examining the Mediating Effect of Unmet Healthcare Needs in Korea: Youngsoo Kim, Saerom Kim, Seungmin Jeong, Sang Guen Cho, Seung-sik Hwang; J Prev Med Public Health. 2019;52(1):51-59. Published online January 23, 2019; DOI: https://doi.org/10.3961/jpmph.18.162

10,804 View
217 Download
20 Crossref

Abstract Summary PDF Supplementary Material

Objectives
The purpose of this study was to estimate the mediating effect of subjective unmet healthcare needs on poor health. The mediating effect of unmet needs on health outcomes was estimated.
Methods
Cross-sectional research method was used to analyze Korea Health Panel data from 2011 to 2015, investigating the mediating effect for each annual dataset and lagged dependent variables.
Results
The magnitude of the effect of low income on poor health and the mediating effect of unmet needs were estimated using age, sex, education level, employment status, healthcare insurance status, disability, and chronic disease as control variables and selfrated health as the dependent variable. The mediating effect of unmet needs due to financial reasons was between 14.7% to 32.9% of the total marginal effect, and 7.2% to 18.7% in lagged model.
Conclusions
The fixed-effect logit model demonstrated that the existence of unmet needs raised the likelihood of poor self-rated health. However, only a small proportion of the effects of low income on health was mediated by unmet needs, and the results varied annually. Further studies are necessary to search for ways to explain the varying results in the Korea Health Panel data, as well as to consider a time series analysis of the mediating effect. The results of this study present the clear implication that even though it is crucial to address the unmet needs, but it is not enough to tackle the income related health inequalities.

Summary

Korean summary
이 연구에서는 2011년부터 2015년까지의 한국의료패널 자료를 이용하여 미충족의료과 불건강의 관련성을 살펴보고, 불건강을 매개하는 미충족의료의 크기를 추정했다. 미충족의료는 개인고정효과를 보정하였을 때 불건강에 유의한 영향 준다는 것을 확인할 수 있었고, 미충족의료가 매개하는 저소득의 건강 효과는 저소득이 불건강에 미치는 전체 효과 중 일부에 지나지 않았으며, 효과의 크기는 분석 연도 별로 일정하지 않게 나타났다. 이는 건강불평등을 줄이기 위한 정책 개입에서 미충족의료 해소가 유의미한 정책 목표로 가치가 있지만 그 한계 또한 명확하다는 것을 의미한다.

Citations

Citations to this article as recorded by

Unmet healthcare needs among older people in South Korea
Yong-Sook Eo, Jinpil Um
International Journal of Healthcare Management.2026; 19(1): 1. CrossRef
Care Needs of Community‐Dwelling Older Adults Living in Poverty and Their Relationship With Other Biopsychosocial Variables: A Cross‐Sectional Study
Ainhoa Fernández‐Fernández, Anabel Chica‐Pérez, Wladimir Morante‐García, Iria Dobarrio‐Sanz, Matías Correa‐Casado, Cayetano Fernández‐Sola, José Manuel Hernández‐Padilla
Journal of Advanced Nursing.2026; 82(2): 1406. CrossRef
Beyond Family Care: How Home- and Community-Based Services Complement Family Care to Reduce Unmet Care Needs and Enhance the Well-Being Among Older Adults With Disabilities
Shuhong Wang, Wanyang Hu
Research on Aging.2026;[Epub] CrossRef
“I was given the card, but no one explained to me how to use it”: Challenges and facilitators of people with disabilities in Indonesia in accessing and using Jaminan Kesehatan Nasional (National Health Insurance)
Luthfi Azizatunnisa', Hannah Kuper, Ari Probandari, Lena Morgon Banks
SSM - Health Systems.2026; 6: 100171. CrossRef
Association between diabetic patients’ satisfaction with local medical services and experiences of unmet healthcare needs
Woorim Kim, Kyujin Chang, Soon Young Lee, Yeong Jun Ju
BMC Health Services Research.2026;[Epub] CrossRef
Association of unmet healthcare needs with health-related productivity loss, work ability, and work engagement
Heejoo KO, Seong-Sik CHO, Dong-Wook LEE, Jaesung CHOI, Mo-Yeol KANG
Industrial Health.2026; 64(3): 300. CrossRef
Double disparities of the excess risks and costs of extreme temperatures on hospitalization between Medical Aid and non-Medical Aid populations in South Korea
Ayoung Kim, Jinah Park, Cinoo Kang, Ho Kim, Whanhee Lee
International Journal of Epidemiology.2025;[Epub] CrossRef
How did unmet care needs during the pandemic affect health outcomes of older European individuals?
Julien Bergeot, Florence Jusot
Economics & Human Biology.2024; 52: 101317. CrossRef
The prevalence and determinants of unmet healthcare needs in Bulgaria
Ivan Maslyankov, Mónica Hernández, Noorsuzana Mohd Shariff
PLOS ONE.2024; 19(10): e0312475. CrossRef
Unmet healthcare needs among the population aged 50+ and their association with health outcomes during the COVID-19 pandemic
Carlota Quintal, Luis Moura Ramos, Micaela Antunes, Óscar Lourenço
European Journal of Ageing.2023;[Epub] CrossRef
THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES
Farikh Alfa Firori, I Dewa Gede Karma Wisana
Jurnal Administrasi Kesehatan Indonesia.2023; 11(2): 186. CrossRef
Factors and at-risk group associated with hypertension self-management patterns among people with physical disabilities: a latent class analysis
Hye Jin Nam, Ju Young Yoon
BMC Public Health.2022;[Epub] CrossRef
Changes in Barriers That Cause Unmet Healthcare Needs in the Life Cycle of Adulthood and Their Policy Implications: A Need-Selection Model Analysis of the Korea Health Panel Survey Data
Woojin Chung
Healthcare.2022; 10(11): 2243. CrossRef
Intergenerational Differences in Factors Affecting Unmet Health Care Needs in South Korea: Comparison of Middle-aged and Older Adults
Eunjeong Noh
Journal of Intergenerational Relationships.2021; 19(1): 144. CrossRef
Identification of Unmet Healthcare Needs: A National Survey in Thailand
Sukanya Chongthawonsatid
Journal of Preventive Medicine and Public Health.2021; 54(2): 129. CrossRef
Factors affecting unmet healthcare needs of low-income overweight and obese women in Korea: analysis of the Korean National Health and Nutrition Examination Survey 2017
Ju-Hee Nho, Sook Kyoung Park
Korean Journal of Women Health Nursing.2021; 27(2): 93. CrossRef
Factors Affecting Unmet Healthcare Needs among Adults with Chronic Diseases
Ji-Young Han, Hyeon-Sook Park
Journal of Korean Academy of Community Health Nursing.2021; 32(2): 131. CrossRef
Association between osteoarthritis and unmet medical needs in Korea: limitations in activities as a mediator
Hooin Jo, Eun-san Kim, Boyoung Jung, Soo-Hyun Sung, In-Hyuk Ha
BMC Public Health.2020;[Epub] CrossRef
Unmet Healthcare Needs and Associated Factors in Rural and Suburban Vietnam: A Cross-Sectional Study
Ju Young Kim, Dae In Kim, Hwa Yeon Park, Yuliya Pak, Phap Ngoc Hoang Tran, Truc Thanh Thai, Mai Thi Thanh Thuy, Do Van Dung
International Journal of Environmental Research and Public Health.2020; 17(17): 6320. CrossRef
Factors Underlying Unmet Medical Needs: A Cross-Sectional Study
Young Suk Yoon, Boyoung Jung, Dongsu Kim, In-Hyuk Ha
International Journal of Environmental Research and Public Health.2019; 16(13): 2391. CrossRef

Effects of Iranian Economic Reforms on Equity in Social and Healthcare Financing: A Segmented Regression Analysis: Hamed Zandian, Amirhossein Takian, Arash Rashidian, Mohsen Bayati, Telma Zahirian Moghadam, Satar Rezaei, Alireza Olyaeemanesh; J Prev Med Public Health. 2018;51(2):83-91. Published online February 6, 2018; DOI: https://doi.org/10.3961/jpmph.17.050

14,498 View
206 Download
13 Crossref

Abstract PDF

Objectives
One of the main objectives of the Targeted Subsidies Law (TSL) in Iran was to improve equity in healthcare financing. This study aimed at measuring the effects of the TSL, which was implemented in Iran in 2010, on equity in healthcare financing. Methods: Segmented regression analysis was applied to assess the effects of TSL implementation on the Gini and Kakwani indices of outcome variables in Iranian households. Data for the years 1977-2014 were retrieved from formal databases. Changes in the levels and trends of the outcome variables before and after TSL implementation were assessed using Stata version 13. Results: In the 33 years before the implementation of the TSL, the Gini index decreased from 0.401 to 0.381. The Gini index and its intercept significantly decreased to 0.362 (p<0.001) 5 years after the implementation of the TSL. There was no statistically significant change in the gross domestic product or inflation rate after TSL implementation. The Kakwani index significantly increased from -0.020 to 0.007 (p<0.001) before the implementation of the TSL, while we observed no statistically significant change (p=0.81) in the Kakwani index after TSL implementation. Conclusions: The TSL reform, which was introduced as part of an economic development plan in Iran in 2010, led to a significant reduction in households’ income inequality. However, the TSL did not significantly affect equity in healthcare financing. Hence, while measuring the long-term impact of TSL is paramount, healthcare decision-makers need to consider the efficacy of the TSL in order to develop plans for achieving the desired equity in healthcare financing.

Summary

Citations

Citations to this article as recorded by

Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory
Julia Hatamyar, Sally Shayeb, Akseer Hussain, Weeam Hammoudeh, Sumit Mazumdar, Rodrigo Moreno-Serra, Bruno Ventelou
PLOS ONE.2025; 20(1): e0314852. CrossRef
Impact of the COVID-19 pandemic on chest CT scans utilization in Fars province, Iran: an interrupted time series analysis
Mohsen Bayati, Farhad Lotfi, Mohammad Bazyar
Discover Social Science and Health.2025;[Epub] CrossRef
Establishing optimal illuminance for pedestrian reassurance using segmented regression
BA Portnov, S Fotios, R Saad, D Kliger
Lighting Research & Technology.2024; 56(3): 260. CrossRef
Prevalence and Determinants of Catastrophic Healthcare Expenditures in Iran From 2013 to 2019
Abdoreza mousavi, Farhad lotfi, Samira Alipour, Aliakbar Fazaeli, Mohsen Bayati
Journal of Preventive Medicine and Public Health.2024; 57(1): 65. CrossRef
Decomposition of Socioeconomic Inequality in Cardiovascular Disease Prevalence in the Adult Population: A Cohort-based Cross-sectional Study in Northwest Iran
Farhad Pourfarzi, Telma Zahirian Moghadam, Hamed Zandian
Journal of Preventive Medicine and Public Health.2022; 55(3): 297. CrossRef
Inequality in Private Health Care Expenditures: A 36-Year Trend Study of Iranian Households
Ehsan Aghapour, Mehdi Basakha, Seyed Hossein Mohaqeqi Kamal, Abolghasem Pourreza
Journal of Preventive Medicine and Public Health.2022; 55(4): 379. CrossRef
Socio-economic inequality in prevalence of type 2 diabetes among adults in north-west of Iran: a Blinder-Oaxaca decomposition
Farhad Pourfarzi, Satar Rezaei, Reza Malekzadeh, Arash Etemadi, Telma Zahirian Moghadam, Hamed Zandian
Journal of Diabetes & Metabolic Disorders.2022; 21(2): 1519. CrossRef
Assessing unmet health-care needs of the elderly in west of Iran: A case study
Bakhtiar Piroozi, Farman Zahir Abdullah, Amjad Mohamadi-Bolbanabad, Hossein Safari, Mohammad Amerzadeh, Satar Rezaei, Ghobad Moradi, Masoumeh Ansari, Abdorrahim Afkhamzadeh, Jamshid Gholami
International Journal of Human Rights in Healthcare.2021; 14(5): 452. CrossRef
Measuring inequalities in the selected indicators of National Health Accounts from 2008 to 2016: evidence from Iran
Mohammad Hossein Mehrolhassani, Vahid Yazdi-Feyzabadi, Marzieh Lashkari
Cost Effectiveness and Resource Allocation.2020;[Epub] CrossRef
Analysis of the Health Sector Evolution Plan from the perspective of equity in healthcare financing: a multiple streams model
Telma Zahirian Moghadam, Pouran Raeissi, Mehdi Jafari-Sirizi
International Journal of Human Rights in Healthcare.2019; 12(2): 124. CrossRef
The effect of Iranian health system reform plan on payments and costs of coronary artery bypass surgery in private hospitals of Iran
Rasoul Tabari-Khomeiran, Sajad Delavari, Satar Rezaei, Enayatollah Homaie Rad, Mostafa Shahmoradi
International Journal of Human Rights in Healthcare.2019; 12(3): 208. CrossRef
Explaining the challenges of academic professional ethics training from the perspective of faculty members at Ardabil University of Medical Sciences: a qualitative study
Shahram Habibzadeh, Hamed Zandian, Hasan Edalatkhah, Mohammad Mehrtak
International Journal of Human Rights in Healthcare.2019; 12(2): 138. CrossRef
Equity in healthcare financing: a case of Iran
Faride Sadat Jalali, Abdosaleh Jafari, Mohsen Bayati, Peivand Bastani, Ramin Ravangard
International Journal for Equity in Health.2019;[Epub] CrossRef

Identifying Adverse Events Using International Classification of Diseases, Tenth Revision Y Codes in Korea: A Cross-sectional Study: Minsu Ock, Hwa Jung Kim, Bomin Jeon, Ye-Jee Kim, Hyun Mi Ryu, Moo-Song Lee; J Prev Med Public Health. 2018;51(1):15-22. Published online January 4, 2018; DOI: https://doi.org/10.3961/jpmph.17.118

10,544 View
200 Download
11 Crossref

Abstract PDF Supplementary Material

Objectives
The use of administrative data is an affordable alternative to conducting a difficult large-scale medical-record review to estimate the scale of adverse events. We identified adverse events from 2002 to 2013 on the national level in Korea, using International Classification of Diseases, tenth revision (ICD-10) Y codes.
Methods
We used data from the National Health Insurance Service-National Sample Cohort (NHIS-NSC). We relied on medical treatment databases to extract information on ICD-10 Y codes from each participant in the NHIS-NSC. We classified adverse events in the ICD-10 Y codes into 6 types: those related to drugs, transfusions, and fluids; those related to vaccines and immunoglobulin; those related to surgery and procedures; those related to infections; those related to devices; and others.
Results
Over 12 years, a total of 20 817 adverse events were identified using ICD-10 Y codes, and the estimated total adverse event rate was 0.20%. Between 2002 and 2013, the total number of such events increased by 131.3%, from 1366 in 2002 to 3159 in 2013. The total rate increased by 103.9%, from 0.17% in 2002 to 0.35% in 2013. Events related to drugs, transfusions, and fluids were the most common (19 446, 93.4%), followed by those related to surgery and procedures (1209, 5.8%) and those related to vaccines and immunoglobulin (72, 0.3%).
Conclusions
Based on a comparison with the results of other studies, the total adverse event rate in this study was significantly underestimated. Improving coding practices for ICD-10 Y codes is necessary to precisely monitor the scale of adverse events in Korea.

Summary

Citations

Citations to this article as recorded by

Retrospective analysis of preventable procedural adverse events (ICD-10 Y62–Y69) in the TriNetX network: a multiregional study before, during and after the COVID-19 pandemic
Rosario Caruso, Marco Di Muzio, Emanuele Di Simone, Sara Dionisi, Arianna Magon, Gianluca Conte, Alessandro Stievano, Emanuele Girani, Sara Boveri, Pier Mario Perrone, Silvana Castaldi, Lorenzo Menicanti, Mary Dolansky
BMJ Quality & Safety.2025; : bmjqs-2025-019077. CrossRef
Accuracy assessment of patient safety incident (PSI) codes and present-on-admission (POA) indicators: a cross-sectional analysis using the Patient Safety Incidents Inquiry (PSII) in Korea
Jeehee Pyo, Eun Young Choi, Seung Gyeong Jang, Won Lee, Minsu Ock
BMC Health Services Research.2024;[Epub] CrossRef
Assessing the Accuracy of Diagnosis Codes and Their Present on Admission Indicator for the Occurrence of Pressure Ulcers
Eun Young Choi, Jaeun Jaeun, Hyeran Jeong, Jeong Pyo, Minsu Ock
Quality Improvement in Health Care.2024; 30(2): 3. CrossRef
Development of the Korean Patient Safety Incidents Code Classification System
Eun Young Choi, Jeehee Pyo, Young-Kwon Park, Minsu Ock, Sukyeong Kim
Journal of Patient Safety.2023; 19(1): 8. CrossRef
Use of a hospital administrative database to identify and characterize community-acquired, hospital-acquired and drug-induced acute kidney injury
Amayelle Rey, Valérie Gras-Champel, Thibaut Balcaen, Gabriel Choukroun, Kamel Masmoudi, Sophie Liabeuf
Journal of Nephrology.2022; 35(3): 955. CrossRef
Evaluation of Factors Associated with Adverse Drug Events in South Korea Using a Population-Based Database
Eunkyeong Choi, Siin Kim, Hae Sun Suh
Journal of Clinical Medicine.2022; 11(21): 6248. CrossRef
Feasibility of Capturing Adverse Events From Insurance Claims Data Using International Classification of Diseases, Tenth Revision, Codes Coupled to Present on Admission Indicators
Juyoung Kim, Eun Young Choi, Won Lee, Hae Mi Oh, Jeehee Pyo, Minsu Ock, So Yoon Kim, Sang-il Lee
Journal of Patient Safety.2022; 18(5): 404. CrossRef
The Korea National Patient Safety Incidents Inquiry Survey: Characteristics of Adverse Events Identified Through Medical Records Review in Regional Public Hospitals
Min Ji Kim, Hee Jung Seo, Hong Mo Koo, Minsu Ock, Jee-In Hwang, Sang-Il Lee
Journal of Patient Safety.2022; 18(5): 382. CrossRef
Use of ICD‐10‐CM T codes in hospital claims data to identify adverse drug events in Taiwan
Ya‐Fang Cheng, Chi‐Yuan Cheng, Szu‐Hsuan Wang, Yu‐Ting Lin, Tzu‐Cheng Tsai
Journal of Clinical Pharmacy and Therapeutics.2021; 46(2): 476. CrossRef
Perceptions of Hospital Health Information Managers Regarding Present on Admission Indicators in Korea: A Qualitative Study
Jee-Hee Pyo, Eun-Young Choi, Hae-Mi Oh, Won Lee, Ju-Young Kim, Min-Su Ock, So-Yoon Kim, Sang-Il Lee
Quality Improvement in Health Care.2020; 26(1): 23. CrossRef
Variation between hospitals and reviewers in detection of adverse events identified through medical record review in Korea
Sukyeong Kim, Ho Gyun Shin, A E Jeong Jo, Ari Min, Minsu Ock, Jee-In Hwang, Youngjin Jeong, Moon Sung Park, Jong Bouk Lee, Tae I K Chang, Eunhyang Song, Heungseon Kim, Sang-Il Lee
International Journal for Quality in Health Care.2020; 32(8): 495. CrossRef

Special Articles

Structural Factors of the Middle East Respiratory Syndrome Coronavirus Outbreak as a Public Health Crisis in Korea and Future Response Strategies: Dong-Hyun Kim; J Prev Med Public Health. 2015;48(6):265-270. Published online November 30, 2015; DOI: https://doi.org/10.3961/jpmph.15.066

41,875 View
218 Download
24 Crossref

Abstract PDF

The recent Middle East respiratory syndrome coronavirus (MERS-CoV) outbreak has originated from a failure in the national quarantine system in the Republic of Korea as most basic role of protecting the safety and lives of its citizens. Furthermore, a number of the Korean healthcare system’s weaknesses seem to have been completely exposed. The MERS-CoV outbreak can be considered a typical public health crisis in that the public was not only greatly terrorized by the actual fear of the disease, but also experienced a great impact to their daily lives, all in a short period of time. Preparedness for and an appropriate response to a public health crisis require comprehensive systematic public healthcare measures to address risks comprehensively with an all-hazards approach. Consequently, discussion regarding establishment of post-MERS-CoV improvement measures must focus on the total reform of the national quarantine system and strengthening of the public health infrastructure. In addition, the Korea Centers for Disease Control and Prevention must implement specific strategies of action including taking on the role of “control tower” in a public health emergency, training of Field Epidemic Intelligence Service officers, establishment of collaborative governance between central and local governments for infection prevention and control, strengthening the roles and capabilities of community-based public hospitals, and development of nationwide crisis communication methods.

Summary

Citations

Citations to this article as recorded by

Factors associated with clinicians’ response ability for public health emergencies: a cross-sectional study
Jia Yu Zhang, Yan Wang, Bao Jun Wan, Lai Hua Qi, Tao Shu, Zhan Chun Feng
Journal of Public Health.2025; 33(10): 2237. CrossRef
Experiences, challenges, and training reflections of nurses in isolation wards during different pandemic prevention policy periods: a qualitative study
Dandan Zhang, Yitong Jia, Yongjun Chen, Qingqing Liao, Meimei Wang, Yin-Ping Zhang
BMC Nursing.2025;[Epub] CrossRef
Competency in responding to infectious disease outbreaks among nurses in primary healthcare institutions: a quantitative, cross-sectional multicentre study
Wei Zhu, Jizhen Zhang, Liyao Yang, Jiping Li, Hongxia Guo
Frontiers in Public Health.2024;[Epub] CrossRef
Competence and Training Needs in Infectious Disease Emergency Response Among Chinese Nurses: Cross-Sectional Study
Dandan Zhang, Yong-Jun Chen, Tianxin Cui, Jianzhong Zhang, Si-Ying Chen, Yin-Ping Zhang
JMIR Public Health and Surveillance.2024; 10: e62887. CrossRef
Community-Level Nursing Surveillance and Public Health Response to Early Signals of Infectious Disease Outbreaks
Faisal Thail J Alqahtani, Sultan Mohammed Ali Alanazi, Mohammed Abdulrahman Alqahtani, Mohammed Hamad Abdullah Alhassun, Hala Hmdan Alanazi, Salihah Amer Mohammed Alsayyaf, Alanoud Talal Mohammed Al-Ruwaili, Jamilah Ali A Alruwaili, Laila Nasser
International Journal of Computational and Experimental Science and Engineering.2024;[Epub] CrossRef
Changes in Anxiety, Depression, and Stress in 1 Week and 1 Month Later After the Wuhan Shutdown Against the COVID-19 Epidemic
Qi Chen, Mengying Li, Yueqing Wang, Ling Zhang, Xiaodong Tan
Disaster Medicine and Public Health Preparedness.2022; 16(4): 1423. CrossRef
Uncertain future of privacy protection under the Korean public health emergency preparedness governance amid the COVID-19 pandemic
Younsik Kim
Cogent Social Sciences.2022;[Epub] CrossRef
Prevalence and influencing factors of psychological distress among nurses in sichuan, china during the COVID-19 outbreak: A cross-sectional study
Caixia Xie, Jia Zhang, Jia Ping, Xinyu Li, Yu Lv, Limei Liao
Frontiers in Psychiatry.2022;[Epub] CrossRef
The impact of the Middle East Respiratory Syndrome coronavirus on inbound tourism in South Korea toward sustainable tourism
Yunseon Choe, Junhui Wang, HakJun Song
Journal of Sustainable Tourism.2021; 29(7): 1117. CrossRef
Nurses’ core emergency competencies for COVID‐19 in China: A cross‐sectional study
Hongdan Li, Shuju Dong, Li He, Rui Wang, Shiyan Long, Fengming He, Huairong Tang, Ling Feng
International Nursing Review.2021; 68(4): 524. CrossRef
Middle East Respiratory Syndrome (MERS) Virus—Pathophysiological Axis and the Current Treatment Strategies
Abdullah M Alnuqaydan, Abdulmajeed G Almutary, Arulmalar Sukamaran, Brian Tay Wei Yang, Xiao Ting Lee, Wei Xuan Lim, Yee Min Ng, Rania Ibrahim, Thiviya Darmarajan, Satheeshkumar Nanjappan, Jestin Chellian, Mayuren Candasamy, Thiagarajan Madheswaran, Ankur
AAPS PharmSciTech.2021;[Epub] CrossRef
Nursing Care for People with Chronic Diseases and Pulmonary Infection by Coronavirus: An Integrative Review
Jina Mariont Velasco Arias, Maria de Fátima Mantovani, Robson Giovani Paes, Vanessa Bertoglio Comassetto Antunes de Oliveira, Vanêssa Piccinin Paz, Adelmo Fernandes do Espírito Santo-Neto
Aquichan.2021; 21(2): 1. CrossRef
Analysis of the Healthcare MERS-CoV Outbreak in King Abdulaziz Medical Center, Riyadh, Saudi Arabia, June–August 2015 Using a SEIR Ward Transmission Model
Tamer Oraby, Michael G. Tyshenko, Hanan H. Balkhy, Yasar Tasnif, Adriana Quiroz-Gaspar, Zeinab Mohamed, Ayesha Araya, Susie Elsaadany, Eman Al-Mazroa, Mohammed A. Alhelail, Yaseen M. Arabi, Mustafa Al-Zoughool
International Journal of Environmental Research and Public Health.2020; 17(8): 2936. CrossRef
Learning From the Past: Distributed Cognition and Crisis Management Capabilities for Tackling COVID-19
Seulki Lee, Jungwon Yeo, Chongmin Na
The American Review of Public Administration.2020; 50(6-7): 729. CrossRef
Study on Integrated Workflow Development and Presentation of Fangcang Shelter Hospitals in COVID-19 Pandemic
Na Li, Jie Pan
Journal of Emergency Management and Disaster Communications.2020; 01(01): 11. CrossRef
Assessing global preparedness for the next pandemic: development and application of an Epidemic Preparedness Index
Ben Oppenheim, Mark Gallivan, Nita K Madhav, Naor Brown, Volodymyr Serhiyenko, Nathan D Wolfe, Patrick Ayscue
BMJ Global Health.2019; 4(1): e001157. CrossRef
Trends in Infectious Disease Mortality, South Korea, 1983–2015
Young June Choe, Seung-Ah Choe, Sung-Il Cho
Emerging Infectious Diseases.2018; 24(2): 320. CrossRef
Effects of operational decisions on the diffusion of epidemic disease: A system dynamics modeling of the MERS-CoV outbreak in South Korea
Nina Shin, Taewoo Kwag, Sangwook Park, Yon Hui Kim
Journal of Theoretical Biology.2017; 421: 39. CrossRef
Strategic risk communication for infectious disease outbreaks: the evolving landscape of publics and media
Hye-Jin Paek
Journal of the Korean Medical Association.2017; 60(4): 306. CrossRef
Identified Transmission Dynamics of Middle East Respiratory Syndrome Coronavirus Infection During an Outbreak: Implications of an Overcrowded Emergency Department
Thamer H. Alenazi, Hussain Al Arbash, Aiman El-Saed, Majid M. Alshamrani, Henry Baffoe-Bonnie, Yaseen M. Arabi, Sameera M. Al Johani, Ra’ed Hijazi, Adel Alothman, Hanan H. Balkhy
Clinical Infectious Diseases.2017; 65(4): 675. CrossRef
Time-optimal control strategies in SIR epidemic models
Luca Bolzoni, Elena Bonacini, Cinzia Soresina, Maria Groppi
Mathematical Biosciences.2017; 292: 86. CrossRef
Ethical Perspectives on the Middle East Respiratory Syndrome Coronavirus Epidemic in Korea
Ock-Joo Kim
Journal of Preventive Medicine and Public Health.2016; 49(1): 18. CrossRef
Current status of personnel and infrastructure resources for infection prevention and control programs in the Republic of Korea: A national survey
Young Kyung Yoon, Sung Eun Lee, Beom Sam Seo, Hyeon Jeong Kim, Jong Hun Kim, Kyung Sook Yang, Min Ja Kim, Jang Wook Sohn
American Journal of Infection Control.2016; 44(11): e189. CrossRef
Costly Lessons From the 2015 Middle East Respiratory Syndrome Coronavirus Outbreak in Korea
Sang-il Lee
Journal of Preventive Medicine and Public Health.2015; 48(6): 274. CrossRef

Lessons From Healthcare Providers' Attitudes Toward Pay-for-performance: What Should Purchasers Consider in Designing and Implementing a Successful Program?: Jin Yong Lee, Sang-Il Lee, Min-Woo Jo; J Prev Med Public Health. 2012;45(3):137-147. Published online May 31, 2012; DOI: https://doi.org/10.3961/jpmph.2012.45.3.137

21,467 View
129 Download
25 Crossref

Abstract PDF

We conducted a systematic review to summarize providers' attitudes toward pay-for-performance (P4P), focusing on their general attitudes, the effects of P4P, their favorable design and implementation methods, and concerns. An electronic search was performed in PubMed and Scopus using selected keywords including P4P. Two reviewers screened target articles using titles and abstract review and then read the full version of the screened articles for the final selections. In addition, one reference of screened articles and one unpublished report were also included. Therefore, 14 articles were included in this study. Healthcare providers' attitudes on P4P were summarized in two ways. First, we gathered their general attitudes and opinions regarding the effects of P4P. Second, we rearranged their opinions regarding desirable P4P design and implementation methods, as well as their concerns. This study showed the possibility that some healthcare providers still have a low level of awareness about P4P and might prefer voluntary participation in P4P. In addition, they felt that adequate quality indicators and additional support for implementation of P4P would be needed. Most healthcare providers also had serious concerns that P4P would induce unintended consequences. In order to conduct successful implementation of P4P, purchaser should make more efforts such as increasing providers' level of awareness about P4P, providing technical and educational support, reducing their burden, developing a cooperative relationship with providers, developing more accurate quality measures, and minimizing the unintended consequences.

Summary

Citations

Citations to this article as recorded by

Performansa Bağlı Ödeme ve Etkileri: Hemşirelik Perspektifi
Nazan Torun
Çankırı Karatekin Üniversitesi Sosyal Bilimler Enstitüsü Dergisi.2025; 16(2): 638. CrossRef
Impact of reimbursement systems on patient care – a systematic review of systematic reviews
Eva Wagenschieber, Dominik Blunck
Health Economics Review.2024;[Epub] CrossRef
Clinical Staff Perceptions of Pay-for-Performance Financial Incentives for HPV Vaccine Promotion
Vanessa Rodriguez, Kathryn Brignole, Tara Licciardello Queen, Justin G. Trogdon
American Journal of Medical Quality.2024; 39(6): 267. CrossRef
Pay-for-performance in healthcare provision: the role of discretion in policy implementation in Turkey
Puren Aktas, Jonathan Hammond, Liz Richardson
International Journal of Public Sector Management.2023; 36(6/7): 530. CrossRef
Value-based surgery physician compensation model: Review of the literature
Bethany J. Slater, Amelia T. Collings, Chase Corvin, Jessica J. Kandel
Journal of Pediatric Surgery.2022; 57(9): 118. CrossRef
Incentivizing performance in health care: a rapid review, typology and qualitative study of unintended consequences
Xinyu Li, Jenna M. Evans
BMC Health Services Research.2022;[Epub] CrossRef
Guest editorial
Fabiana da Cunha Saddi, Lindsay J L Forbes, Stephen Peckham
Journal of Health Organization and Management.2021; 35(3): 245. CrossRef
Exploring frontliners' knowledge, participation and evaluation in the implementation of a pay-for-performance program (PMAQ) in primary health care in Brazil
Fabiana da Cunha Saddi, Matthew Harris, Fernanda Ramos Parreira, Raquel Abrantes Pêgo, Germano Araujo Coelho, Renata Batista Lozano, Pedro dos Santos Mundim, Stephen Peckham
Journal of Health Organization and Management.2021; 35(3): 327. CrossRef
Awareness of, attitude toward, and willingness to participate in pay for performance programs among family physicians: a cross-sectional study
Chyi-Feng Jan, Meng-Chih Lee, Ching-Ming Chiu, Cheng-Kuo Huang, Shinn-Jang Hwang, Che-Jui Chang, Tai-Yuan Chiu
BMC Family Practice.2020;[Epub] CrossRef
Brazilian Payment for Performance (PMAQ) Seen From a Global Health and Public Policy Perspective
Fabiana C. Saddi, Stephen Peckham
Journal of Ambulatory Care Management.2018; 41(1): 25. CrossRef
The impact of pay-for-performance on the quality of care in ophthalmology: Empirical evidence from Germany
T. Herbst, J. Foerster, M. Emmert
Health Policy.2018; 122(6): 667. CrossRef
Hospital-Acquired Infections Under Pay-for-Performance Systems: an Administrative Perspective on Management and Change
Rebecca A. Vokes, Gonzalo Bearman, Gloria J. Bazzoli
Current Infectious Disease Reports.2018;[Epub] CrossRef
Perceptions and evaluations of front-line health workers regarding the Brazilian National Program for Improving Access and Quality to Primary Care (PMAQ): a mixed-method approach
Fabiana da Cunha Saddi, Matthew J. Harris, Germano Araújo Coelho, Raquel Abrantes Pêgo, Fernanda Parreira, Wellida Pereira, Ana Karoline C. Santos, Heloany R. Almeida, Douglas S. Costa
Cadernos de Saúde Pública.2018;[Epub] CrossRef
Physician attitudes toward participating in a financial incentive program for LDL reduction are associated with patient outcomes
Tianyu Liu, David A. Asch, Kevin G. Volpp, Jingsan Zhu, Wenli Wang, Andrea B. Troxel, Aderinola Adejare, Darra D. Finnerty, Karen Hoffer, Judy A. Shea
Healthcare.2017; 5(3): 119. CrossRef
Pay-for-performance reduces healthcare spending and improves quality of care: Analysis of target and non-target obstetrics and gynecology surgeries
Seung Ju Kim, Kyu-Tae Han, Sun Jung Kim, Eun-Cheol Park
International Journal for Quality in Health Care.2017; 29(2): 222. CrossRef
Characterization and effectiveness of pay-for-performance in ophthalmology: a systematic review
Tim Herbst, Martin Emmert
BMC Health Services Research.2017;[Epub] CrossRef
Would German physicians opt for pay-for-performance programs? A willingness-to-accept experiment in a large general practitioners’ sample
Christian Krauth, Sebastian Liersch, Sören Jensen, Volker Eric Amelung
Health Policy.2016; 120(2): 148. CrossRef
Does Pay-For-Performance Program Increase Providers Adherence to Guidelines for Managing Hepatitis B and Hepatitis C Virus Infection in Taiwan?
Huei-Ju Chen, Nicole Huang, Long-Sheng Chen, Yiing-Jenq Chou, Chung-Pin Li, Chen-Yi Wu, Yu-Chia Chang, Jason Grebely
PLOS ONE.2016; 11(8): e0161002. CrossRef
Pay-for-performance in resource-constrained settings: Lessons learned from Thailand’s Quality and Outcomes Framework
Roongnapa Khampang, Sripen Tantivess, Yot Teerawattananon, Sarocha Chootipongchaivat, Juntana Pattanapesaj, Rukmanee Butchon, Natthida Malathong, Francoise Cluzeau, Rachel Foskett-Tharby, Paramjit Gill
F1000Research.2016; 5: 2700. CrossRef
Pay-for-performance and efficiency in primary oral health care practices in Chile
Marco Cornejo-Ovalle, Romina Brignardello-Petersen, Glòria Pérez
Revista Clínica de Periodoncia, Implantología y Rehabilitación Oral.2015; 8(1): 60. CrossRef
Pagamento por desempenho em sistemas e serviços de saúde: uma revisão das melhores evidências disponíveis
Jorge Otávio Maia Barreto
Ciência & Saúde Coletiva.2015; 20(5): 1497. CrossRef
When incentives work too well: locally implemented pay for performance (P4P) and adverse sanctions towards home birth in Tanzania - a qualitative study
Victor Chimhutu, Ida Lindkvist, Siri Lange
BMC Health Services Research.2014;[Epub] CrossRef
A Qualitative Evaluation of the Performance-based Supplementary Payment System in Turkey
Ganime Esra Yuzden, Julide Yildirim
Journal of Health Management.2014; 16(2): 259. CrossRef
Challenges and a response strategy for the development of nursing in China: a descriptive and quantitative analysis
Yingqiang Wang, Shiyou Wei, Youping Li, Shaolin Deng, Qianqian Luo, Yan Li
Journal of Evidence-Based Medicine.2013; 6(1): 21. CrossRef
The Possibility of Expanding Pay-for-Performance Program as a Provider Payment System
Byongho Tchoe, Suehyung Lee
Health Policy and Management.2013; 23(1): 3. CrossRef

Research Support, Non-U.S. Gov't

Effect of Repeated Public Releases on Cesarean Section Rates.: Won Mo Jang, Sang Jun Eun, Chae Eun Lee, Yoon Kim; J Prev Med Public Health. 2011;44(1):2-8.; DOI: https://doi.org/10.3961/jpmph.2011.44.1.2

7,364 View
103 Download
15 Crossref

Abstract PDF

OBJECTIVES
Public release of and feedback (here after public release) on institutional (clinics and hospitals) cesarean section rates has had the effect of reducing cesarean section rates. However, compared to the isolated intervention, there was scant evidence of the effect of repeated public releases (RPR) on cesarean section rates. The objectives of this study were to evaluate the effect of RPR for reducing cesarean section rates. METHODS: From January 2003 to July 2007, the nationwide monthly institutional cesarean section rates data (1 951 303 deliveries at 1194 institutions) were analyzed. We used autoregressive integrated moving average (ARIMA) time-series intervention models to assess the effect of the RPR on cesarean section rates and ordinal logistic regression model to determine the characteristics of the change in cesarean section rates. RESULTS: Among four RPR, we found that only the first one (August 29, 2005) decreased the cesarean section rate (by 0.81 percent) and continued to have an impact period through the last observation in May 2007. Baseline cesarean section rates (OR, 4.7; 95% CI, 3.1 to 7.1) and annual number of deliveries (OR, 2.8; 95% CI, 1.6 to 4.7) of institutions in the upper third of each category at before first intervention had a significant contribution to the decrease of cesarean section rates. CONCLUSIONS: We could not found the evidence that RPR has had the significant effect of reducing cesarean section rates. Institutions with upper baseline cesarean section rates and annual number of deliveries were more responsive to RPR.

Summary

Citations

Citations to this article as recorded by

Is a rising cesarean delivery rate explained by late birth trend? A decomposition analysis of health insurance claims data (2013–2022) from South Korea
Jin‐Hwan Kim, Saerom Kim, Jeong‐Won Oh, Myung‐Hee Kim
International Journal of Gynecology & Obstetrics.2025; 169(1): 310. CrossRef
Utilization of Acid Suppressants After Withdrawal of Ranitidine in Korea: An Interrupted Time Series Analysis
Jeong Pil Choi, Sangwan Kim, Jung Su Park, Mi-Sook Kim, Nam-Kyong Choi, Cheol Min Shin, Joongyub Lee
Journal of Preventive Medicine and Public Health.2025; 58(1): 21. CrossRef
Changes in cesarean section rate before and after the end of the Korean Value Incentive Program
YouHyun Park, Jae-hyun Kim, Kwang-soo Lee
Medicine.2022; 101(33): e29952. CrossRef
Mechanisms and impact of public reporting on physicians and hospitals’ performance: A systematic review (2000–2020)
Khic-Houy Prang, Roxanne Maritz, Hana Sabanovic, David Dunt, Margaret Kelaher, Lamberto Manzoli
PLOS ONE.2021; 16(2): e0247297. CrossRef
Ordinal classification of the affectation level of 3D-images in Parkinson diseases
Antonio M. Durán-Rosal, Julio Camacho-Cañamón, Pedro Antonio Gutiérrez, Maria Victoria Guiote Moreno, Ester Rodríguez-Cáceres, Juan Antonio Vallejo Casas, César Hervás-Martínez
Scientific Reports.2021;[Epub] CrossRef
Is a hospital quality policy based on a triad of accreditation, public reporting and inspection evidence-based? A narrative review
Astrid Van Wilder, Luk Bruyneel, Dirk De Ridder, Deborah Seys, Jonas Brouwers, Fien Claessens, Bianca Cox, Kris Vanhaecht
International Journal for Quality in Health Care.2021;[Epub] CrossRef
Impact of public release of performance data on the behaviour of healthcare consumers and providers
David Metcalfe, Arturo J Rios Diaz, Olubode A Olufajo, M. Sofia Massa, Nicole ABM Ketelaar, Signe A. Flottorp, Daniel C Perry
Cochrane Database of Systematic Reviews.2018;[Epub] CrossRef
Non-clinical interventions for reducing unnecessary caesarean section
Innie Chen, Newton Opiyo, Emma Tavender, Sameh Mortazhejri, Tamara Rader, Jennifer Petkovic, Sharlini Yogasingam, Monica Taljaard, Sugandha Agarwal, Malinee Laopaiboon, Jason Wasiak, Suthit Khunpradit, Pisake Lumbiganon, Russell L Gruen, Ana Pilar Betran
Cochrane Database of Systematic Reviews.2018;[Epub] CrossRef
Impact of State Reporting Laws on Central Line–Associated Bloodstream Infection Rates in U.S. Adult Intensive Care Units
Hangsheng Liu, Carolyn T. A. Herzig, Andrew W. Dick, E. Yoko Furuya, Elaine Larson, Julie Reagan, Monika Pogorzelska‐Maziarz, Patricia W. Stone
Health Services Research.2017; 52(3): 1079. CrossRef
Effects of Korean hand acupressure on opioid-related nausea and vomiting, and pain after caesarean delivery using spinal anaesthesia
Na Young Ahn, Hye-Ja Park
Complementary Therapies in Clinical Practice.2017; 28: 101. CrossRef
Ordinal Regression Methods: Survey and Experimental Study
Pedro Antonio Gutierrez, Maria Perez-Ortiz, Javier Sanchez-Monedero, Francisco Fernandez-Navarro, Cesar Hervas-Martinez
IEEE Transactions on Knowledge and Data Engineering.2016; 28(1): 127. CrossRef
Exploring the transparency mechanism and evaluating the effect of public reporting on prescription: a protocol for a cluster randomized controlled trial
Xin Du, Dan Wang, Xuan Wang, Shiru Yang, Xinping Zhang
BMC Public Health.2015;[Epub] CrossRef
Application of propensity scores to explore the effect of public reporting of medicine use information on rational drug use in China: a quasi-experimental design
Xiaopeng Zhang, Lijun Wang, Xinping Zhang
BMC Health Services Research.2014;[Epub] CrossRef
Changes in the Cesarean Section Rate in Korea (1982-2012) and a Review of the Associated Factors
Sung-Hoon Chung, Hyun-Joo Seol, Yong-Sung Choi, Soo-young Oh, Ahm Kim, Chong-Woo Bae
Journal of Korean Medical Science.2014; 29(10): 1341. CrossRef
Managing the Primary Cesarean Delivery Rate
DAVID WARE BRANCH, ROBERT M. SILVER
Clinical Obstetrics & Gynecology.2012; 55(4): 946. CrossRef

English Abstracts

The Change in Readmission Rate, Length of Stay and Hospital Charge after Performance Reporting of Hip Hemiarthroplasty.: Won Mo Jang, Sang Jun Eun, Pilyoung Sagong, Chae Eun Lee, Moo Kyung Oh, Juhwan Oh, Yoon Kim; J Prev Med Public Health. 2010;43(6):523-534.; DOI: https://doi.org/10.3961/jpmph.2010.43.6.523

6,770 View
49 Download
1 Crossref

Abstract PDF

OBJECTIVES
We assessed impact of performance reporting information about the readmission rate, length of stay and cost of hip hemiarthroplasty. METHODS: The data are from a nationwide claims database, National Quality Improvement Project database, of Health Insurance Review & Assessment Service in Korea. From January 2006 to April 2008, we received information of length of stay, readmission within 30 days, cost of 22 851 hip hemiarthroplasty episodes. Each episodes has retained the diagnoses of comorbidities and demographics. We used time-series analysis to assess the shifting of patients selections, between high volume(over 16 operations in a year) and low volume institutions, after performance reporting (december 2007). The changes of quality (readmission, length of stay) and cost were evaluated by multilevel analysis with adjustment of patient's factors and institutional factors after performance reporting. RESULTS: As compared with the before performance reporting, the proportion of patients who choose the high volume institution, increased 3.45% and the trends continued 4 months at marginal significance (p=0.059). After performance reporting, national average readmission rate, length of stay were decreased by 0.49 OR (95% CI=0.25-0.95) and 10% (beta=-0.102 p<0.01) and cost was not changed (beta=-0.01, p<0.27). The high volume institutions were more decreased than low volume in length of stay. CONCLUSIONS: After performance reporting, readmission rate, length of stay were decreased and the patient selections were marginal shifted from low volume institutions to high volume institutions.

Summary

Citations

Citations to this article as recorded by

The factors influencing variation by local areas in antibiotics prescription rate according to the public reporting
Yu-Jin Chun, Chang-Yup Kim
Health Policy and Management.2012; 22(3): 427. CrossRef

Costs of Initial Cancer Care and its Affecting Factors.: So Young Kim, Sung Gyeong Kim, Jong Hyock Park, Eun Cheol Park; J Prev Med Public Health. 2009;42(4):243-250.; DOI: https://doi.org/10.3961/jpmph.2009.42.4.243

7,310 View
102 Download
10 Crossref

Abstract PDF

OBJECTIVES
The purposes of this study is to estimate the cost of cancer care after its diagnosis and to identify factors that can influence the cost of cancer care. METHODS: The study subjects were patients with an initial diagnosis one of four selected tumors and had their first two-years of cancer care at a national cancer center. The data were obtained from medical records and patient surveys. We classified cancer care costs into medical and nonmedical costs, and each cost was analyzed for burden type, medical service, and cancer stage according to cancer types. Factors affecting cancer care costs for the initial phase included demographic variables, socioeconomic status and clinical variables. RESULTS: Cancer care costs for the initial year following diagnosis were higher than the costs for the following successive year after diagnosis. Lung cancer (25,648,000 won) had higher costs than the other three cancer types. Of the total costs, patent burden was more than 50% and medical costs accounted for more than 60%. Inpatient costs accounted for more than 60% of the medical costs for stomach and liver cancer in the initial phase. Care for late-stage cancer was more expensive than care for early-stage cancer. Nonmedical costs were estimated to be between 4,500,000 to 6,000,000 won with expenses for the caregiver being the highest. The factors affecting cancer care costs were treatment type and cancer stage. CONCLUSIONS: The cancer care costs after diagnosis are substantial and vary by cancer site, cancer stage and treatment type. It is useful for policy makers and researchers to identify tumor-specific medical and nonmedical costs. The effort to reduce cancer costs and early detection for cancer can reduce the burden to society and improve quality of life for the cancer patients.

Summary

Citations

Citations to this article as recorded by

Projecting Lifetime Health Outcomes and Costs Associated with the Ambient Fine Particulate Matter Exposure among Adult Women in Korea
Gyeyoung Choi, Yujeong Kim, Gyeongseon Shin, SeungJin Bae
International Journal of Environmental Research and Public Health.2022; 19(5): 2494. CrossRef
Expenditure and Financial Burden for Stomach Cancer Diagnosis and Treatment in China: A Multicenter Study
Kai Zhang, Jian Yin, Huiyao Huang, Le Wang, Lanwei Guo, Jufang Shi, Min Dai
Frontiers in Public Health.2020;[Epub] CrossRef
Early Detection is Important to Reduce the Economic Burden of Gastric Cancer
Jie-Hyun Kim, Sung Soo Kim, Jeong Hoon Lee, Da Hyun Jung, Dae Young Cheung, Woo-Chul Chung, Soo-Heon Park
Journal of Gastric Cancer.2018; 18(1): 82. CrossRef
Supporting Low-income Cancer Patients: Recommendations for the Public Financial Aid Program in the Republic of Korea
Hye Sook Min, Hyung Kook Yang, Keeho Park
Cancer Research and Treatment.2018; 50(4): 1074. CrossRef
Modeling lifetime costs and health outcomes attributable to secondhand smoke exposure at home among Korean adult women
Jiyae Lee, Ah Ram Han, Dalwoong Choi, Kyung-Min Lim, SeungJin Bae
BMJ Open.2017; 7(5): e013292. CrossRef
The Relief Effect of Copayment Decreasing Policy on Unmet Needs in Targeted Diseases
Jae-Woo Choi, Jae-Hyun Kim, Eun-Cheol Park
Health Policy and Management.2014; 24(1): 24. CrossRef
Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea
Jae-Woo Choi, Kyoung-Hee Cho, Young Choi, Kyu-Tae Han, Jeoung-A Kwon, Eun-Cheol Park
Asian Pacific Journal of Cancer Prevention.2014; 15(6): 2713. CrossRef
Medicaid inpatient costs and nested structural analysis using a hierarchical linear modeling (HLM) approach
Keon-Hyung Lee, Sang-Chul Park, Jungwon Park, Seunghoo Lim
Health Services and Outcomes Research Methodology.2013; 13(2-4): 157. CrossRef
Costs During the First Five Years Following Cancer Diagnosis in Korea
Ji-Yeon Shin, So Young Kim, Kun-Sei Lee, Sang-Il Lee, Young Ko, Young-Soon Choi, Hong Gwan Seo, Joo-Hyuk Lee, Jong-Hyock Park
Asian Pacific Journal of Cancer Prevention.2012; 13(8): 3767. CrossRef
Cost‐effectiveness of bevacizumab‐based therapy versus cisplatin plus pemetrexed for the first‐line treatment of advanced non‐squamous NSCLC in Korea and Taiwan
Myung‐Ju AHN, Chun‐Ming TSAI, Te‐Chun HSIA, Elaine WRIGHT, John Wen‐Cheng CHANG, Heung Tae KIM, Joo‐Hang KIM, Jin Hyoung KANG, Sang‐We KIM, Eun‐Jin BAE, Mijeong KANG, Johanna LISTER, Stefan WALZER
Asia-Pacific Journal of Clinical Oncology.2011; 7(s2): 22. CrossRef

Original Article

A Study on the Association between Healthcare Utilization and the Burden of Families Caring for the Elderly in the Last 6 Months of Life.: Jee Jeon Yi, Hee Na Lee, Heechoul Ohrr, Hye Young Jung, Sang Wook Yi; Korean J Prev Med. 2003;36(4):332-338.

2,923 View
22 Download

Abstract PDF: OBJECTIVE
To investigate the relationship between medical expenses and the burden of families caring for the elderly in the last 6 months of life, and to evaluate the factors relating to the burden of family caregivers. METHODS: The families of 301 persons older than 65 years, who died between 1 July and 31 December 2001, and were registered in Resident-based- Health Insurance Programs in Seoul, were interviewed. The medical expenses and length of stay among the elderly were collected from Korean Health Insurance Corporations. RESULTS: 31 percents of the elderly had no medical expenses in the last 6 months of life. On average, the objective burden (4.92) was higher than the subjective burden (3.35). Families caring for male elderly had a higher burden. With increasing age at death, the objective burden was significantly increased. The burden on a family seemed to be influenced more by the family income than the property of the elderly. With increasing total health care costs, the objective burden on the family caregivers was significantly increased, but with increasing medical expenses, the subjective burden was significantly decreased. CONCLUSION: An association between healthcare utilization and burden on families was observed. The reason for the decreasing subjective burden when medical expenses were decreased was unclear. Further research will be needed.; Summary

English Abstract

Medical Expenses by Site of Cancer and Survival Time among Cancer Patients in the Last One Year of Life.: Jee Jeon Yi, Won Kon Yoo, So Yoon Kim, Kwang Ki Kim, Sang Wook Yi; J Prev Med Public Health. 2005;38(1):9-15.

2,854 View
69 Download

Abstract PDF: OBJECTIVES
To analyze medical expenses by cancer site and survival time among cancer patients in their last year of life. METHOD: The study subjects were 45, 394 people that had died of cancers in 2002, were registered by the Korea Central Cancer Registry and received National Health Insurance benefit in the last year (360 days) of life. Personal identification data, general characteristics, dates of death and cancer incidence, and site of cancer were collected from the National Statistical Office and the Korea Central Cancer Registry, and merged with the data of the individual medical expenses of the Health Insurance Review Agency. RESULTS: Average monthly cost curves were U-shaped with high costs near the time of diagnosis and death, and lower costs in between. Medical expenses in the last year of life were around 30.3, 16.7, 13.0, and 12.1 million won among leukemia, lymphoma, ovarian cancer, and breast cancer patients, respectively. Digestive organ cancers including stomach, esophagus, liver, pancreas, and colorectal cancers had relatively low medical expenses. Medical expenses in the last year of life were inverse U-shaped with high expenses near one year of survival. Average monthly cost in the 12 months before death among the patients who had survived 10~15 years were more than two-fold greater than the cost before diagnosis among those who had survived for less than one year. CONCLUSIONS: Leukemia was the most expensive cancer. It is possible that once diagnosed as cancer, medical expenses do not return to the level before diagnosis. Further research will be needed to understand the magnitude and change of the medical expenses among cancer patients with long term follow up data.; Summary

Original Article

A Study on the Cost and Proportion of Complementary and Alternative Medicine in Total Healthcare Cost among Elderly in the Last 6 Months of Life.: Jee Jeon Yi, Heechoul Ohrr, Sang Wook Yi; J Prev Med Public Health. 2004;37(2):141-149.

2,750 View
41 Download

Abstract PDF: OBJECTIONS: To evaluate the cost and proportion of complementary and alternative medicines (CAM) in the total healthcare costs among the elderly in the last 6 months of life. METHODS: The care-giving families of 301 persons older than 65 years, who died between July 1st and December 31st of 2001, and were also registered in Self-Employed Health Insurance Programs in Seoul, were interviewed. RESULTS: The cost of CAM was 1.09 million Won, which as a proportion of the total healthcare cost was 38.1%. The elderly aged between 65 and 69 year-old, male, living with their spouse, Buddhist and having cancers had higher CAM costs in an ANOVA and simple regression analysis. After controlling of various factors, age was the only significant factor associated with the cost of CAM. The elderly above 80 years old, female, bereaved and Buddhist had higher proportional CAM costs, and the elderly having cancers or cardiovascular diseases had lower proportional CAM costs in an ANOVA and simple regression analysis. After adjusting for various factors, the elderly above 85 years old, female and Buddhist had higher proportional CAM costs, and the elderly having cancers had lower proportional CAM costs. CONCLUSION: The very old and Buddhist, and/or the ill with no clear diagnosis, may depend more on CAM. Further research will be needed on the meaning and impact of CAM and their costs to public health and the total healthcare system.; Summary

First
Prev
Page of 1
Next
Last

Search