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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of agricultural medicine and community health
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Journal DOI :
Korean Association of Agricultural Medicine and Community Health
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Volume & Issues
Volume 14, Issue 1 - Jan 1989
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Comparative Health Status of Rural Urban and Aged Perosons by Some Screening Tests
Han, In-Soo ; Hong, Kwang-Sun ; Park, Sun-Ju ; Rim, Han-Jong ;
Journal of agricultural medicine and community health, volume 14, issue 1, 1989, Pages 5~15
To compare the health status of rural and urban aged persons(over 65 years old) by an abnormality of a hematologic and some biochemical values as well as urinalysis and chest X-ray, following examinations were done on 8,756(male : 4,339: female 4,417) by hemoglobin, total cholesteol, GOT, and glucose, on 9,207(male: 4,467; female : 4.740) by urinalysis and on 9,148(male : 4,426: female : 4,722) by chest X-ray. The results are as follows: 1) The proportion of outlier of normal range of the GOT(over 40 unit) showed higher in rural aged persons(5.3%) than in urban aged(2.8%). There was no significant difference in both of urban and rual female, but the rural male(7.4 showed significantly higher than the urban male(3.9% ). 2) The proportion of abnormality of the total cholesterol value(over 260 mg/dl) was 7,0% in urban and 1.7% in rural aged persons. In the male, there was no significant difference in both urban(2.2%) and rural(1.4%), however the urban female(10.5%) showed significantly higher than the rural female(2.2%). 3) In the blood glucose level, the proportion of abnormality(over 120 mg/dl) showed 17.1% in urban and 19.3% in rural aged persons. The rural aged persons in both sexes(male : 18.1% : female : 20.7%) were relatively higher abnormality rates than those of the urban aged(male : 15. 3%: female : 18.4% ) respectively. 4) The proportion of abnormality of hemoglobin level(less than 12.0 g/dl in male: less than 11.0 g/dl in female) showed 7.1% in urban and 2.6%J in rural aged persons. The urban aged persons in both sexes(male : 8.3%: female 6.3%) were relatively higher abnormality rates than those of the rural aged(male : 3.0%: female : 2.2%) 5) In the urinalysis by urine stix(Korea Green Cross Co.), the positive rates of urine protein were 1.0% in urban and 0.5% in rural aged per-sons, and there was no any significant differences in both areas by sex. 6) The positive rates of urine glucose in urban aged persons(5.8'% : male : 7.3% : female : 4.7%). showed relatively higher than those of rural aged (3.4% : male : 3.9%: female : 2.8%). 7) The positive findings of pulmonary tuberculosis by indirect X-ray examination were observed in 7.7% of aged persons in both rural and urban areas respectively. However, the positive rates of male in both areas(urban : 12.8% ; rural : 10.0%) showed higher than those of female (urban 4.2% ; rural 5.0%).
A Study of the Analysis of Treatment Expenses of Selected Common Diseases Covered by Medical Care Inserance System
Kim, Jin-Soon ;
Journal of agricultural medicine and community health, volume 14, issue 1, 1989, Pages 16~29
The general objective of this study is to grasp the treatment expenses of common diseases by character of medical care institutions. The specific objective is to find out the treatment expenses for selected common diseases by type of medical care institutions and also by level of symptom. A record review method was employed to obtain required information for the analysis of expenses. A total of 40,000 cases treated by 85 medical care institutions were selected by the study team during the period 22 June to 14 July 1988. The 85 medical care institutions were sampled by stratified proportionate random sampling method. The major findings obtained from the information collected by the study team are as follows ; 1) Treatment expenses were composed of physical examination, medication, injection anesthesia, rehabilitation surgical intervention, lab test, X-ray and diagnosis. The highest expenses was for medication, accounted for 36.7% of the total: 13.9%, injection; Lab, tests respectively: 10.5%, physical examination : 8.6% surgical intervention; 7.9% admission : 6.3%, X-ray and diagnosis: 1.5%, rehabilitation. 2) Treatment expenses per case of common diseases were quite different from not only type of medical care institutions, such as university hospital, general hospital, hospital and clinic, but also from level of symptom. 3) Treatment expenses per case for the aged were higher than that of the young. The treatment cases for over 60 years of age accounted for 19.4% of the total, however the proportion of treatment expenses accounted for 23.8% of the total. 4) Duration of treatment and visits for same diseases varied from type of medical cara institutions. Based on these study findings, the following further research should be conducted: (1) Establishment of health care delivery system. (2) Feasibility of the development of health care programme for the aged. (3) Strengthening for primary health care approach.
A Study on Desirable Attitudes of Health Subcenter Personnel, Affecting to Utilization of a Rural Health Subcenter for Primary Health Care
Wie, Ja-Hyung ;
Journal of agricultural medicine and community health, volume 14, issue 1, 1989, Pages 30~36
In order to desirable attitudes of health subcenter personnel, affecting to utilization of a rural health subcenter for primary health care, a study carried out, through analyzing the specific survey datas of 228 out of 1151 total house-holders in a rural community, Su-Dong Myun, Yam-yang-ju kun, Kyung-Gi Do in Korea, and the medical re-cords of total out-patients of health subcenter in this district during 1981-1988. The following results were obtained: 1) The annual utilization rate showed decreasing tedency such as 723 per 1,000 inhabitants in 1981, 652 in 1982, 618 in 1985, 54H in 1984 and 341 in 1987, since 1981. 2) The utilization Rate in 1987 was unusually the lowest with 341 per 1,000 inhabitants in decreasing tendency, steadily. 3) In advatage on utilization of health subcenter for primary health care in a rural area, 68.8% of the respondents answered that it was in comprehensive health care with the highest rate and next order in near distance from living place with 16.7% in easy and simple process to utilize with 9.2% and in lower medical cost with 5.3%. 4) The order of desirable image of rural health subcenter personnel for primary health care was of good attitude(57.0%), of good skill(29.0 %) and of wide knowledge(14.0%), 5) The order of desirable image of doctor for primary health care in rural health subcenter was of good skill(.44.3%), of good attitude(36.8%) and of wide knowledge(18.9%), and nurse was of good attitude(76.8%), of good skill(14.0 %) and of wide knowledge(9.2%). 6) The percentage order by good attitudes of rural health subcenter personnel was the highest in responsibility(38.2%), kindness(26.3% ), proprieties(14.9%), sincerity(12.7%) and notion of duty hours(6.6%). 7) The statistical datas in health subcenter was written and kept, without distinction of definition of new and old patients, by month and for suitable method of medical expenses of medical insurance and medicaid by clerical convenience. 8) In future, the organization of health subcenter must be unified, systematized and rationlized for primary health care. Health subcenter must be organized by 3 parts of function(medical care, health service and clerical affair) and then function of health subcenter will be more activated by clerical activities.
An Epidemiological Survey of Helminthic Infections Among Inhabitants in Boeun-Gun, Chungbuk Province
Eom, Kee-Seon ; Kwon, Hye-Young ; Bae, Ill-Hun ; Yi, Kwang-Hyung ; Kim, Seok-Jung ; Yoon, Sang-Jeong ; Han, Hye-Ja ; Lee, Sang-Gu ;
Journal of agricultural medicine and community health, volume 14, issue 1, 1989, Pages 37~43
Helminthological parasites for inhabitants in Boeun-Gun, Chungbuk province were survyed. Total infection rate was 21.4% and helminth ova of-seven species were observed: Clonorchis sinensis 11.7%, Metagonimus sp. 7.0%, Echinostoma hortense 2.7%, Taenia sp. 2.3%, Ascaris lumbri-coides 0.8%, Trichuris trichiura 1.6% and Enterobius vermicularis 3.5%. Infection rate of food-transmitted helminths (C. sinensis, Metagonimus sp. E.hortense, Taenia sp.) was 76.4% (42/55), soil-transmitted helminths (A.lumbricoides, T. trichiura) was 7.3% (4/55), contageous helminths(E. vermicularis) was 16.3% (9/55). Multiple infection rate was 30.9% and most of them were limited in snail-transmitted helminths(C.sinensis, Melagonimas sp., E. hortense). Infection rate of male (18. 3%) was higher than those of female (3.1%). Intensities of C.sinensis and Metagonimus sp. were light or moderate, showed 530 and 444 by mean E.P.G. respectively. In this survey, we newly found the small endemic areas of E.hortense, which was previously reported sporadically in Korea other than in Chungbuk province.
Studies on the Infection Rate and Distribution Pattern of Metacercaria of Clonorchis sinensis in Pseudorasbora Parva
Kim, Ki-Hong ; Yie, Jae-Hyun ; Joo, Kyoung-Hwan ; Lee, Joon-Sang ; Rim, Han-Jong ;
Journal of agricultural medicine and community health, volume 14, issue 1, 1989, Pages 44~53
The distribution pattern of Clonorchis sinensis metacercaria in Pseudorasvora parva population and correlation between P. parva and metacercaria of C. sinensis were studied. The surveved areas were Chomanpo and Bulamdong, Kim-Hae Gun which were endemic area of clonorchiasis, and wansa, Sa-Chon Gun, Souh Kyong-Sang Do. The results are as follows: 1) The areas of Chornanpo and Wansa showed high infectivity in 99-100% of infection rate and 282-308 of average infection number per-fish. But the area of Bulamdong showed relatively. low infectivity in 95.8% of infection rate and 44 of average infection number. 2) The distribution patterns of C. sinensis metacercaria in P. parva population which were collected in Chomanpo and Wansa were shown Poisson distribution and the distribution pattern in Bulamdong showed mid-pattern of shifting over from Poisson distribution to Negative binomial distribution. 3) The correlation between P. parva length and average number of C. sinensis metacercaria in the present studied areas represented as direct proportion relationship.