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Original Articles
Effects of an arteriovenous fistula stenosis prevention program in patients receiving hemodialysis
Haegyeong Lee, Gyuli Baek, Eunju Lee
Osong Public Health Res Perspect. 2023;14(4):279-290.   Published online August 9, 2023
DOI: https://doi.org/10.24171/j.phrp.2023.0101
  • 1,392 View
  • 151 Download
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
To increase the efficiency of hemodialysis, an appropriate vascular pathway must be created, and its function must be maintained. This study aimed to identify the effects of an arteriovenous fistula (AVF) stenosis prevention program on upper muscular strength, blood flow, physiological indexes, and self-efficacy among patients receiving hemodialysis.
Methods
The participants were patients receiving hemodialysis at Keimyung University Dongsan Medical Center in Daegu, Republic of Korea. They were divided into experimental and control groups based on the day of the week they received hemodialysis at the outpatient department and included 25 participants each. The study was conducted for 8 weeks.
Results
The AVF stenosis prevention program was effective in improving upper extremity muscle strength (F=15.23, p<0.001) and blood flow rate (F=36.00, p<0.001). As a result of the program, the phosphorus index level, which is a physiological indicator in hemodialysis patients, decreased (F=8.64, p<0.001). Encouragement and support through text messages and practice lists also resulted in an increase in self-efficacy (F=18.62, p<0.001).
Conclusion
The AVF stenosis prevention program in this study resulted in an increase in upper extremity muscle strength through grip strength exercises and was effective in preventing AVF stenosis by increasing the blood flow rate.
Estimating the number of severe COVID-19 cases and COVID-19-related deaths averted by a nationwide vaccination campaign in Republic of Korea
Ji Hae Hwang, Ju Hee Lee, Eun Jung Jang, Ryu Kyung Kim, Kil Hun Lee, Seon Kyeong Park, Sang Eun Lee, Chungman Chae, Sangwon Lee, Young Joon Park
Osong Public Health Res Perspect. 2023;14(3):164-172.   Published online June 22, 2023
DOI: https://doi.org/10.24171/j.phrp.2023.0096
  • 1,895 View
  • 123 Download
  • 2 Web of Science
  • 1 Crossref
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
The Korea Disease Control and Prevention Agency promotes vaccination by regularly providing information on its benefits for reducing the severity of coronavirus disease 2019 (COVID-19). This study aimed to analyze the number of averted severe COVID-19 cases and COVID-19-related deaths by age group and quantify the impact of Republic of Korea’s nationwide vaccination campaign.
Methods
We analyzed an integrated database from the beginning of the vaccination campaign on February 26, 2021 to October 15, 2022. We estimated the cumulative number of severe cases and COVID-19-related deaths over time by comparing observed and estimated cases among unvaccinated and vaccinated groups using statistical modeling. We compared daily age-adjusted rates of severe cases and deaths in the unvaccinated group to those in the vaccinated group and calculated the susceptible population and proportion of vaccinated people by age.
Results
There were 23,793 severe cases and 25,441 deaths related to COVID-19. We estimated that 119,579 (95% confidence interval [CI], 118,901–120,257) severe COVID-19 cases and 137,636 (95% CI, 136,909–138,363) COVID-19-related deaths would have occurred if vaccination had not been performed. Therefore, 95,786 (95% CI, 94,659–96,913) severe cases and 112,195 (95% CI, 110,870–113,520) deaths were prevented as a result of the vaccination campaign.
Conclusion
We found that, if the nationwide COVID-19 vaccination campaign had not been implemented, the number of severe cases and deaths would have been at least 4 times higher. These findings suggest that Republic of Korea’s nationwide vaccination campaign reduced the number of severe cases and COVID-19 deaths.

Citations

Citations to this article as recorded by  
  • Comparative Effectiveness of COVID-19 Bivalent Versus Monovalent mRNA Vaccines in the Early Stage of Bivalent Vaccination in Korea: October 2022 to January 2023
    Ryu Kyung Kim, Young June Choe, Eun Jung Jang, Chungman Chae, Ji Hae Hwang, Kil Hun Lee, Ji Ae Shim, Geun-Yong Kwon, Jae Young Lee, Young-Joon Park, Sang Won Lee, Donghyok Kwon
    Journal of Korean Medical Science.2023;[Epub]     CrossRef
The COVID-19 pandemic and healthcare utilization in Iran: evidence from an interrupted time series analysis
Monireh Mahmoodpour-Azari, Satar Rezaei, Nasim Badiee, Mohammad Hajizadeh, Ali Mohammadi, Ali Kazemi-Karyani, Shahin Soltani, Mehdi Khezeli
Osong Public Health Res Perspect. 2023;14(3):180-187.   Published online June 22, 2023
DOI: https://doi.org/10.24171/j.phrp.2023.0041
  • 1,517 View
  • 73 Download
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
This study aimed to examine the effect of the coronavirus disease 2019 (COVID-19) outbreak on the hospitalization rate, emergency department (ED) visits, and outpatient clinic visits in western Iran.
Methods
We collected data on the monthly hospitalization rate, rate of patients referred to the ED, and rate of patients referred to outpatient clinics for a period of 40 months (23 months before and 17 months after the COVID-19 outbreak in Iran) from all 7 public hospitals in the city of Kermanshah. An interrupted time series analysis was conducted to examine the impact of COVID-19 on the outcome variables in this study.
Results
A statistically significant decrease of 38.11 hospitalizations per 10,000 population (95% confidence interval [CI], 24.93–51.29) was observed in the first month of the COVID-19 outbreak. The corresponding reductions in ED visits and outpatient visits per 10,000 population were 191.65 (95% CI, 166.63–216.66) and 168.57 (95% CI, 126.41–210.73), respectively. After the initial reduction, significant monthly increases in the hospitalization rate (an increase of 1.81 per 10,000 population), ED visits (an increase of 2.16 per 10,000 population), and outpatient clinic visits (an increase of 5.77 per 10,000 population) were observed during the COVID-19 pandemic.
Conclusion
Our study showed that the utilization of outpatient and inpatient services in hospitals and clinics significantly declined after the COVID-19 outbreak, and use of these services did not return to pre-outbreak levels as of June 2021.
Characteristics of Inpatients Who Survive Suicide Attempts
Sang Mi Kim, Hyun-Sook Lee
Osong Public Health Res Perspect. 2019;10(1):32-38.   Published online February 28, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.1.07
  • 5,574 View
  • 157 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives

The purpose of this study was to analyze the characteristics and factors affecting the survival of inpatients admitted following a suicide attempt.

Methods

A total of 3,095 cases retrieved from the Korean National Hospital Discharge In-depth Injury Survey data (from 2011 to 2015) were grouped according to survival and death and analyzed using descriptive statistics chi-square and logistic regression analysis.

Results

The following factors had statistically significant risks on reducing survival: female (OR = 2.352, p < 0.001), 40–59 years old (OR = 0.606, p = 0.014), over 60 years old (OR = 0.186, p < 0.001), poisoning (OR = 0.474, p = 0.009), hanging (OR = 0.031, p < 0.001), jumping (OR = 0.144, p < 0.001), conflicts with family (OR = 2.851, p < 0.001), physical diseases (OR = 1.687, p = 0.046), mental health problems (OR = 2.693, p < 0.001), financial problems (OR = 3.314, p = 0.002), 2014 (OR = 2.498, p = < 0.001) and 2015 (OR = 2.942, p = 0.005).

Conclusion

The survival group that had a history of attempted suicide (high-risk suicide group), should be further characterized. It is necessary to identify the suicide methods and risk factors for suicide prevention management policies and to continuously expand the management policy according to these characteristics.

Citations

Citations to this article as recorded by  
  • Factors Affecting Inpatients’ Mortality through Intentional Self-Harm at In-Hospitals in South Korea
    Sulki Choi, Sangmi Kim, Hyunsook Lee
    International Journal of Environmental Research an.2023; 20(4): 3095.     CrossRef
  • The economic burden of adolescent internet addiction: A Korean health cost case study
    Robert W. Mead, Edward Nall
    The Social Science Journal.2023; : 1.     CrossRef
  • Loss to follow-up in a population-wide brief contact intervention to prevent suicide attempts - The VigilanS program, France
    Larissa Djembi Fossi, Christophe Debien, Anne-Laure Demarty, Guillaume Vaiva, Antoine Messiah, Xenia Gonda
    PLOS ONE.2022; 17(3): e0263379.     CrossRef
Effects of Physical Activity on Depression in Adults with Diabetes
Deok-Ju Kim
Osong Public Health Res Perspect. 2018;9(4):143-149.   Published online August 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.4.02
  • 5,877 View
  • 146 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives

The purpose of this study was to identify the current state of physical activity in adults with diabetes and to investigate the effect of physical activity on depression.

Methods

The present study was conducted using data from the 2nd year of the 6th Korea National Health and Nutritional Examination Survey. From the total of 7,550 individuals, 418 adults diagnosed with diabetes were selected as participants, and their physical activity and depression levels were examined.

Results

The physical activity status of the participants showed that they did not usually engage in physical activities at work, and only a few participants were involved in moderate intensity physical leisure activity. Apart from walking for 10 minutes each day, which accounted for 1/3 of the participants, most of the participants did not engage in specific forms of exercise. An examination of the effects of physical activity on depression revealed that moderate intensity physical activity at work and leisure influenced depression. In terms of demographic characteristics, gender, occupation, income quintile, and subjective health status were all found to affect depression.

Conclusion

For elderly (60 years or older) patients with diabetes, which accounted for the majority of the diabetic population, a systematic leisure program and professional education are necessary to help them to manage stress and depression in daily life. Additionally, provision of community and family support should encourage regular, moderate intensity exercise and promote lifestyle changes to encourage increased physical activity.

Citations

Citations to this article as recorded by  
  • Prevalence of comorbid depression and associated factors among hospitalized patients with type 2 diabetes mellitus in Hunan, China
    Rehanguli Maimaitituerxun, Wenhang Chen, Jingsha Xiang, Atipatsa C. Kaminga, Xin Yin Wu, Letao Chen, Jianzhou Yang, Aizhong Liu, Wenjie Dai
    BMC Psychiatry.2023;[Epub]     CrossRef
  • Barriers & facilitators to physical activity in people with depression and type 2 diabetes mellitus in Pakistan: A qualitative study to explore perspectives of patient participants, carers and healthcare staff
    Aatik Arsh, Saima Afaq, Claire Carswell, Karen Coales, Najma Siddiqi
    Mental Health and Physical Activity.2023; 25: 100542.     CrossRef
  • Moderating Effect of Grip Strength in the Association between Diabetes Mellitus and Depressive Symptomatology
    Diogo Veiga, Miguel Peralta, Élvio R. Gouveia, Laura Carvalho, Jorge Encantado, Pedro J. Teixeira, Adilson Marques
    Sports.2023; 12(1): 3.     CrossRef
  • Modeling the effects of physical activity, education, health, and subjective wealth on happiness based on Indonesian national survey data
    Bhina Patria
    BMC Public Health.2022;[Epub]     CrossRef
  • Triad of impairment in older people with diabetes-reciprocal relations and clinical implications
    A.H. Abdelhafiz, P.C. Davies, A.J. Sinclair
    Diabetes Research and Clinical Practice.2020; 161: 108065.     CrossRef
  • Association between exercise and health-related quality of life and medical resource use in elderly people with diabetes: a cross-sectional population-based study
    Chien-Cheng Huang, Chien-Chin Hsu, Chong-Chi Chiu, Hung-Jung Lin, Jhi-Joung Wang, Shih-Feng Weng
    BMC Geriatrics.2020;[Epub]     CrossRef
  • Challenges and Strategies for Diabetes Management in Community-Living Older Adults
    Alan J. Sinclair, Ahmed H. Abdelhafiz
    Diabetes Spectrum.2020; 33(3): 217.     CrossRef
Treatment with Sofosbuvir and Daclatasvir (with or without Ribavirin) Improves Patient Reported Outcomes in Hepatitis C
Lucas Pereira Jorge de Medeiros, Mario Barreto Correa Lima, Marcia Maria Amêndola Pires, Alessandra Mendonça Almeida Maciel, Renata Barboza Vianna Medeiros, Mariana Dermínio Donadel, Isabela Martins Becattini Pereira, Fábio Marchon Leão, Luiz Eduardo Amorim Correa Lima Pires, Helio Rzetelna, Carlos Eduardo Brandão-Mello
Osong Public Health Res Perspect. 2018;9(2):50-58.   Published online April 30, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.2.03
  • 5,218 View
  • 39 Download
  • 4 Crossref
AbstractAbstract PDF
Objectives

To evaluate the impact of 3 treatment regimens upon health-related quality of life and work productivity using patient-reported outcomes (PROs) in chronic hepatitis C infected patients: sofosbuvir (SOF) + daclatasvir (DCV); SOF + DCV + ribavirin (RBV); SOF + simeprevir (SMV).

Methods

4 questionnaires were used to evaluate PROs before, during and after treatment: Short Form-36 (SF-36), Chronic Liver Disease Questionnaire (CLDQ) - hepatitis C virus (HCV), Work Productivity and Activity Index, Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F).

Results

Of the global sample of 55 patients included in this study; SOF + DCV (n = 10); SOF + DCV + RBV (n = 29); SOF + SMV (n = 16) all had a statistically significant improvement in SF-36, CLDQ and FACIT-F scores during and post-treatment. No statistically significant differences in the PRO questionnaire values were observed between the distinct treatment regimens. The SOF and SMV patient groups presented higher mean PRO variations during and post-treatment, compared to the other groups: SF-36 functional capacity (16.1); SF-36 mental health (21.4); CLDQ activity (1.8); CLDQ emotional function (1.2); FACIT-F physical well-being (8.0); Total FACIT-F (21.6).

Conclusion

Treatment with SOF + DCV, with or without RBV, results in an improved PRO similar to treatment with SOF + SMV in chronic hepatitis C patients.

Citations

Citations to this article as recorded by  
  • Health-related quality of life in people receiving opioid agonist treatment and treatment for hepatitis C virus infection
    Olav Dalgard, Alain H. Litwin, Oren Shibolet, Jason Grebely, Ronald Nahass, Frederick L. Altice, Brian Conway, Edward J. Gane, Anne F. Luetkemeyer, Cheng-Yuan Peng, David Iser, Isaias Noel Gendrano, Michelle M. Kelly, Barbara A. Haber, Heather Platt, Amy
    Journal of Addictive Diseases.2023; 41(3): 213.     CrossRef
  • Impact of sofosbuvir and daclastavir on health-related quality of life in patients co-infected with hepatitis C and human immunodeficiency virus
    Evy Yunihastuti, Fhadilla Amelia, Arini Ika Hapsari, Bramantya Wicaksana, Veritea Natali, Alvina Widhani, Andri Sanityoso Sulaiman, Teguh Harjono Karjadi
    Health and Quality of Life Outcomes.2021;[Epub]     CrossRef
  • Health-related quality of life and fatigue in patients with chronic hepatitis C with therapy with direct-acting antivirals agents interferon-free
    Raíssa Neves Fagundes, Lincoln Eduardo Villela Vieira de Castro Ferreira, Fábio Heleno de Lima Pace, Yury E. Khudyakov
    PLOS ONE.2020; 15(8): e0237005.     CrossRef
  • Efficacy and safety of sofosbuvir-based pangenotypic direct-acting antiviral agents for chronic hepatitis C patients without genotype determination
    Juan Li, Dong-Bo Wu, Wei Jiang, Xue-Bin Chen, Gui-Bao Xiao, Yong-Hong Wang, Meng-Lan Wang, Ya-Chao Tao, En-Qiang Chen
    Medicine.2020; 99(43): e22726.     CrossRef
Comparative Analysis of the Trends in Medical Utilization of Cancer Inpatients in Korea
Hyun-Ju Lee, Sung-Soo Kim
Osong Public Health Res Perspect. 2017;8(5):342-350.   Published online October 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.5.08
  • 3,442 View
  • 33 Download
AbstractAbstract PDF
Objectives

Cancer has attracted worldwide attention. The incidence and prevalence are increasing, and it is the main cause of death. The purpose of this study was to identify the characteristics of hospitalized cancer patients.

Methods

This study is a secondary data study using the Korean National Hospital Discharge In-depth Injury Survey Data conducted annually by the Korea Centers for Disease Control and Prevention. Using these data, we extracted inpatients who principal diagnosis is cancer for nine years from 2005 to 2013.

Results

According to the analysis, the annual trend of cancer inpatients is steadily increasing. In 2025, it is expected to increase to about 670,000 inpatients. A cancer diagnosis created a change in medical utilization depending on the characteristics of patients and hospital. Men are more at risk of cancer than women. The number of hospital beds and hospital days were inversely proportional to cancer inpatients. There was also a difference in the equity of medical utilization by region. Other cancer management policies should be based on sex.

Conclusion

Populations between the ages of 45 and 64 years should be a priority in cancer policy. Because of the long-term hospitalization of patients with death as the outcome, a terminal cancer patient care facility is needed. These conclusions can provide a basis for various health policies.

Quality of Life of Chronic Hepatitis C Patients and Its Associated Factors
Hoo Jeung Cho, Euna Park
Osong Public Health Res Perspect. 2017;8(2):124-129.   Published online April 30, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.2.04
  • 4,838 View
  • 31 Download
  • 8 Crossref
AbstractAbstract PDF
Objectives

This study aimed to investigate the factors affecting the health-related quality of life (HRQOL) of patients with chronic hepatitis C (CHC).

Methods

This study is based on a descriptive survey and involved 125 gastroenterology outpatients visiting a university hospital in South Korea as the participants. HRQOL was assessed using the Liver Disease Quality of Life 1.0, which consisted of Short Form-36 (SF-36) and the Liver Disease Targeted Scale. Data were collected from December 2015 to April 2016, which were then analyzed through multiple regression analysis.

Results

HRQOL had a statistically significant correlation with age, sex, educational level, living type, employment status, monthly income level, and comorbidity status. This study showed that age > 51 years, female sex, high educational level, living alone, unemployment status, low monthly income, and presence of comorbidity had negative effects on the HRQOL of patients with CHC (R2 = 8.7%–34.6%).

Conclusion

Based on the result of this study, intervention for patients with CHC needs to be developed to enhance their HRQOL. The findings can serve as a useful reference for nursing personnel in the development of therapeutic plans to upgrade the care of CHC patients.

Citations

Citations to this article as recorded by  
  • Clinical and individual factors of quality of life of chronic liver disease patients at University of Gondar comprehensive specialized hospital, Northwest Ethiopia 2022
    Eliud Teshome, Workagegnehu Hailu, Aynishet Adane, Endalkachew Belayneh Melese, Dessie Abebaw Angaw, Gebrekidan Ewnetu Tarekegn
    Medicine.2023; 102(45): e35425.     CrossRef
  • Risk factors of severe hepatotoxicity among HIV-1 infected individuals initiated on highly active antiretroviral therapy in the Northwest Region of Cameroon
    Lem Edith Abongwa, Anthony Kebira Nyamache, Fokunang Charles, Judith Torimiro, Nshom Emmanuel, Irénée Domkam, Mbu Eyongetah, Beriyuy Jude, Fung Holgar Mua, Sama Bella, Tankou Colman Tamboh, Erna Charlene Moungang, Victorine Ngum, Paul Okemo
    BMC Gastroenterology.2022;[Epub]     CrossRef
  • Cathepsin B and Plasma Kallikrein Are Reliable Biomarkers to Discriminate Clinically Significant Hepatic Fibrosis in Patients with Chronic Hepatitis-C Infection
    Alexia de Cassia Oliveira Zanelatto, Gilmar de Souza Lacerda, Camila de Melo Accardo, Natalia Fonseca do Rosário, Andréa Alice da Silva, Guacyara Motta, Ivarne Luis dos Santos Tersariol, Analucia Rampazzo Xavier
    Microorganisms.2022; 10(9): 1769.     CrossRef
  • Impact of newer direct-acting antiviral drugs based on quality-adjusted life years: A prospective pharmacoeconomic study in hepatitis C patients
    BhavyaH Vyas, NishitaH Darji, DevangA Rana, KaushalY Vyas, SupriyaD Malhotra
    Perspectives in Clinical Research.2021; 12(2): 76.     CrossRef
  • Exploring Perception of Chronic Hepatitis C: An Idiographic Case Study
    Hana Arshad, Subha Malik
    Pakistan Journal of Psychological Research.2020; 34(4): 735.     CrossRef
  • Changes in Quality of Life of Chronic Hepatitis C Patients Participating in Clinical Trial
    Hoo-Jeung CHO, Euna PARK
    JOURNAL OF FISHRIES AND MARINE SCIENCES EDUCATION.2018; 30(5): 1725.     CrossRef
  • Treatment with Sofosbuvir and Daclatasvir (with or without Ribavirin) Improves Patient Reported Outcomes in Hepatitis C
    Lucas Pereira Jorge de Medeiros, Mario Barreto Correa Lima, Marcia Maria Amêndola Pires, Alessandra Mendonça Almeida Maciel, Renata Barboza Vianna Medeiros, Mariana Dermínio Donadel, Isabela Martins Becattini Pereira, Fábio Marchon Leão, Luiz Eduardo Amor
    Osong Public Health and Research Perspectives.2018; 9(2): 50.     CrossRef
  • Quality of life in Brazilian patients with treated or untreated chronic hepatitis C
    Cássio Marques Perlin, Vinicius Lins Ferreira, Helena Hiemisch Lobo Borba, Astrid Wiens, Cláudia Alexandra Pontes Ivantes, Luana Lenzi, Roberto Pontarolo
    Revista do Instituto de Medicina Tropical de São P.2017;[Epub]     CrossRef
Evaluating Service Quality from Patients' Perceptions: Application of Importance–performance Analysis Method
Rafat Mohebifar, Hana Hasani, Ameneh Barikani, Sima Rafiei
Osong Public Health Res Perspect. 2016;7(4):233-238.   Published online August 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.05.002
  • 3,485 View
  • 19 Download
  • 41 Crossref
AbstractAbstract PDF
Objectives
Providing high service quality is one of the main functions of health systems. Measuring service quality is the basic prerequisite for improving quality. The aim of this study was to evaluate the quality of service in teaching hospitals using importance–performance analysis matrix.
Methods
A descriptive–analytic study was conducted through a cross-sectional method in six academic hospitals of Qazvin, Iran, in 2012. A total of 360 patients contributed to the study. The sampling technique was stratified random sampling. Required data were collected based on a standard questionnaire (SERVQUAL). Data analysis was done through SPSS version 18 statistical software and importance–performance analysis matrix.
Results
The results showed a significant gap between importance and performance in all five dimensions of service quality (p < 0.05). In reviewing the gap, “reliability” (2.36) and “assurance” (2.24) dimensions had the highest quality gap and “responsiveness” had the lowest gap (1.97). Also, according to findings, reliability and assurance were in Quadrant (I), empathy was in Quadrant (II), and tangibles and responsiveness were in Quadrant (IV) of the importance–performance matrix.
Conclusion
The negative gap in all dimensions of quality shows that quality improvement is necessary in all dimensions. Using quality and diagnosis measurement instruments such as importance–performance analysis will help hospital managers with planning of service quality improvement and achieving long-term goals.

Citations

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  • A New Model to Consolidate Long-Term Intersectoral Partnerships in Humanitarian and Social Crises Management
    Anderson Nunes da Silva, Marcele Elisa Fontana
    Public Organization Review.2024; 24(1): 27.     CrossRef
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    Xiaomin Xiao, Qiaoru Ye, Xiaobin Dong
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    Herbert I. Melariri, Chester Kalinda, Moses J. Chimbari
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    Hanny Kanavika Rizky Munawar, Annisa Kesy Garside, Adhi Nugraha, Amelia Khoidir
    Jurnal Sistem dan Manajemen Industri.2023; 7(1): 53.     CrossRef
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    Robert Dorsey, David Claudio, María A. Velázquez, Polly Petersen
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    Leire Juaristi, Cristina Irigoyen, Jaione Chapartegui, Ane Guibelalde, Javier Mar
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    Zhifang Wang, Hua Jie, Hongpeng Fu, Lu Wang, Hezhishi Jiang, Lu Ding, Yingjie Chen
    Ecological Indicators.2022; 137: 108775.     CrossRef
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    Mehdi Rahimi, Fateme Solymani
    Modern Care Journal.2022;[Epub]     CrossRef
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    Ali Reza Yusefi, Esmat Rezabeigi Davarani, Salman Daneshi, Misagh Bastani, Gholamhossein Mehralian, Peivand Bastani
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    Amir Karimkhany, Ehsan Zarei, Samira Arabi, Elahe Navvabi, Somayeh Anisi
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    Sheng-Yao Hsu, Tsair-Wei Chien, Yu-Tsen Yeh, Willy Chou
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    Rezarta Kalaja, Marsida Krasniqi
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    Magdalena Biel, Katarzyna Grondys, Ane-Mari Androniceanu
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    Xiaobing Li, Zhen He
    International Journal of Production Research.2021; 59(6): 1776.     CrossRef
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    Mahdi Mahdavi, Leila Doshmangir, Ebrahim Jaafaripooyan
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  • A STUDY ON QUALITY OF SERVICES IN THE OUTPATIENT DEPARTMENT OF A MULTISPECIALTY TEACHING HOSPITAL
    Nirmala Kumari, Keerthana Maria Pinto
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Factors associated with health services utilization between the years 2010 and 2012 in Korea: using Andersen's Behavioral model
Han-Kyoul Kim, Munjae Lee
Osong Public Health Res Perspect. 2016;7(1):18-25.   Published online February 28, 2016
DOI: https://doi.org/10.1016/j.phrp.2015.11.007
  • 3,338 View
  • 33 Download
  • 70 Crossref
AbstractAbstract PDF
Objectives
This study aimed to examine the factors associated with health services utilization using Andersen's behavioral model.
Methods
We collected Korea Health Panel data between the years 2010 and 2012 from the consortium of the National Health Insurance Service and the Korea Institute for Health and Social Affairs, and analyzed the data to determine the outpatients and inpatients of health services utilization.
Results
Health services utilization was more significantly explained by predisposing and need factors than enabling factors. The outpatients were examined more specifically; sex, age, and marital status as predisposing factors, and chronic illness as a need factor were the variables that had significant effects on health-services-utilization experience. The inpatients were examined more specifically: sex, age, and marital status in predisposing factors; education level, economic activities, and insurance type in enabling factors; and chronic illness and disability status in need factors were the significant variables having greater effects on health-services-utilization experience.
Conclusion
This study suggests the practical implications for providing health services for outpatients and inpatients. Moreover, verifying the general characteristics of outpatients and inpatients by focusing on their health services utilization provides the baseline data for establishing health service policies and programs with regard to the recently increasing interest in health services.

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Nurse-Perceived Patient Adverse Events depend on Nursing Workload
Jeong-Hee Kang, Chul-Woung Kim, Sang-Yi Lee
Osong Public Health Res Perspect. 2016;7(1):56-62.   Published online February 28, 2016
DOI: https://doi.org/10.1016/j.phrp.2015.10.015
  • 2,929 View
  • 19 Download
  • 38 Crossref
AbstractAbstract PDF
Objectives
The purpose of this study was to investigate the correlation between nursing workload and nurse-perceived patient adverse events.
Methods
A total of 1,816 nurses working in general inpatient units of 23 tertiary general hospitals in South Korea were surveyed, and collected data were analyzed through multilevel logistic regression analysis.
Results
Among variables related to nursing workload, the non-nursing task experience had an influence on all four types of patient adverse events. Nurses with non-nursing tasks experienced patient adverse events—falls [odds ratio (OR) = 1.31], nosocomial infections (OR = 1.23), pressure sores (OR = 1.16), and medication errors (OR = 1.23)—more often than occasionally. In addition, when the bed to nurse ratio was higher, nurses experienced cases of pressure sores more often (OR = 1.35). By contrast, nurses who said the nursing workforce is sufficient were less likely than others to experience cases of pressure sores (OR = 0.78). Hospitals with a relatively high proportion of nurses who perceived the nursing workforce to be sufficient showed a low rate of medication error (OR = 0.28).
Conclusion
The study suggested that the high level of nursing workload in South Korea increases the possibility of patient adverse events.

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Phenotypic Assays to Determine Virulence Factors of Uropathogenic Escherichia coli (UPEC) Isolates and their Correlation with Antibiotic Resistance Pattern
Mohsen Tabasi, Mohammad Reza Asadi Karam, Mehri Habibi, Mir Saeed Yekaninejad, Saeid Bouzari
Osong Public Health Res Perspect. 2015;6(4):261-268.   Published online August 31, 2015
DOI: https://doi.org/10.1016/j.phrp.2015.08.002
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AbstractAbstract PDF
Objectives
Urinary tract infection caused by uropathogenic Escherichia coli (UPEC) strains is one of the most important infections in the world. UPEC encode widespread virulence factors closely related with pathogenesis of the bacteria. The purpose of this study was to evaluate the presence of different phenotypic virulence markers in UPEC isolates and determine their correlation with antibiotic resistance pattern.
Methods
UPEC isolates from patients with different clinical symptoms of UTI were collected and screened for biofilm and hemolysin production, mannose resistant, and mannose sensitive hemagglutination (MRHA and MSHA, respectively). In addition, antimicrobial resistance pattern and ESBL-producing isolates were recorded.
Results
Of the 156 UPEC isolates, biofilm and hemolysin formation was seen in 133 (85.3%) and 53 (34%) isolates, respectively. Moreover, 98 (62.8%) and 58 (37.2%) isolates showed the presence of Types 1 fimbriae (MSHA) and P fimbriae (MRHA), respectively. Our results also showed a relationship between biofilm formation in UPEC isolated from acute cystitis patients and recurrent UTI cases. Occurrence of UTI was dramatically correlated with the patients' profiles. We observed that the difference in antimicrobial susceptibilities of the biofilm and nonbiofilm former isolates was statistically significant. The UPEC isolates showed the highest resistance to ampicillin, tetracycline, amoxicillin, and cotrimoxazole. Moreover, 26.9% of isolates were ESBL producers.
Conclusion
This study indicated that there is a relationship between the phenotypic virulence traits of the UPEC isolates, patients' profiles, and antibiotic resistance. Detection of the phenotypic virulence factors could help to improve understanding of pathogenesis of UPEC isolates and better medical intervention.

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A Study on the Characteristics of Infrequent and Frequent Outpatients Visiting Korean Traditional Medical Facilities
Jinwon Yoon, Haemo Park, Chaeshin Chu, Sung-Yong Choi, Kibum Lee, Sundong Lee
Osong Public Health Res Perspect. 2015;6(3):170-183.   Published online June 30, 2015
DOI: https://doi.org/10.1016/j.phrp.2015.06.001
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AbstractAbstract PDF
Objectives
This study was intended to analyze the characteristics of infrequent and frequent outpatients visiting Korean medical facilities, and find the related variables of frequent users.
Methods
The data source was the Report on the Usage and Consumption of Korean Medicine (2011) published by the Ministry of Health and Welfare and Korea Institute for Health and Social Affairs. We analyzed outpatient data using SAS 9.2.
Results
As much as 46.6% of the patients used Korean medical services over 11 times in 3 months. The proportion of frequent users increased depending on age, and their proportion was high in the low-income and low-education group. People with musculoskeletal disease, stroke, hypertension, and obesity were more likely to use Korean medical services. In general, patients were satisfied with their treatment, with frequent outpatients being more satisfied than infrequent outpatients. In logistic regression analysis, age and musculoskeletal disease were significant determinants of frequency of use of Korean medical services.
Conclusion
Age, musculoskeletal disease, and specific diseases were highly associated with frequent Korean medical utilization.

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Determinants of the Length of Stay in Stroke Patients
Sang Mi Kim, Sung Wan Hwang, Eun-Hwan Oh, Jung-Kyu Kang
Osong Public Health Res Perspect. 2013;4(6):329-341.   Published online December 31, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.10.008
  • 3,253 View
  • 14 Download
  • 16 Crossref
AbstractAbstract PDF
Objectives
The study objective was to identify the factors that influence the length of stay (LOS) in hospital for stroke patients and to provide data for managing hospital costs by managing the LOS.
Methods
This study used data from the Discharge Injury Survey of the Korea Centers for Disease Control and Prevention, which included 17,364 cases from 2005 to 2008.
Result
The LOS for stroke, cerebral infarction, intracerebral hemorrhage, and subarachnoid hemorrhage was 18.6, 15.0, 28.9, and 25.3 days, respectively. Patients who underwent surgery had longer LOS. When patients were divided based on whether they had surgery, there was a 2.4-time difference in the LOS for patients with subarachnoid hemorrhage, 2.0-time difference for patients with cerebral infarction, and 1.4-time difference for patients with intracerebral hemorrhage. The emergency route of admission and other diagnosis increased LOS, whereas hypertension and diabetic mellitus reduced LOS.
Conclusion
In the present rapidly changing hospital environments, hospitals approach an efficient policy for LOS, to maintain their revenues and quality of assessment. If LOS is used as the indicator of treatment expenses, there is a need to tackle factors that influence the LOS of stroke patients for each disease group who are divided based on whether surgery is performed or not for the proper management of the LOS.

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    Lisda Amalia
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    Nick M. Murray, Katherine Thomas, Dean Roller, Scott Marshall, Julie Martinez, Robert Hoesch, Kyle Hobbs, Shawn Smith, Kevin Meier, Adrian Puttgen
    Journal of Telemedicine and Telecare.2023; : 1357633X2311661.     CrossRef
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    Steven Mulackal Thomas, Yarin Reindorp, Brandon R. Christophe, Edward Sander Connolly
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    A. Aderonmu Joseph, O. Obembe Adebimpe
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    Sang-Mi Kim, Young Kim, Seong-A Lee
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    Michelle Tørnes, David McLernon, Max Bachmann, Stanley Musgrave, Elizabeth A Warburton, John F Potter, Phyo Kyaw Myint
    BMJ Open.2019; 9(4): e024506.     CrossRef
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The Impact of Emergency Room Utilization by Depression Patients on Medical Treatment Expense in Korea
Hyun Sook Lee
Osong Public Health Res Perspect. 2013;4(5):240-245.   Published online October 31, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.09.007
  • 2,791 View
  • 14 Download
  • 3 Crossref
AbstractAbstract PDF
Objectives
To investigate the determinants of total medical expense for depression patients admitted through the emergency room (ER).
Methods
Data were selected from the Korean National Health Insurance sample data for 2009. SPSS version 18 was used for the statistical analysis such as descriptive analysis, correlation analysis, and multiple regression analysis. Data included 1203 cases admitted through the ER with ICD-10 codes (F31–F39).
Results
In the multiple regression analysis, significant variables affecting total payment were gender (p < 0.001), age (p < 0.001), main illness (p < 0.001), course of admission to the ER (p < 0.05), and length of stay (p < 0.001).
Conclusion
It is necessary to build a long-term program and system for high-risk depression groups.

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    Journal of Korean Medical Science.2017; 32(5): 718.     CrossRef
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    Hyun-Sik Choi, Hyun-Sook Lee
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PHRP : Osong Public Health and Research Perspectives