Development of PDA Application Model for Health Promotion Center / 대한의료정보학회지

Health promotion center is an area that hospitals promote and operate with priority for the early detection and prevention of disease. The quality of medical service needs to be improved by providing a quick and customized service to the patients who use the center. In the past, the examiners or hall managers took charge of the guidance and management of the patients in order, and the patients suffered from the disorder and discomfort while they are called and identified by name. In this paper, we realized automated health promotion system using PDA operation system to provide services comfortable for both patients and examiners. A comfortable and personalized system has been developed, where patients are provided with personalized guidance for the examination labs instead of being called by name and history of medical examination through the mobile terminal,

Survey on Screening and Management of Obesity in Health Promotion Centers

BACKGROUND: As the prevalence of obesity has increased, the management of obesity has become important as well. The assessment of abdominal obesity is necessary, because it is an independent risk factor of cardiovascular disease. Although WHO Western Pacific Region recommends measurement of waist circumference as well as BMI, there is no data that supports screening and management of obesity in a Health Promotion Center (HPC). Therefore, surveys concerning such issues were done among HPCs in Seoul, Incheon and Kyonggi. METHODS: From April to May 2002, we investigated 115 general hospitals in Seoul, Incheon, Kyonggi and recruited 94 subjects. We obtained the data from a doctor or a nurse who worked in a HPC by telephone survey. RESULTS: The number of respondents was 100 among 115 and in 94 subjects we obtained detailed information. For criteria of obesity, the proportion of hospitals that used the BMI was 35.1%, and those that use the ideal body weight was 50.0%. For criteria of overweight, the BMI was used in 19.1%, and the ideal body weight in 44.7%. Those who did not use any method was 27.7%. Those using the criteria of abdominal obesity was 35.1%, but only 14.9% used waist circumference and 16.9% used bioelectrical impedance analysis. Diet control and exercise was recommended in 57.4% and 61.4%, respectively. Drug therapy was used in 38.2%. CONCLUSION: Although WHO Western Pacific Region recommends a new criteria of obesity, many HPCs do not follow them. Especially, the degree of recognition for abdominal obesity was low. Effort to assess and manage obesity adequately is necessary.

The diagnosis distribution in health examination and associated sociodemographic factors

BACKGROUND: According as people have an increased interest in early detection of disease and health promotion, people who take health examinations are increased. So this study is aimed to survey common problems about health in community and their frequency by way of investigation on diagnosis in health examination data and to evaluate the effects of health risk factors on each disease patterns. METHODS: The medical records of the clients who have taken health examinations for the first time from March 1995 to February 2000 at a health examination center of a university hospital in Seoul were reviewed. The category and number of judged diagnosis, sociodemographic factors are compared and analyzed. RESULTS: The selected medical records accounted to 22,393. The study subjects consist of 11,544(51.6%) male. Mean age is 52.0+/-10.5 years(range 16~90). Mean number of judged diagnosis is 4.04+/-2.13(range 0~9) per one person and female took more diagnosis than male on an average(4.09+/-2.17 Vs 3.99+/-2.09). The organic diagnosis(56.4%) is most in total and other diagnosis is 35.7%, functional diagnosis is 7.9%. The common diagnoses are liver disease(7.07%), decreased physical strength(6.68%), hyperlipidemia(6.53%), obesity(5.90%), osteoporosis or postmenopausal syndrome(4.72%), need for immunization against viral hepatitis(4.69%), hypertension(4.20 %), functional gastrointestinal disease(3.93%). The number of total diagnosis and organic diagnosis is larger in older age, no exercise, female, smoker, no spouse, lower education(p<0.05). The number of functional diagnosis is larger in female, younger age, non smoker, lower education(p<0.05). The number of other diagnosis is larger in no exercise, smoker, female, younger age(p<0.05). CONCLUSION: According to health examination, total diagnosis and organic diagnosis are influenced by age, exercise, sex, smoking, spouse, education, functional diagnosis is influenced by sex, age, smoking, education and other diagnosis is influenced by exercise, smoking, sex, age.

The Diagnosis Distribution in Health Examination of Old Aged People and Associated Sociodemographic Factors

BACKGROUND: According as old aged people have an increased interest in early detection of disease and health promotion, old aged people who take health examinations are increased. So this study is aimed to survey common problems about geriatric health in community and their frequency by way of investigation on diagnosis in health examination data and to evaluate the effects of health risk factors on each disease patterns. METHODS: The medical records of the clients who have taken health examinations for the first time from March 1995 to February 2000 at a health examination center of a university hospital in Seoul were reviewed. The category and number of judged diagnosis, sociodemographic factors are compared and analyzed. RESULTS: The selected medical records accounted to 22,393. The study subjects consist of 11,544(51.6%) male. Mean age is 52.0+/-10.5 years(range 16~90). 65 years or more old aged people of them are 2,612(11.7%), the number of judged diagnosis per one old person is 4.84+/-2.22(range 0~9) and young people took less diagnosis is 35.7%, functional diagnosis is 7.9%. The common diagnoses are liver disease(7.07%), decreased physical strength(6.68%), hyperlipidemin(6.53%),obesity(5.90%), osteoporosis or postmenopausal syndrome(4.72%), need for immunization against viral hepatitis(4.69%), hypertension(4.20%) functional gastrointestinal disease(3.93%). The number of total diagnosis and organic diagnosis is larger in older age, no exercise, female,smoker, no-spouse, lower education(p<0.05). The number of other diagnosis is larger in no exercise, smoker, female, younger age(p<0.05). CONCLUSION: According to health examination, total diagnosis and organic diagnosis are more in old aged group than in young. Functioinal diagnosis and other diagnosis is less in old aged group than in young.