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이철갑,안현옥,류소연,박종,김기순,김양옥,Lee, Chul-Gab,Ahn, Hyun-Ok,Ryu, So-Yeon,Park, Jong,Kim, Ki-Soon,Kim, Yang-Ok 대한예방의학회 1997 예방의학회지 Vol.30 No.4
To find the medical insurance utilization of workers when suffering from low back pain, an analysis was made toward the data of medical insurance benefits matched with the general characteristics of 10,183 workers, who were registered continuously from 1993 to 1995 at a medical insurance cooperation for industrial workers. The results were as follows; 1. The period prevalence of the medical insurance utilization for low back pain for 3 years from 1993 to 1995 was calculated as 17.1% for male workers and 19.4% for female workers. Most common cause of utilization was other dorsopathies including the herniation of lumbar discs. 2. The utilization rate increased significantly as the present age and the age joining the company got older(p<0.001). As the duration of employment got longer, the utilization rate of the male showed the tendency to increase and that of the female increased significantly(p<0.05). Among male workers employed at cement and concrete manufacturing companies showed higher utilization rate and among female laborers showed significantly higher utilization rate than clerical workers(p<0.01). 3. Annual utilization rate for low back pain didn't show any difference, but the portion of other dorsopathies among cause of utilization showed the tendency to increase from 1993 to 1995. 4. The mean number of claims for outpatient medical care for low back pain differed significantly by age, working duration, type of industries, income level(p<0.05), and the mean of total visiting days for care of low back pain differed significantly by working duration. In conclusion, considering the fact that the medical insurance utilization for low back pain increased annually and other dorsopathies including the herniation of dorsopathies were increasing, an effective preventive or management program for low back pain toward worker employed at industries were required.
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한 도시지역 저소득계층 노인들의 우울성향과 관련된 요인
이철갑,민선영 조선대학교 부설 의학연구소 2002 The Medical Journal of Chosun University Vol.27 No.1
Background : With the rapid increase in the aged population, we need to pay more attention to somatic disease and mental health in elderly patients. Thus, we can help manage elderly patients by studying factor associated with being elderly and their frequency of depressive moods. Methods : We selected 110 subjects over 65-yeasr-old who were treated in one of the social security centers from Mach, 1999 to June, 1999. We analyzed medical records find the relation between Geriatric Depression Scale-Korean (GDS-K) scores and sociodemographic factors, common disease factors, back and knee joint pain scores etc. Statistical data analysis using t-test or ANOVA and multiple regression was performed. Results : The results showed that depressive mood appeared in 10(32.3%) cases among males, 49(62.0%) among female and 59(63.6%) total among 110 subjects. Factors associated with depressive mood of the elderly were old age, for female, without spouse, medicaid, arthritis, severe back pain and arthralgia. Conclusion : The prevalence of depressive moods in the elderly was 63.6%, but many elderly patients with symptoms of depressive moods do not visit a hospital. The primary care physician should suspect depression in the management of elderly patients and understand associated factors influencing depression.
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