1.2020 POGS report on obstetrical and gynecological indicators of health care
Annette M. Macayaon ; Maria Antonia E. Habana ; Helen R. Amorin ; Antoinette U. Anonuevo ; Jennifer C. del Prado ; Ina S. Irabon ; Angelito D. L. Magno ; Ma. Luisa T. Mangubat
Philippine Journal of Obstetrics and Gynecology 2022;46(1):29-37
Background:
The POGS committee on nationwide statistics uses an electronic census platform called the POGS nationwide statistics system (PNSS) to collect the statistical data on obstetric and gynecologic health indicators.
Objectives:
The article aims to present 2020 data gathered and compare these with the 2019 census. Obstetrical and gynecological indicators of health care and preliminary data on COVID-19 cases are reported.
Methodology:
This cross-sectional study reports the data generated from the submissions of POGS-accredited hospitals from January to December 2020, through the PNSS.
Results:
The number of accredited hospitals that submitted their census with 100% compliance is 94%. There was a total of 329,972 number of cases reported, 92% were obstetric cases. Live birth rate was the highest in the National Capital Region at 33.5%, with the highest age-specific birth rate in the 25–29 age group. Most live births were term pregnancies. Adolescent birth rate was 6.45 per 1000 women. Cesarean section rate, stillbirth rate, neonatal mortality rate, and perinatal mortality rate were higher than 2019. The maternal mortality ratio was 121.6 per 100,000 live births. There were 2,858 cases of confirmed COVID-19 infection. There were 26,164 gynecologic admissions, with the most common diagnosis being abnormal uterine bleeding. The most common gynecologic procedures performed were hysterectomy, salpingo-oophorectomy, medical management, and blood transfusion. Majority of the deaths from gynecologic cases had gynecologic malignancies and among these, cervical cancer (19%) had the greatest number of deaths.
Conclusion
Obstetric and gynecologic admissions are lower compared to last year. A deterioration in obstetrical indications can be seen and explanations for this occurrence must be explored further. Preliminary data on COVID-19 cases was likewise presented. Timely and accurate statistics will help us define the areas we need to improve on, as well as the unmet needs of our patients.
Censuses
2.The Analysis of Covariance of Do(province) Population Variability.
Korean Journal of Preventive Medicine 1973;6(1):77-80
The Mechanism for sorting out the covariance effect is known as the covariance analysis. The sorting out of regression and correlation effect is an obvious application of the covariance analysis. The result of Do population by age groups (15 age interval) from 1966 census and from, 1970 Census has been applied to analyzing covariabiltiy by the analysis of covariance. The results are as follows. The significance of the regression of 1970 population on 1966 population is assured as F=116.5. There is a significant difference between mean of each age groups(F=88.1). There is very little evidence of significant heterogeneity of regression between age group. (F=0.72).
Censuses
;
Humans
;
Population Characteristics
3.Maternal and perinatal health indicators from 2019 to 2022: Data from the POGS Nationwide Statistics System
Pressie P. Eclarin ; Ina S. Irabon ; Maria Antonia E. Habana ; Antoinette U. Añ ; onuevo ; Ryan B. Capitulo ; Jennifer C. del Prado ; Annette M. Macayaon ; Aurora L. Valdez
Philippine Journal of Obstetrics and Gynecology 2024;48(1):1-9
Objectives:
The objectives of this study were to present maternal and perinatal health indicators for the years 2019–2022.
Methodology:
This is a cross-sectional review that analyzed data on maternal and perinatal health indicators, generated from submissions of POGS-accredited hospitals (training and service) from January 2019 to December 2022. The data were compared to the national data obtained from official public documents published by the Philippine Statistics Authority in 2022 and 2023.
Results:
The number of member hospitals has steadily increased over the years, and compliance rates have been consistently over 85%. The total number of registered cases and live births declined in 2020 and 2021, but has increased to prepandemic levels in 2022. The primary cesarean section (CS) rates remained above 20%, with the highest rate noted in 2021 (25.5%). The top three-most common indications for primary CS were dysfunctional labor, fetal distress, and malpresentation. Stillbirth, perinatal, and maternal mortality rates showed an increase from 2019 to 2022, with peak rates registered for the year 2021. The top five causes of maternal death are: medical complications, hemorrhage, hypertension, infection, and others (unspecified). The case fatality rate among pregnant patients with confirmed COVID-19 infection was 1.18%.
Conclusion
From 2019 to 2021, there was a decline in the number of registered cases and live births, and an increase in the primary CS rates, maternal mortality ratio, perinatal death rates, and stillbirth rates. This may be explained by the prevailing social, health, and economic impact of the COVID-19 pandemic during these years.
Censuses
;
COVID‑19
4.The Relationship between Cerebrovascular Mortality and Community Health Indicators in Gangwon-do.
Journal of Agricultural Medicine & Community Health 2009;34(1):1-12
OBJECTIVES: The aim of this study was to characterize the community health indicators affecting standardized mortality rate of cerebrovascular diseases(CVD) and to identify the relationship between CVD mortality and community health indicators in Gangwon-do. METHODS: The community health indicators included material deprivation index, medical resource, rates of road pavement and local tax. CVD mortality and the material deprivation index were calculated in the registered death data and the 2000 census which were obtained from the Korean National Statistics Office. The community health indicators were measured using 2001 statistical year book of Ganwon-do. Data were analyzed by using Excel 2003, SAS 9.1. CVD mortality and material deprivation index were visualized by Arcview 9.1. RESULTS: CVD mortality varied by region and sex in Gangwon-do. The highest CVD mortality in male and female were noted at Goseong-gun, the lowest CVD mortality in male was at Yangyang-gun as it of female at Pyeongchang-gun. In Taebaek city where material deprivation index was also the highest; in Pyeongchang-gun was the lowest. Also the higher material deprivation index in some regions was the higher CVD mortality was. CVD mortality was not related with community health indicators. CONCLUSIONS: The results showed the regional difference of mortality of CVD among counties and cities in Gangwon-do. It is recommended that other community health indicators besides material deprivation index, road pavement rate, medical resources and local tax affecting CVD mortality need to be considered to improve the preventive strategies.
Censuses
;
Female
;
Humans
;
Male
;
Phenothiazines
;
Taxes
5.Spectrum of CNS infections in the Philippines.
Rene B. Punsalan ; Aida Salonga ; Esteban Pasol ; Marcelino Ostrea ; Pia Banico ; Paul Pasco ; Teresita Rabanal ; Ma. Antonia Valencia
Philippine Journal of Neurology 2020;23(1):25-32
The CNS Infection Censuses for 2011 and 2012 from 9 neurology training programs in 7 institutions in the
Philippines were collated to determine the types of CNS infections seen in the country and their relative
frequencies. A comparison with a similar survey done in 1999 was made. A total of 1629 cases of CNS
infections were recorded. There were 23 categories. Bacterial meningitis (34.3%) and TB meningitis
(30.7%) were the top two infections, constituting more than half of all CNS infections seen. When the adult
and pediatric census were separated, TB meningitis came up to be the most common infection in adults
(43%) with bacterial meningitis a poor second at 19.4%. The reverse is seen in the pediatric population –
bacterial meningitis (41.7%) vs. TB meningitis (24.6%). Cryptococcal meningitis was more frequent in the
adult census (8.1%) compared with the pediatric census (0.1%). These patterns were seen in a similar
census done in 1999. A significant increase in relative frequency in cryptococcal cases was seen in the later
census (2.8% vs. 2.0%), the increase being due to the marked increase in the adult group (8.1% vs. 4.3%),
probably due to the upward trend in the incidence of HIV cases in the country. No increase in this category
was seen in the pediatric population. The benefits of collaboration among institutions in coming up with a
large number of cases of CNS infections and a greater variety to study was highlighted. The study was
conducted by the CNS Infection Council of the Philippine Neurological Association.
Central Nervous System Protozoal Infections
;
Censuses
;
Philippines
6.Nurse Staffing Levels and Proportion of Hospitals and Clinics Meeting the Legal Standard for Nurse Staffing for 1996~2013.
Sung Hyun CHO ; Ji Yun LEE ; Kyung Ja JUNE ; Kyung Jin HONG ; Yunmi KIM
Journal of Korean Academy of Nursing Administration 2016;22(3):209-219
PURPOSE: To analyze the proportion of medical institutions meeting the legal standard for nurse staffing. METHODS: Data collected from 29,282 institutions between 1996 and 2013 were analyzed. Nurse staffing was measured as daily patient census per registered nurse (RN). The standard for general hospitals, hospitals, and clinics is 2.5 or less, and that for long-term care hospitals is 6.0 or less of the daily patient census per RN. Clinics may substitute nursing assistants for RNs by 50% or 100% depending on their daily inpatient census; long-term care hospitals may substitute nursing assistants for RNs by two thirds of the required number of RNs. RESULTS: The proportion of general hospitals, hospitals, clinics, and long-term care hospitals meeting the standards was 63%, 19%, 63%, and 94%, respectively, in 2013. While general hospitals had an increase in the proportion during the 1996-2013 period, small changes were found in hospitals and clinics. In 2013, nurses were estimated to care for 16 (interquartile range: 12~24) patients per shift in general hospitals. Three quarters of clinics had no RNs in 2013. CONCLUSION: Many medical institutions did not meet the legally mandated minimum staffing level. The government must implement policy actions for all medical institutions to meet the legal standards.
Censuses
;
Hospitals, General
;
Humans
;
Inpatients
;
Long-Term Care
;
Nurses
;
Nursing
7.The Relationships of Occupational Class, Educational Level and Deprivation with Mortality in Korea.
Korean Journal of Preventive Medicine 2002;35(1):76-82
OBJECTIVE: To investigate the relationships of occupational class, educational level and deprivation with mortality in Korea. METHODS: This study used existing South Korean national data on occupation, educational level, and deprivation and death. Mortality was investigated using registered death data from 1993 to 1997 obtained from the Korean National Statistics Office (NSO) with denominators drawn from the 1995 Census. Statistical analysis consisted of poisson regression modeling and multilevel analysis. RESULTS: The lower occupational class (manual workers) group had a higher mortality rate than the higher occupational class (non-manual workers) group. Educational level, and deprivation were both inversely related withand mortality. Occupation was strongly associated with education. Area-based deprivation indicators and individual indices for social class made an independent contribution to the mortality risk. CONCLUSIONS: The findings of this study suggests that the relationships of occupational class, educational level and deprivation with mortality appears to be stronger in Korea than in European countries.
Censuses
;
Education
;
Korea*
;
Mortality*
;
Multilevel Analysis
;
Occupations
;
Social Class
8.The study to estimate the floating population in Seoul, Korea
Geon Woo LEE ; Yong Jin LEE ; Youngeun KIM ; Seung Han HONG ; Soohwaun KIM ; Jeong Soo KIM ; Jong Tae LEE ; Dong Chun SHIN ; Youngwook LIM
Environmental Health and Toxicology 2017;32(1):2017010-
Traffic-related pollutants have been reported to increase the morbidity of respiratory diseases. In order to apply management policies related to motor vehicles, studies of the floating population living in cities are important. The rate of metro rail transit system use by passengers residing in Seoul is about 54% of total public transportation use. Through the rate of metro use, the people-flow ratios in each administrative area were calculated. By applying a people-flow ratio based on the official census count, the floating population in 25 regions was calculated. The reduced level of deaths among the floating population in 14 regions having the roadside monitoring station was calculated as assuming a 20% reduction of mobile emission based on the policy. The hourly floating population size was calculated by applying the hourly population ratio to the regional population size as specified in the official census count. The number of people moving from 5 a.m. to next day 1 a.m. could not be precisely calculated when the population size was applied, but no issue was observed that would trigger a sizable shift in the rate of population change. The three patterns of increase, decrease, and no change of population in work hours were analyzed. When the concentration of particulate matter less than 10 μm in aerodynamic diameter was reduced by 20%, the number of excess deaths varied according to the difference of the floating population. The effective establishment of directions to manage the pollutants in cities should be carried out by considering the floating population. Although the number of people using the metro system is only an estimate, this disadvantage was supplemented by calculating inflow and outflow ratio of metro users per time in the total floating population in each region. Especially, 54% of metro usage in public transport causes high reliability in application.
Censuses
;
Korea
;
Motor Vehicles
;
Particulate Matter
;
Population Density
;
Seoul
;
Transportation
9.Computerization in Ward Nursing Information System Using Order-Communicating System.
Journal of Korean Society of Medical Informatics 1997;3(1):49-61
In the complexity and diversity of modem society, there is an urgent need for an information system which can systematically collect, manage and analyze data. Especially in the discipline of Nursing, a nursing information system is necessary to maximize nursing resources and improve nursing care in the present system which is faced with increases in client needs and multiple changes in recent hospital environment. This research was done to provide a basis for the development of nursing information system, which was extracted from an analysis of the demand of nurses and other medicine staffs in the general wards excluding the special unit(ER, OR, CSR, etc.). The ward nursing information system was analysed through analysis of nursing practice related to recordings, such as the work book, work list, kardex, other nursing practice recording on 24 wards, and open questionnaire of 288 nurses. Through this process, only four subsystems of output material for nursing practice were described in this study; (1) order communication system in nursing, (2) ward management system in nursing, (3) census reporting system in nursing, (4) materials management system.
Censuses
;
Information Systems*
;
Modems
;
Nursing Care
;
Nursing*
;
Patients' Rooms
;
Surveys and Questionnaires
10.Methodological Aspects of a Telephone Survey on the Behavioral Risk Factors in Korea.
Journal of the Korean Academy of Family Medicine 1997;18(10):1054-1068
BACKGROUND: A survey is the only direct way of determining the distribution of behavioral risk factors among a population. The department of Family Medicine in Seoul national university hospital adopted telephone interviewing for collecting information about behavioral risk factors of Koreans. Because methodological aspect of telephone survey is different according to the telephone and communication environment of the area in which the survey would be held, we tried to figure out adequate methodological aspects of a telephone survey on the behavioral r isk factor in Korea. METHODS: We sampled telephone numbers from the telephone number database which is supported by Infornet Ltd. with stratified cluster random sampling method and selected respondent by using algorithm of Kish. 13 part-time job interviewers were trained for 6 hours and then interviews were made in a fixed area for the time assigned. RESULTS: 13 interviewers tried to do 1,826 interviews for 4 weeks. Sociodemographic characteristics of respondents were compared with the census estimates and another face to face interview and there were no significant differences. A response rate of 79.8%, refusal rate of 12.9% and interview efficiency of 58.1% were obtained, yielding 1060 completed interview. A total of 28,830 person minutes of interview time were spent on the survey with an average of 27.2 minutes per completed interview. CONCLUSIONS: Sampling method using the telephone number database could be used keeping the representativeness of the samples and telephone survey was considered to be reliable and affordable method for determining the prevalence of behavioral risk factors in Korea.
Censuses
;
Surveys and Questionnaires
;
Disulfiram
;
Humans
;
Interviews as Topic
;
Korea*
;
Prevalence
;
Risk Factors*
;
Seoul
;
Telephone*