1.Evaluation of Value-Based, Community-Centered Primary Care: A Case Study of Anseong Health Welfare Social Cooperative
Jong-Han LEEM ; Soon ho LEE ; Min Kyung LIM ; Eunbyoul AHN ; Younhee KIM
Korean Journal of Family Practice 2024;14(2):66-74
This study evaluated the feasibility of implementing a value-based, community-centered primary care model in South Korea by focusing on the Anseong Health Welfare Social Cooperative (Anseong Medicoop) as a case study. Anseong Medicoop restructured its existing NaHaengSi (“time for caring for oneself”) program into a community-centered healthcare model and provides services to 1,517 participants. This healthcare model categorized participants into two groups: disease prevention and chronic disease management. Service provision encompassed five stages: registration and categorization, initial examination, comprehensive assessment and planning, service delivery, and monitoring and evaluation. By emphasizing comprehensive community-centered activities, preventive services, and appropriate medical treatments, Anseong Medicoop possesses a robust foundation for the effective implementation of this model. The high levels of satisfaction observed in service evaluations provide further evidence of its success. Anseong Medicoop’s healthcare model demonstrated the feasibility of a community-centered primary care approach in South Korea. This study highlights the potential for the successful implementation of a value-based, community-centered primary care model in South Korea if operational challenges are sufficiently addressed and a new payment system is introduced.
2.Evaluation of Value-Based, Community-Centered Primary Care: A Case Study of Anseong Health Welfare Social Cooperative
Jong-Han LEEM ; Soon ho LEE ; Min Kyung LIM ; Eunbyoul AHN ; Younhee KIM
Korean Journal of Family Practice 2024;14(2):66-74
This study evaluated the feasibility of implementing a value-based, community-centered primary care model in South Korea by focusing on the Anseong Health Welfare Social Cooperative (Anseong Medicoop) as a case study. Anseong Medicoop restructured its existing NaHaengSi (“time for caring for oneself”) program into a community-centered healthcare model and provides services to 1,517 participants. This healthcare model categorized participants into two groups: disease prevention and chronic disease management. Service provision encompassed five stages: registration and categorization, initial examination, comprehensive assessment and planning, service delivery, and monitoring and evaluation. By emphasizing comprehensive community-centered activities, preventive services, and appropriate medical treatments, Anseong Medicoop possesses a robust foundation for the effective implementation of this model. The high levels of satisfaction observed in service evaluations provide further evidence of its success. Anseong Medicoop’s healthcare model demonstrated the feasibility of a community-centered primary care approach in South Korea. This study highlights the potential for the successful implementation of a value-based, community-centered primary care model in South Korea if operational challenges are sufficiently addressed and a new payment system is introduced.
3.The association of shift work and TyG index among male workers in a chemical plant of Korea: a cross-sectional study
Gwangin BAEK ; Yong-Jin LEE ; Soon-Chan KWON ; Young-Sun MIN ; Jisuk YUN ; Tae Jin AHN ; Eun-Chul JANG
Annals of Occupational and Environmental Medicine 2024;36(1):e18-
Disturbance of circadian rhythms caused by shift work has adverse effects on insulin resistance. Many previous studies have confirmed that shift work and insulin resistance are related using homeostasis model assessment-insulin resistance, one of the insulin resistance indicators. However, the triglycerides and glucose index (TyG index) has recently been studied as an insulin resistance indicator. The aim of this study is to investigate the association of shift work and TyG index, one of the indirect indicators of insulin resistance, using results of health checkups in one workplace. Based on medical examination data collected in February 2019, a total of 3,794 subjects from one chemical plant in Korea were selected for this study. Cut-off value of TyG index for predicting development of diabetes mellitus (DM) was 4.69. A multiple logistic regression analysis was performed after adjusting for age, employment period, obesity, abdominal obesity, smoking, drinking, physical activity, hypertension, stroke, heart disease. As a result of logistic regression analysis, compared to day workers, odds ratio (OR) with a TyG index above cut-off value for predicting development of DM in shift workers was 1.220 after adjusting for age, employment period, obesity, abdominal obesity, smoking, drinking, physical activity, hypertension, stroke, heart disease (Model 1, OR: 1.276; 95% confidence interval [CI]: 1.099–1.482; Model 2, OR: 1.232; 95% CI: 1.055–1.438; Model 3, OR: 1.220, 95% CI: 1.030–1.444). There was a significant association between shift work and TyG index among male workers in a chemical plant. More research studies on the association between shift work and TyG index are needed in the future.
4.Establishing Integrated Treatment Centers to Improve Mental Health Services: International Examples and Strategies for South Korea
Han-Sung LEE ; Hyunju LEE ; Yu Jin LEE ; Soon-Beom HONG ; Se Hyun KIM ; Hye Yoon PARK ; Soo-Hee CHOI ; Jee Eun PARK ; Sang Jin RHEE ; Juwon LEE ; Sukkyung LEE ; Jee Hoon SOHN ; Yong Min AHN
Journal of Korean Neuropsychiatric Association 2024;63(4):207-217
The global burden of mental illness has increased significantly since the COVID-19 pandemic. In South Korea, despite this rising burden, the utilization of mental health services remains critically low compared to other countries. This study evaluated successful integrated treatment centers from various countries, including the United States, the United Kingdom, and Australia, to identify the best practices that can be applied to South Korean society. These international examples informed the development of Mind the SHIM (SNUH Health in Mind) center, an integrated treatment model designed to address the gaps in non-pharmacological mental health services in South Korea. Mind the SHIM center focuses on developing and validating programs tailored to local needs, emphasizing professional education, systematic program delivery, and community collaboration. The biopsychosocial approach of the center is expected to enhance the overall quality of life of the patients and increase the utilization of mental health services, reducing the broader economic and social burden of mental illness in South Korea.
5.Establishing Integrated Treatment Centers to Improve Mental Health Services: International Examples and Strategies for South Korea
Han-Sung LEE ; Hyunju LEE ; Yu Jin LEE ; Soon-Beom HONG ; Se Hyun KIM ; Hye Yoon PARK ; Soo-Hee CHOI ; Jee Eun PARK ; Sang Jin RHEE ; Juwon LEE ; Sukkyung LEE ; Jee Hoon SOHN ; Yong Min AHN
Journal of Korean Neuropsychiatric Association 2024;63(4):207-217
The global burden of mental illness has increased significantly since the COVID-19 pandemic. In South Korea, despite this rising burden, the utilization of mental health services remains critically low compared to other countries. This study evaluated successful integrated treatment centers from various countries, including the United States, the United Kingdom, and Australia, to identify the best practices that can be applied to South Korean society. These international examples informed the development of Mind the SHIM (SNUH Health in Mind) center, an integrated treatment model designed to address the gaps in non-pharmacological mental health services in South Korea. Mind the SHIM center focuses on developing and validating programs tailored to local needs, emphasizing professional education, systematic program delivery, and community collaboration. The biopsychosocial approach of the center is expected to enhance the overall quality of life of the patients and increase the utilization of mental health services, reducing the broader economic and social burden of mental illness in South Korea.
6.The association of shift work and TyG index among male workers in a chemical plant of Korea: a cross-sectional study
Gwangin BAEK ; Yong-Jin LEE ; Soon-Chan KWON ; Young-Sun MIN ; Jisuk YUN ; Tae Jin AHN ; Eun-Chul JANG
Annals of Occupational and Environmental Medicine 2024;36(1):e18-
Disturbance of circadian rhythms caused by shift work has adverse effects on insulin resistance. Many previous studies have confirmed that shift work and insulin resistance are related using homeostasis model assessment-insulin resistance, one of the insulin resistance indicators. However, the triglycerides and glucose index (TyG index) has recently been studied as an insulin resistance indicator. The aim of this study is to investigate the association of shift work and TyG index, one of the indirect indicators of insulin resistance, using results of health checkups in one workplace. Based on medical examination data collected in February 2019, a total of 3,794 subjects from one chemical plant in Korea were selected for this study. Cut-off value of TyG index for predicting development of diabetes mellitus (DM) was 4.69. A multiple logistic regression analysis was performed after adjusting for age, employment period, obesity, abdominal obesity, smoking, drinking, physical activity, hypertension, stroke, heart disease. As a result of logistic regression analysis, compared to day workers, odds ratio (OR) with a TyG index above cut-off value for predicting development of DM in shift workers was 1.220 after adjusting for age, employment period, obesity, abdominal obesity, smoking, drinking, physical activity, hypertension, stroke, heart disease (Model 1, OR: 1.276; 95% confidence interval [CI]: 1.099–1.482; Model 2, OR: 1.232; 95% CI: 1.055–1.438; Model 3, OR: 1.220, 95% CI: 1.030–1.444). There was a significant association between shift work and TyG index among male workers in a chemical plant. More research studies on the association between shift work and TyG index are needed in the future.
7.Establishing Integrated Treatment Centers to Improve Mental Health Services: International Examples and Strategies for South Korea
Han-Sung LEE ; Hyunju LEE ; Yu Jin LEE ; Soon-Beom HONG ; Se Hyun KIM ; Hye Yoon PARK ; Soo-Hee CHOI ; Jee Eun PARK ; Sang Jin RHEE ; Juwon LEE ; Sukkyung LEE ; Jee Hoon SOHN ; Yong Min AHN
Journal of Korean Neuropsychiatric Association 2024;63(4):207-217
The global burden of mental illness has increased significantly since the COVID-19 pandemic. In South Korea, despite this rising burden, the utilization of mental health services remains critically low compared to other countries. This study evaluated successful integrated treatment centers from various countries, including the United States, the United Kingdom, and Australia, to identify the best practices that can be applied to South Korean society. These international examples informed the development of Mind the SHIM (SNUH Health in Mind) center, an integrated treatment model designed to address the gaps in non-pharmacological mental health services in South Korea. Mind the SHIM center focuses on developing and validating programs tailored to local needs, emphasizing professional education, systematic program delivery, and community collaboration. The biopsychosocial approach of the center is expected to enhance the overall quality of life of the patients and increase the utilization of mental health services, reducing the broader economic and social burden of mental illness in South Korea.
8.Evaluation of Value-Based, Community-Centered Primary Care: A Case Study of Anseong Health Welfare Social Cooperative
Jong-Han LEEM ; Soon ho LEE ; Min Kyung LIM ; Eunbyoul AHN ; Younhee KIM
Korean Journal of Family Practice 2024;14(2):66-74
This study evaluated the feasibility of implementing a value-based, community-centered primary care model in South Korea by focusing on the Anseong Health Welfare Social Cooperative (Anseong Medicoop) as a case study. Anseong Medicoop restructured its existing NaHaengSi (“time for caring for oneself”) program into a community-centered healthcare model and provides services to 1,517 participants. This healthcare model categorized participants into two groups: disease prevention and chronic disease management. Service provision encompassed five stages: registration and categorization, initial examination, comprehensive assessment and planning, service delivery, and monitoring and evaluation. By emphasizing comprehensive community-centered activities, preventive services, and appropriate medical treatments, Anseong Medicoop possesses a robust foundation for the effective implementation of this model. The high levels of satisfaction observed in service evaluations provide further evidence of its success. Anseong Medicoop’s healthcare model demonstrated the feasibility of a community-centered primary care approach in South Korea. This study highlights the potential for the successful implementation of a value-based, community-centered primary care model in South Korea if operational challenges are sufficiently addressed and a new payment system is introduced.
9.The association of shift work and TyG index among male workers in a chemical plant of Korea: a cross-sectional study
Gwangin BAEK ; Yong-Jin LEE ; Soon-Chan KWON ; Young-Sun MIN ; Jisuk YUN ; Tae Jin AHN ; Eun-Chul JANG
Annals of Occupational and Environmental Medicine 2024;36(1):e18-
Disturbance of circadian rhythms caused by shift work has adverse effects on insulin resistance. Many previous studies have confirmed that shift work and insulin resistance are related using homeostasis model assessment-insulin resistance, one of the insulin resistance indicators. However, the triglycerides and glucose index (TyG index) has recently been studied as an insulin resistance indicator. The aim of this study is to investigate the association of shift work and TyG index, one of the indirect indicators of insulin resistance, using results of health checkups in one workplace. Based on medical examination data collected in February 2019, a total of 3,794 subjects from one chemical plant in Korea were selected for this study. Cut-off value of TyG index for predicting development of diabetes mellitus (DM) was 4.69. A multiple logistic regression analysis was performed after adjusting for age, employment period, obesity, abdominal obesity, smoking, drinking, physical activity, hypertension, stroke, heart disease. As a result of logistic regression analysis, compared to day workers, odds ratio (OR) with a TyG index above cut-off value for predicting development of DM in shift workers was 1.220 after adjusting for age, employment period, obesity, abdominal obesity, smoking, drinking, physical activity, hypertension, stroke, heart disease (Model 1, OR: 1.276; 95% confidence interval [CI]: 1.099–1.482; Model 2, OR: 1.232; 95% CI: 1.055–1.438; Model 3, OR: 1.220, 95% CI: 1.030–1.444). There was a significant association between shift work and TyG index among male workers in a chemical plant. More research studies on the association between shift work and TyG index are needed in the future.
10.Establishing Integrated Treatment Centers to Improve Mental Health Services: International Examples and Strategies for South Korea
Han-Sung LEE ; Hyunju LEE ; Yu Jin LEE ; Soon-Beom HONG ; Se Hyun KIM ; Hye Yoon PARK ; Soo-Hee CHOI ; Jee Eun PARK ; Sang Jin RHEE ; Juwon LEE ; Sukkyung LEE ; Jee Hoon SOHN ; Yong Min AHN
Journal of Korean Neuropsychiatric Association 2024;63(4):207-217
The global burden of mental illness has increased significantly since the COVID-19 pandemic. In South Korea, despite this rising burden, the utilization of mental health services remains critically low compared to other countries. This study evaluated successful integrated treatment centers from various countries, including the United States, the United Kingdom, and Australia, to identify the best practices that can be applied to South Korean society. These international examples informed the development of Mind the SHIM (SNUH Health in Mind) center, an integrated treatment model designed to address the gaps in non-pharmacological mental health services in South Korea. Mind the SHIM center focuses on developing and validating programs tailored to local needs, emphasizing professional education, systematic program delivery, and community collaboration. The biopsychosocial approach of the center is expected to enhance the overall quality of life of the patients and increase the utilization of mental health services, reducing the broader economic and social burden of mental illness in South Korea.

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