In order to plan out the family-unit health care program, this study was carried out to investigate the status received periodic health examanination in families and the necessity perceptions of house wives about periodic health examination for family members. Study population included 1,511 family members of 316 households in the area of Sungsu Dong, Sungdong Gu of Seoul city. Well trained nursing school students interviewed with house wives according to the pretested questionaire from Sept. 17 to Oct. 8, 1988. The major results were as follows; The ratio of household of which member had received periodic health examination (the percentage of household of which member, even one, had received periodic health exam, once or more) varies among family members. For the child-off spring it was 63.5%-84.1% depend on the items of exam. and for the husband 42.2%-72.8% for the housewife 19.7%-53.2%, and for the old parents 12.5%-40.7%. The more commonly received items of exam. of the child-off spring were visual acuity test, 84.1% and Manteaux test, 81.6%; of the old parents, urinalysis and chest x-ray, each 40.7%; of the house-wife, pap-smear, 53.2%, urinalysis, 51.2%; of the husband, liver function test including lipid test, 72.8%, urinal-2%, urinalysis, 51.2%; of the husband, liver function test including lipid test, 72.8%, urinalysis, 72.3% and chest x-ray, 71.7%. The degree of the necessity perception for the periodic health exam. (full score as 3 point, average as 1.5-2 point) was equally high to the child-off spring and the old parents, 2.6-2.7 point depend on the items of exam. In the case of the husband the majority of the items scored 2.4-2.5 point and for the housewife those scored 2.1-2.3 point. Generally speaking those scores could be regarded as a high one. Among the items of exam, the degrees of the necessity perception were about the same: except pap-smear, 2.7 point and breast exam. for tumor, 2.6 point were higher than other items for the housewife and the test for anemia, 2.1 point was lower than other items for the husband.
To evaluate the clinical characteristics of geriartric in-patients, medical records of 399 patients above 40years of age, discharged at Yong Dong Severance Hospital from April 1th 1988 to April 30th 1988 were reviewed. As a result of comparing the age group above 65 to 40-64, we could obtain following results. 1) The geriatric group had more tendency to admit via emergency room than age group 40-64 and to have high blood pressure above 160/95 mmHg than age group 40-64 at the time of admission(P<0.005). 2) The geriatric group had more average number of diagnosis per person(P<0.005). 3) Infectious disease, diabetes mellitus, chronic obstructive lung disease, benign prostatic hypertrophy and cerbrovascular disease were more commonly involved in geriatric group(P<0.01), and among the infectious disease, the urinary tract infection, pneumonia were developed more frequently in geriatric group than age group 40-64(P<0.05). 4) The rate of death or hopeless discharge were higher in the geriatric group than the age group 40-64(P<0.05).
Between 1979 and 1988, 139 family physicians had completed residency training in family practice residencies in Korea. The primary purpose of this study was to measure the adequacy of the residency training program through the follow-up of graduates. Eighty nine(70.1%) of the graduates except immigrants and unidentified graduates responded to the survey. Of the 139 graduates, 41(29.5%) are in private practice and 44(31.7%) are employed in general hospital etc. In evaluation of preparation for practice, the graduates were asked to select responses of underprepared, adequately prepared, or overprepared for 61 subject areas involving medical and surgical specialties, pratice management, and family and community medicine issues. The deficiency areas were spotrs medicine(94.4%), occupational medicine(89.9%), school medicine(89.9%), plastic surgery(87.6%), geriatric medicine(84.3%). The adequately prepared areas were gastroenterology(89.9%), infection(86.5%), use of common dregs(85.4%), acute childhood illness(84.3%).
In korea, family Medicine has been introduced since 1918. since then the family Medicine became essential part in health delivery system of Korea. However the author thought the basic study can be accumulated for the further development of family Medicine. In this study, the author tried to evaluate the knowledge attitude and practice study of family Medicine in Korea. Sample was taken from outpatient in Kosin medical center, and the following results were obtained. 1. Total nember of samples were 180. Among them, male population was 75(41.7%) and female population was 105(58.3%) 2. 50% of total 180 answers aware family Medicine 3. 86% of total 180 answers thought the family Medicine is necessary for the Korea medical care 4. 65% of total 180 answers were interested in participating family practice program whenever it is avalable.