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ORIGINAL ARTICLE
Korean J Pediatr 2010 March;53(3) :307-313.
doi:https://doi.org/10.3345/kjp.2010.53.3.307
One-year evaluation of the national health screening program for infants and children in Korea
Jin Soo Moon (Moon JS)1, Soon Young Lee (Lee SY)2, Baik-Lin Eun (Eun BL)3, Young Key Kim (Kim YK)4, Young Key Kim (Kim YK)5, Son Moon Shin (Shin SM)6, Hea Kyoung Lee (Lee HK)7, Hee Jung Chung (Chung HJ)8
1Department of Pediatrics, Inje University Ilsan Paik Hospital, Goyang, Korea
2Department of Preventive Medicine and Public Health, School of Medicine, Ajou University, Suwon, Korea
3Department of Pediatrics, Korea University College of Medicine, Seoul, Korea
4Department of Rehabilitation Medicine, NHIC Ilsan Hospital, Goyang, Korea
5Department of Psychiatry, NHIC Ilsan Hospital, Goyang, Korea
6Department of Pediatrics, Kwandong University College of Medicine, Seoul, Korea
7Department of Pediatrics, Seoul Veterans Hospital, Seoul, Korea
8Department of Pediatrics, NHIC Ilsan Hospital, Goyang, Korea
Corresponding Author: Hee Jung Chung ,Email: agathac@nhimc.or.kr
Copyright © 2010 by The Korean Pediatric Society
ABSTRACT
Purpose:Results of the Korea National Health Screening Program for Infants and Children, which was launched in November 2007, were evaluated for future research and policy development. Methods:Data from a total of 2,729,340 cases were analyzed. Five visiting ages, such as 4, 9, 18, 30, and 60 months, were included. Several parameters such as stunting, obesity, and positive rate of developmental screening were also analyzed. Telephone survey was performed in 1,035 users. For the provider survey, 262 doctors participated in our study. Results:The overall participation rate of users was 35.3%. This participation rate showed a decrement tendency to old age and low income. Only 6.9% of users participated in oral screening. Health screening was performed mainly in private clinics (82.6%). The recall rate of 4 months program users at the age of 9 months was 57.3%. The positive rate of screening was 3.1%, and was higher in the low-income group. By telephone survey, users reported that questionnaires were not difficult (94%) and overall satisfaction was good (73%). Longer duration of counseling was related with more satisfied users. Counseling and health education were helpful to users (73.2%). Doctors agreed that this program was helpful to children (98.5%). Conclusion:Korea National Health Screening Program for Infants and Children was launched successfully. Participation rate should be improved, and a quality control program needs to be developed. More intensive support following this program for children of low-income families may lead to effective interventions in controlling health inequality. Periodic update of guidelines is also needed.
Keywords: Korea | Health Screening | Infant | Child | Health Inequality
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