Korean J Fam Pract. 2018; 8(5): 690-695  https://doi.org/10.21215/kjfp.2018.8.5.690
A Survey-based Study on Awareness Regarding Health Behaviors and Effectiveness of Periodic Health Examination in Korean Adults
Seung-Yeon Lee1, Yun-Mi Song1, Hyeonyoung Ko1, Woo Yong Lee2, Yoon-Ho Choi2, Son Mi Chung2, Jin-Hyuck Kim1, Jinyoung Shin3,*
1Department of Family Medicine, 2Center for Health Promotion, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul; 3Department of Family Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea
Jinyoung Shin
Tel: +82-2-2019-3428, Fax: +82-2-2019-3480
E-mail: jinyoung.shin17@gmail.com
ORCID: http://orcid.org/0000-0001-9558-1853
Received: July 20, 2017; Revised: August 8, 2017; Accepted: August 19, 2017; Published online: October 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: It is crucial to investigate the level of awareness among the general population regarding the need for health examination in a consumer-centered clinical setting. This study aimed to understand the periodic health examinee’s level of awareness regarding age for health examination in comparison to that of medical staff.
Methods: We recruited 585 subjects who visited the health promotion center and 228 medical staff members who worked in the same hospital from January 2016 to May 2016. The survey was designed to investigate the respondents’ level of awareness regarding age for health examination, and whether the screening for particular types of cancers would be beneficial for early diagnosis. The chi-square test was used for statistical analysis.
Results: A large proportion of periodic health examinees answered that there is no upper age limit for health examination. In the periodic health examinee group, more than 85.0% answered that they would continue health examination even after reaching the upper age limit. Majority of medical staff (65.8%) answered that they would encourage their patients to make an informed decision. Periodic health examinees believed that pancreatic and lung cancer screening would offer the least benefit for prognosis.
Conclusion: There are differences in the level of awareness between periodic health examinees and medical staff regarding the appropriate age for health examination and types of cancers where screening can be beneficial. These results support the importance of establishing correct perceptions regarding health examination, and the installation of screening programs to meet the expectations and demands.
Keywords: Health Examination; Awareness; Survey and Questionnaires; Periodic Health Examinee; Medical Staff
References
  1. Cho BR, Lee CM. Current situation of national health screening systems in Korea. J Korean Med Assoc 2011; 54: 666-9.
    CrossRef
  2. Maciosek MV, Coffield AB, Edwards NM, Flottemesch TJ, Goodman MJ, Solberg LI. Priorities among effective clinical preventive services: results of a systematic review and analysis. Am J Prev Med 2006; 31: 52-61.
    Pubmed CrossRef
  3. Rha DJ, Kim TJ, Kim NY. A study on the operation of the general health examination centers of hospital. Annu Bull Inst Hosp Manag 1999; 4: 97-117.
  4. Kim HS. Study on the efficient policy of health examination based on comparing private health sector with public health sector [dissertation]. Seoul:Kyung Hee Univ.; 2010. Korean.
  5. Kang S, You CH, Kwon YD. The determinants of the use of opportunistic screening programs in Korea. J Prev Med Public Health 2009; 42: 177-82.
    Pubmed CrossRef
  6. Yeo JY, Jeong HS. Determinants of health screening and its effects on health behaviors. Health Policy Manag 2012; 22: 49-64.
    CrossRef
  7. Shin YS, Park CY, Jung SH, Jung HY, Kang HY. Comparison of customer satisfaction with health examination programs provided by the Korea National Health Insurance and private healthcare organizations in Korea. J Korean Soc Qual Assur Health Care 2005; 12: 40-51.
  8. Im BH, Choi HS. Determination factors and satisfaction of health screening center by health examination at hospital. J Digit Converg 2014; 12: 457-67.
    CrossRef
  9. Ministry of Health and Welfare. 2016 Heatlh examination business guide [Internet]. Sejong: Ministry of Health and Welfare; c2016. [cited 2017 May 1].
    Available from: http://www.mohw.go.kr/front_new/gm/sgm0601vw.jsp?PAR_MENU_ID=13&MENU_ID=1304020501&page=1&CONT_SEQ=293371
  10. Jang SH, Sheen S, Kim HY, Yim HW, Park BY, Kim JW, et al. The Korean guideline for lung cancer screening. J Korean Med Assoc 2015; 58: 291-301.
    CrossRef
  11. Min KJ, Lee YJ, Suh M, Yoo CW, Lim MC, Choi J, et al. The Korean guideline for cervical cancer screening. J Gynecol Oncol 2015; 26: 232-9.
    Pubmed KoreaMed CrossRef
  12. Sohn DK, Kim MJ, Park Y, Suh M, Shin A, Lee HY, et al. The Korean guideline for colorectal cancer screening. J Korean Med Assoc 2015; 58: 420-32.
    CrossRef
  13. Yi KH, Kim SY, Kim DH, Kim SW, Na DG, Lee YJ, et al. The Korean guideline for thyroid cancer screening. J Korean Med Assoc 2015; 58: 302-12.
    CrossRef
  14. Lee EH, Park B, Kim NS, Seo HJ, Ko KL, Min JW, et al. The Korean guideline for breast cancer screening. J Korean Med Assoc 2015; 58: 408-19.
    CrossRef
  15. Kim DY, Kim HJ, Jeong SE, Kim SG, Kim HJ, Sinn DH, et al. The Korean guideline for hepatocellular carcinoma surveillance. J Korean Med Assoc 2015; 58: 385-97.
    CrossRef
  16. Park HA, Nam SY, Lee SK, Kim SG, Shim KN, Park SM, et al. The Korean guideline for gastric cancer screening. J Korean Med Assoc 2015; 58: 373-84.
    CrossRef
  17. Royce TJ, Hendrix LH, Stokes WA, Allen IM, Chen RC. Cancer screening rates in individuals with different life expectancies. JAMA Intern Med 2014;174: 1558-65.
    Pubmed CrossRef
  18. Lee SJ, Boscardin WJ, Stijacic-Cenzer I, Conell-Price J, O’Brien S, Walter LC. Time lag to benefit after screening for breast and colorectal cancer: metaanalysis of survival data from the United States, Sweden, United Kingdom, and Denmark. BMJ 2013; 346: e8441.
    Pubmed KoreaMed CrossRef
  19. National Lung Screening Trial Research Team, Aberle DR, Adams AM, Berg CD, Black WC, Clapp JD, et al. Reduced lung-cancer mortality with lowdose computed tomographic screening. N Engl J Med 2011; 365: 395-409.
    Pubmed KoreaMed CrossRef

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