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National Health Screening Program Non-Participation Rates Among Koreans with Brain Injury-Based Disabilities: 2016–2017


Affiliations
1 Professor, Chungnam National University College of Nursing, Department of Nursing, Korea, Republic of
2 Associate Professor, Eulji University College of Nursing, Department of Nursing, Korea, Republic of
3 Professor, Chungnam National University College of Medicine, Department of Rehabilitation, Korea, Republic of
4 Doctoral Student, Chungnam National University College of Nursing, Department of Nursing, Korea, Republic of
5 Researchers, National Health Insurance Service, Big Data Department, Korea, Republic of
     

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Background/Objectives: The National Health Screening Program is currently performed in Korea. This study compared the non-participation rates between disabilities caused by brain injury and those without disability in 2016 and 2017.

Methods/Statistical Analysis: Data were extracted from the National Health Insurance database. Among the data, chest X-ray, blood pressure, blood sugar, body mass index (BMI), auditory and visual functions, Hepatitis B virus, hemoglobin, liver function, bone mineral density, lower extremity function test, balance test, depression, and cognitive function test results were compared between the disability from brain injury and non-disability groups. Descriptive statistics were used to analyse the non-participation rates between these groups.

Findings: About 0.3% (n=42,457) of individuals had disabilities due to brain injury. In 2016, the nonparticipation rates for chest X-ray and urine cholesterol among those with disability due to brain injury were 3.8%, and 4.1%, respectively. However, the non-participation rates among those without disabilities were only 0.9% and 0.4%, respectively. The non-participation rates among disabilities due to brain injury were also significantly higher than that in those without disability population in other examination programs. In 2017, 3.3% of individuals with disabilities due to brain injury did not participate in chest X-rays, compared to 0.8% of individuals without disabilities. Similarly, the non-participation rates for urine protein test were 4.1% and 0.4%, respectively. The non-participation rate for all examination programs for health screening was higher among those with disabilities due to brain injury than that in those without disabilities. The average non-participation rates for the group of individuals with disabilities due to brain injury were 5.0% in 2016 and 4.4% in 2017, compared to 1.6% and 1.4%, respectively, for the group without disabilities.

Improvements/Applications: The National Health Screening program should be applied to all citizens regardless of disability. Policies are needed to increase participation in health screening programs among individuals with disabilities.


Keywords

Disability, Brain Injury, Health, Examination, Program.
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  • National Health Screening Program Non-Participation Rates Among Koreans with Brain Injury-Based Disabilities: 2016–2017

Abstract Views: 471  |  PDF Views: 0

Authors

Youngshin Song
Professor, Chungnam National University College of Nursing, Department of Nursing, Korea, Republic of
Miyoung Lee
Associate Professor, Eulji University College of Nursing, Department of Nursing, Korea, Republic of
Soo-Kyung Bok
Professor, Chungnam National University College of Medicine, Department of Rehabilitation, Korea, Republic of
Ancho Lim
Doctoral Student, Chungnam National University College of Nursing, Department of Nursing, Korea, Republic of
Yeon-Yong Kim
Researchers, National Health Insurance Service, Big Data Department, Korea, Republic of
Seongjun Ha
Researchers, National Health Insurance Service, Big Data Department, Korea, Republic of

Abstract


Background/Objectives: The National Health Screening Program is currently performed in Korea. This study compared the non-participation rates between disabilities caused by brain injury and those without disability in 2016 and 2017.

Methods/Statistical Analysis: Data were extracted from the National Health Insurance database. Among the data, chest X-ray, blood pressure, blood sugar, body mass index (BMI), auditory and visual functions, Hepatitis B virus, hemoglobin, liver function, bone mineral density, lower extremity function test, balance test, depression, and cognitive function test results were compared between the disability from brain injury and non-disability groups. Descriptive statistics were used to analyse the non-participation rates between these groups.

Findings: About 0.3% (n=42,457) of individuals had disabilities due to brain injury. In 2016, the nonparticipation rates for chest X-ray and urine cholesterol among those with disability due to brain injury were 3.8%, and 4.1%, respectively. However, the non-participation rates among those without disabilities were only 0.9% and 0.4%, respectively. The non-participation rates among disabilities due to brain injury were also significantly higher than that in those without disability population in other examination programs. In 2017, 3.3% of individuals with disabilities due to brain injury did not participate in chest X-rays, compared to 0.8% of individuals without disabilities. Similarly, the non-participation rates for urine protein test were 4.1% and 0.4%, respectively. The non-participation rate for all examination programs for health screening was higher among those with disabilities due to brain injury than that in those without disabilities. The average non-participation rates for the group of individuals with disabilities due to brain injury were 5.0% in 2016 and 4.4% in 2017, compared to 1.6% and 1.4%, respectively, for the group without disabilities.

Improvements/Applications: The National Health Screening program should be applied to all citizens regardless of disability. Policies are needed to increase participation in health screening programs among individuals with disabilities.


Keywords


Disability, Brain Injury, Health, Examination, Program.



DOI: https://doi.org/10.37506/v20%2Fi1%2F2020%2Fmlu%2F194520