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One-year evaluation of the national health screening program for infants and children in Korea

Korean Journal of Pediatrics 2010;53(3):307-313.
Published online March 15, 2010.
One-year evaluation of the national health screening program for infants and children in Korea
Jin Soo Moon1, Soon Young Lee2, Baik-Lin Eun3, Young Key Kim4, Young Key Kim5, Son Moon Shin6, Hea Kyoung Lee7, Hee Jung Chung8
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
영유아 건강검진 시행 초기 1년의 결과 분석
문진수1, 이순영2, 은백린3, 김성우4, 김영기5, 신손문6, 이혜경7, 정희정8
1인제대학교 의과대학 소아과학교실
2아주대학교 의과대학 예방의학교실
3고려대학교 의과대학 소아과학교실
4국민건강보험공단 일산병원 재활의학과
5국민건강보험공단 일산병원 정신과
6관동대학교 의과대학 소아과학교실
7서울보훈병원 소아청소년과
8국민건강보험공단 일산병원 소아청소년과
Hee Jung Chung, Email: agathac@nhimc.or.kr
Received: 18 February 2010   • Revised: 25 February 2010   • Accepted: 2 March 2010
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.
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.
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%).
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.
Key Words: Korea, Health Screening, Infant, Child, Health Inequality

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