"A Study on Policy Direction for the Elderly Friendly City in the Viewpoint of Healthcare Service Design - In the center of Daegu Metropolitan City -"

2018 ◽  
Vol 19 (4) ◽  
pp. 127-141
Author(s):  
Bong il Mun ◽  
gi cheo Nam
2021 ◽  
Vol 12 (2) ◽  
pp. 1108-1118
Author(s):  
Birendra Shrivastava ◽  
Omi Bajracharya ◽  
Rajani Shakya

Self-medicine has become one of the important components in day-to-day life to treat mild ailments. If not used rationally, it may lead to serious public health issues. The aim of this study is to explore the prevalence, knowledge, and associated risk factors of self-medication practice among the community of the Lalitpur Metropolitan City of Nepal. A cross-sectional community based prospective study was conducted among 1,004 participants of the Lalitpur Metropolitan City using a pretested and validated questionnaire. The collected data were analyzed using descriptive and inferential analysis with an alpha level of 0.05 by using SPSS. The prevalence of self-medication was 45.20%. The three most common ailments for practicing self-medication were fever, headache, and cough/cold. The top reason for self-medication was minor illness. The study indicated that overall knowledge scores were significantly associated with self-medication (P<0.001). Multiple logistic regression showed the elderly are more oriented towards self-medication practice [AOR=5.22 (95%CI: 2.73-9.98)]. The health professional families have a high affinity towards self-medication practice [AOR=2.82 (95%CI: 1.68-4.75)]. Likewise, storing medicine at home [AOR= 7.01 (95%CI: 5.10-9.64)] and poor knowledge of medicine use were [AOR=1.81 (95%CI: 1.14-2.88)] more likely to prefer self-medication. The prevalence of self-medication was high, mostly due to the poor knowledge about appropriate medicine used. Self-medication is unavoidable in many situations; therefore, implementation of action plans to improve awareness about the consequences of self-medication is needed, thus facilitating its responsible use by the community.


2020 ◽  
Vol 10 (7) ◽  
pp. 1734-1745
Author(s):  
Siying Guo ◽  
Chao Xu ◽  
Xiao Xue ◽  
Zhiyong Feng ◽  
Shizhan Chen

With the aging of the population and the development of modern service industries, the health service ecosystem (HSE) is beginning to emerge. As a new form of healthcare industry in the Internet era, HSE has its inherent “social cyber” complexity: the source of healthcare service is social, and such sociality aggravates the diversity, uncertainty, and dynamics of service supply. This poses new challenges to the service matching between diverse supply and personalized requirements for aged persons. In order to meet this challenge, it is necessary to conduct the trans-boundary cooperation and integration between service chains in different domains, including business convergence, interface convergence and value convergence. This task is very difficult and there is currently no common method. In order to change such a situation, this paper proposes an interactive trans-boundary convergence method for health service ecosystem based on micro-service architecture. Firstly, the method confirms the value of service convergence, and then uses this as a driving force to achieve business process integration of different service chains. Then, the business coupling between different service chains is converted into asynchronous data communication to achieve interface convergence. Finally, the value assessment of service convergence is given to realize the value convergence. This method has been verified in the construction of National healthcare service platform for the elderly in China. The results demonstrate that our method has a substantial promise.


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