Seo Young Kang, Jung Ah Lee, Young Sik Kim
Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
Background: Current National Health Examination (NHE) in
Korea provides health examination to the public
throughout the entire life course; however, management
after NHE is not sufficiently delivered. In this study, we
investigated knowledge and attitude of health care providers
in order to revise result forms and counseling
manual of NHE.
Methods: We recruited 30 doctors, who undergo NHE, and
conducted survey from January 7, 2016 to January
26, 2016. Participants answered questionnaires regarding
difficulty of explaining each items of result forms, difficulty
of counseling each items of NHE, and ways of
improvement. Furthermore, we conducted in-depth interview
regarding pros and cons of NHE and improvements needed.
Results: The average Likert score for difficulty of explaining
items of result forms was lowest (3.8/5.0 points) for
blood test due to its graphic format. Difficult counseling
items were mental health, mild cognitive impairment
and dementia, and healthcare for the elderly. The
proportions of doctors, who often counsel these items, were
less than 40%. In the in-depth interview, health care
providers suggested that examinees¡¯ knowledge for result
forms decreases because it is hard to interpret, and
management after NHE should be improved by undertaking
NHE in primary health care facilities.
Conclusions: The graphic format of blood test result form
should be revised into readable format, and contents
of counseling manual for mental health, mild cognitive
impairment and dementia, and healthcare for the elderly
should be improved. Financial support for doctors should be
provided, and NHE should ultimately be reinforced
in primary health care facilities.
Korean J Health Promot 2017;17(4):252-258
Keywords: National health programs, Health personnel,
Counseling |