DOI QR코드

DOI QR Code

Determinants of the Use and Type of Comprehensive Medical Examination Services

건강검진 수검 및 검진유형 선택의 결정요인

  • Moon, Kwan-Sik (Department of Health Services Management, Graduate School Kyung Hee University) ;
  • Kim, Yang-Kyun (School of Management Kyung Hee University) ;
  • Chang, Hye-Jung (School of Management Kyung Hee University)
  • 문관식 (경희대학교 일반대학원 의료경영학과) ;
  • 김양균 (경희대학교 경영대학 경영학과) ;
  • 장혜정 (경희대학교 경영대학 경영학과)
  • Received : 2015.12.07
  • Accepted : 2016.05.04
  • Published : 2016.06.30

Abstract

Objectives : This study analyzed the factors that determine the use and type of medical examination services (MES) to develop a model explaining the use behavior of MES which could consequently contribute to policy implications for medical examinations. Methods : Based on Anderson's healthcare utilization model, the MES utilization model was developed by including the perceived needs for MES. The data were collected from an online survey of a population aged 20-39 years and from a telephone survey of a population aged 40 years or older, respectively. Chi-Square tests and hierarchical logistic regression analyses were done with SAS version 9.3. Results : Generally, as health status became lower, the use of MES increased. However, patients with two or more chronic diseases were less likely to use private MES compared to patients with one chronic disease. The perceived needs for MES were only related to the use of service and not to the choice of the MES type. Conclusions : There were different results for the significant determinants between the use of the MES and the choice of the MES type. The healthcare industry needs to aware of consumer needs to provide MES based on empirical findings.

Keywords

References

  1. B. Cho, C.M. Lee(2011), Current situation of national health screening systems in Korea, Journal of Korean Medical Association, Vol.54(7);666-669. https://doi.org/10.5124/jkma.2011.54.7.666
  2. National Health Insurance Service(2016), Medical examination conducted information. http://hi.nhis.or.kr/aa/ggpaa001/ggpaa001_m02.do
  3. National Health Insurance Service(2005), 2004 Health examination results and analysis, Press Releases. p.7.
  4. National Health Insurance Service(2015), Business Processing Know-how, p.21.
  5. National Health Insurance Service(2015), Annual statistical report, pp.66-67.
  6. National Health Insurance Service(2015), Freedom of information, [receipt No. 648].
  7. Korea Institute for Health and Social Affair, National Health Insurance Service(2012), A report on the korea health panel survey of 2010, p.139.
  8. H.S. Kim (2010), A Study on the Efficient Policy of Health Examination based on Comparing Private Health Sector with Public Health Sector[dissertation], Kyunghee University, p.114.
  9. J.Y. Yeo, H.S. Jeong(2012), Determinants of health screening and its effects on health behaviors, Health Policy and Management, Vol.22(1);49-64. https://doi.org/10.4332/KJHPA.2012.22.1.049
  10. S.W. Kang, C.H. You, Y.D. Kwon(2009), The Determinants of the Use of Opportunistic Screening Programs in Korea, J Pre Med Public Health. Vol.42(3);177-182. https://doi.org/10.3961/jpmph.2009.42.3.177
  11. R.M. Andersen(1995), Revisiting the behavioral model and access to medical care: does it matter?, Journal of Health Social Behavior Vol.36;1-10. https://doi.org/10.2307/2137284
  12. National Cancer Information Center [internet] (2013), Cancer Information Service, [cited 2015 Nov, 10]. http://www.cancer.go.kr/mbs/cancer/jsp/cancer/cancer.jsp?cancerSeq=3797&menuSeq=3806
  13. B.G. Jeong, I.K. Hwang, H.S. Shon, K.W. Koh, T.H. Yoon, J.H. Lim(2010), The relationship between trust in healthcare system and health examination participation, Journal of Agricultural Medicine & Community Health, Vol.35(4);395-404. https://doi.org/10.5393/JAMCH.2010.35.4.395
  14. E.J. Chun, S.N. Jang, S.I. Cho, Y.T. Cho, O.R. Moon(2007), Disparities in participation in health examination by socio-economic position among adult Seoul residents, Journal of Preventive Medicine and Public Health, Vol40(5);345-350. https://doi.org/10.3961/jpmph.2007.40.5.345
  15. W.C. Chang, T.H. Lan, W.H. Ho, T.Y. Lan(2010), Factors Affecting the Use of Health Examinations by the Elderly in Taiwan. Archives of Gerontology and Geriatrics, Vol.50(1);11-16. https://doi.org/10.1016/j.archger.2009.01.001
  16. Ministry Health & Welfare, Centers for Disease Control and Prevention(2012), Form of health and Chronic disease statistics, pp.18-19.
  17. 2012 Korea Health Statistics(2012), Korea National Health and Nutrition Examination Survey, p.330.
  18. 2013 Korea Health Statistics(2012), Korea National Health and Nutrition Examination Survey, p.185.
  19. S.Y. Moon, J.Y. Park, S. Kam, C.H. Han(2000), Health Care Utilization and Its Determinants of Public Officials with Detected Diseases through Periodic Health Examination Program In Health Insurance, Korean Journal of Health Policy & Administration, Vol.10(3);1-18.
  20. J.S. Choi(2000) Follow up rate and related factors to medical utilization after an abnormal result in Korean National Cancer Screening Program, Master thesis of Kangwon National University, pp.25-31.
  21. E.J. Jeong, B.D. Hwang(2011), The influence on selecting the medical institute for treatment by patients who had abnormal findings through the private health screening, The Korean Journal of Health Service Management, Vol.5(4);1-13. https://doi.org/10.12811/kshsm.2011.5.4.001

Cited by

  1. Factors Associated with Non-Participation in Health Screening for People with Disabilities vol.11, pp.4, 2017, https://doi.org/10.12811/kshsm.2017.11.4.089
  2. 군 간부 건강검진 서비스 품질과 고객만족, 행동의도와의 관계 vol.15, pp.1, 2016, https://doi.org/10.14400/jdc.2017.15.1.301
  3. 지리정보시스템을 이용한 국가 위암검진서비스 제공 의료기관에 대한 공간적 접근성 평가 - 강원도 지역을 중심으로 - vol.13, pp.1, 2019, https://doi.org/10.12811/kshsm.2019.13.1.015
  4. 경제활동 인구의 구강검진 수검에 영향을 미치는 요인 vol.3, pp.2, 2016, https://doi.org/10.22753/jkdhs/2020.3.2.51