DOI QR코드

DOI QR Code

Effects of Public Health Service Impartiality on Subjective Health Happiness: Mediated Effect of Public Health Service Quality

공공의료서비스 제공의 공평성이 주관적 건강행복에 미치는 영향: 공공의료서비스 질의 매개효과

  • Moon, Seung Min (Department of Public Administration, Yonsei University Graduate School)
  • 문승민 (연세대학교 대학원 행정학과)
  • Received : 2019.07.08
  • Accepted : 2019.08.19
  • Published : 2019.09.30

Abstract

Background: The purpose of this study is to analyze the effect of impartiality in providing public health services on subjective health happiness and the mediated effects of public health service quality. Based on this, this study intends to present policy implications to improve public health services. Methods: The research method is multiple linear regression analysis. The analysis of the mediating effects is performed by Baron & Kenny's test, Sobel-Goodman's test, and Bootstrap. Results: The impartiality of public health services and the quality of public health services are shown to have a statistically significant effect on subjective health happiness. Quality of public health service appears to be mediating the relationship between impartiality in providing public health care and subjective health happiness. Conclusion: To promote people's subjective health happiness, it is necessary to secure impartiality in providing public health services in the first place and improve the quality of public health services.

Keywords

References

  1. Public Health and Medical Services Act, Act No. 15440 (Mar 13, 2018).
  2. Lee KS. Definition of public health care and it's policy directions. Public Health Aff 2017;1(1):79-97. DOI: https://doi.org/10.29339/pha.1.1.79.
  3. Karsten SG. Health care: private good vs. public good. Am J Econ Sociol 1995;54(2):129-144. DOI: https://doi.org/10.1111/j.1536-7150.1995.tb02684.x.
  4. Wolf Jr C. A theory of nonmarket failure: framework for implementation analysis. J Law Econ 1979;22(1):107-139. DOI: https://doi.org/10.1086/466935.
  5. Im TB. A critical review of New Public Management reforms in Korea. Korean Public Adm Q 2003;15(1):1-24.
  6. Lee SS. An assessment of the local public services in Korea: with special reference to public hospitals. Korean Public Adm Rev 2000;34(3):243-262.
  7. Yoo GR. Evaluating the efficiency of public health services using the nonoriented slack-based model of efficiency: with an application to the twenty-five districts of Seoul Metropolitan City. Korean J Public Adm 2008;17(3):91-126. https://doi.org/10.22897/KIPAJN.2008.17.3.004
  8. Kim SE, Choi SM. A comparative study of performance between public medical organizations and private medical centers. Korean Soc Public Adm 2014;24(4):29-52.
  9. Yang JH, Myoung SM, Chang DM. A panel data analysis of the relationship between publicness and profitability of public hospitals: focused Medicaid patients. Health Soc Welf Rev 2014;34(4):418-440. DOI: https://doi.org/10.15709/hswr.2014.34.4.418.
  10. Lee HJ, Lee DW, Jeong JY. The influence factors on the performance of regional public hospitals. Health Policy Manag 2019;29(1):27-39. DOI: https://doi.org/10.4332/KJHPA.2019.29.1.27.
  11. Ministry of Health and Welfare. For the realization of an inclusive nation without the regional gap in essential fees: comprehensive plan for the development of public health care. Sejong: Ministry of Health and Welfare; 2018.
  12. Cho HJ. Equity in health care: current situation in South Korea. J Korean Med Assoc 2013;56(3):184-194. DOI: https://doi.org/10.5124/jkma.2013.56.3.184.
  13. Kim JY. A study on improvement of interregional disparity in national health service. Sejong: Korea Legislation Research Institute;2013.
  14. Lee HG, Lee MA. Do public services make people happy?: a study of the relationship between perceived performance and happiness. Korean Public Adm Rev 2014;48(2):293-315.
  15. Kim BS, Choi SJ, Choi EM. Happiness and government’s role: a study on the mediating effect of quality of life between public services and happiness. Korean Public Adm Rev 2015;49(4):97-122. https://doi.org/10.18333/KPAR.49.4.97
  16. Kim DW, Park CM. Analysis of quality components and customer satisfaction in public health services. J Local Gov Stud 2002;14(4):207-228.
  17. Kim GJ, Lee SC. A study on factors determining service quality of health care: based on comparison public sector with private sector. Korean Balanced Dev Stud 2014;5(1):57-78.
  18. Parasuraman A, Zeithaml VA, Berry LL. A conceptual model of service quality and its implications for future research. J Mark 1985;49(4):41-50. DOI: https://doi.org/10.2307/1251430.
  19. Sofaer S, Firminger K. Patient perceptions of the quality of health services. Annu Rev Public Health 2005;26:513-559. DOI: https://doi.org/10.1146/annurev.publhealth.25.050503.153958.
  20. Kim J. The impact of health care coverage on changes in self-rated health: comparison between the near poor and the upper middle class. Health Policy Manag 2016;26(4):390-398. DOI: https://doi.org/10.4332/KJHPA.2016.26.4.390.
  21. Choi YH. Is subjective health reliable as a proxy variable for true health?: a comparison of self-rated health and self-assessed change in health among middle-aged and older South Koreans. Health Soc Welf Rev 2016;36(4):431-459. DOI: https://doi.org/10.15709/hswr.2016.36.4.431.
  22. Chang I, Kim HS. Regional factors affecting subjective health and wellbeing: spatial analysis for the case of Seoul. Health Soc Welf Rev 2016;36(3):85-118. DOI: https://doi.org/10.15709/hswr.2016.36.3.85.
  23. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 1986;51(6):1173-1182. DOI: https://doi.org/10.1037//0022-3514.51.6.1173.
  24. Aroian LA. The probability function of the product of two normally distributed variables. Ann Math Stat 1947;18(2):265-271. DOI: https://doi.org/10.1214/aoms/1177730442.
  25. Sobel ME. Asymptotic confidence intervals for indirect effects in structural equation models. Sociol Methodol 1982;13:290-312. DOI: https://doi.org/10.2307/270723.
  26. MacKinnon DP, Dwyer JH. Estimating mediated effects in prevention studies. Eval Rev 1993;17(2):144-158. DOI: https://doi.org/10.1177/0193841x9301700202.
  27. Preacher KJ, Hayes AF. Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav Res Methods 2008;40(3):879-891. DOI: https://doi.org/10.3758/brm.40.3.879.
  28. Charron N, Dijkstra L, Lapuente V. Regional governance matters: Quality of government within European Union member states. Reg Stud 2014;48(1):68-90. DOI: https://doi.org/10.1080/00343404.2013.770141.
  29. Charron N, Dijkstra L, Lapuente V. Mapping the regional divide in Europe: a measure for assessing quality of government in 206 European regions. Soc Indic Res 2015;122(2):315-346. DOI: https://doi.org/10.1007/s11205-014-0702-y.
  30. Park YY, Choi SY, Lee KS. Differences of outpatient service uses by marital status. Korean Public Health Res 2018;44(1):1-16. https://doi.org/10.22900/KPHR.2018.44.1.001
  31. Shin SC, Kim MC. The effect of occupation and employment status upon perceived health in South Korea. Health Soc Sci 2007;22:205-224.
  32. Duncan G. Happiness, sadness and government. Health Cult Soc 2013;5(1):51-66. DOI: https://doi.org/10.5195/hcs.2013.130.